Employment Application - Imperial Ice Little Rock Arkansas | 7lb 20lb Bags of ICE

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PERSONAL INFORMATION
Name*
First Middle Last
Social Security Number*
Present Address*
Street Address Address Line 2 City State ZIP Code
Email Address*
Enter Email Confirm Email
Day Phone*
Drivers License Number*
Issuing State*
State
Drivers License Class*
- Class A
- Class B
- Class C

EDUCATION

Academic - Currently Attending
Name & Location of School
Did you Graduate?
- Yes
- No
Subjects Studied
EDUCATION

Academic - Last Completed
Name & Location of School
Number of Years Completed
Did you Graduate?
- Yes
- No
Subjects Studied
EDUCATION

Trade/Other - Currently Attending
Name & Location of School
Number of Years Completed
Did you Graduate?
- Yes
- No
Subjects Studied
EDUCATION

Trade/Other - Last Completed
Name & Location of School
Number of Years Completed
Did you Graduate?
- Yes
- No
Subjects Studied

FORMER EMPLOYERS
List below, your last two employers, starting with the most recent one first.
Employer #1
Date Empoyed From*
Date Empoyed To*
Name of Previous Employer*
First Last
Address of Previous Employer*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Salary*
Job Title*
Reason for Leaving*
FORMER EMPLOYERS

Employer #2
Date Empoyed From*
Date Empoyed To*
Name of Previous Employer*
First Last
Address of Previous Employer*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Salary*
Job Title*
Reason for Leaving*
REFERENCES
List below, three references.
Name of Reference #1*
First Last
Phone Number*
Name of Reference #2*
First Last
Phone Number*
Name of Reference #3*
First Last
Phone Number*

FOREIGN LANGUAGES
List any foreign languages skills that you have and check which best describe your capabilities.
Language
Untitled
- Fluent
- Good
- Fair

CONDITIONS OF EMPLOYMENT
Conditions of Employment*
I give Cold Technologies, LLC dba: Imperial Ice the right to investigate all references and to secure additional information about me, if job related. I hereby release from liability Cold Technologies, LLC dba: Imperial Ice and its representatives for seeking such information and all other persons, corporations or organizations for furnishing such information.

It is understood and agreed upon that any misrepresentation or omission by me in this application will be sufficient cause for cancellation of this application and/or separation from the Company's service if I have been employed. Furthermore, I understand that just as I am free to resign at anytime, the Company reserves the right to terminate my employment at anytime. with or without cause and without prior notice.

Reporting to work with impaired abilities; or the possession, consumption or distribution of drugs or alcohol on Company or Client premises and/or worksites, will be grounds for disciplinary action, including discharge. A condition of employment includes a willingness on the part of the applicant or employee to agree to physical examination, and/or substance testing, if requested by Cold Technologies, LLC dba: Imperial Ice. We are committed to operating a drug free workplace. Violations of our drug and alcohol policy may result in dismissal.

Cold Technologies, LLC dba: Imperial Ice is an Equal Opportunity Employer. The company does not discriminate in employment and no question on this application is used for the purpose of limiting or excusing any applicant's consideration for employment on a basis prohibited by the local, state, or federal law.

This application is current for 60 days. At the conclusion of this time, if I have not heard from Cold Technologies, LLC dba: Imperial Ice and still wish be considered for employment, it will be necessary to fill out a new application.
I have carefully read the above Conditions of Employment and I understand and agree to the terms
Signature*
Date*

Step 1 of 7

PERSONAL INFORMATION

EMPLOYMENT DESIRED

EDUCATION

Academic - Currently Attending

EDUCATION

Academic - Last Completed

EDUCATION

Trade/Other - Currently Attending

EDUCATION

Trade/Other - Last Completed

VOLUNTARY AFFIRMATIVE ACTION INFORMATION

SKILLS AND QUALIFICATIONS

FORMER EMPLOYERS

Employer #1

FORMER EMPLOYERS

Employer #2

REFERENCES

FOREIGN LANGUAGES

CONDITIONS OF EMPLOYMENT