Name *
First
Last
Year-Round Address *
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Summer Address (if different from year-round address)
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Cell Phone *
Cell Phone Carrier *
Needed if Hired
Email *
Birth Date *
Ever worked in an ice cream shop before? *
Yes
No
If yes, when and where?
AVAILABILITY
Daily Availability *
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Check the days you are available to work.
Desired Position *
Team Member
Total Hours Available per Week *
15-20
20-30
30-40
40
Are you SERVSAFE Manager Certified? *
Yes
No
Are you legally able to be employed in the U.S.? *
Yes
No
How did you hear of the job? *
How far do you live from the shop in the summer? *
< 5 miles
5-10 miles
10 miles
Do you have reliable transportation to work? *
Yes
No
School Most Recently Attended
School Name *
City & State *
Phone *
Teacher Reference *
Last Grade Completed *
Grade Point Average *
Two Most Recent Jobs
If a job is not applicable, list U.S. military service, work performed on a voluntary basis or personal references.
Company 1
Company 1 *
Location *
Phone *
Job Position *
Supervisor *
First and Last Name
Dates Worked *
FROM ____ TO ____
Salary *
Reason For Leaving
If applicable.
Company 2
Company 2 *
Location *
Phone *
Job Position *
Dates Worked *
FROM ____ TO ____
Supervisor *
First and Last Name
Salary *
Reason For Leaving
If applicable.
Physical
Any health problems or physical disabilities which could affect your employment? *
Yes
No
Please explain a 'Yes' answer in detail.
Do you now have, or have you had, within the last 6 months, any contagious or communicable diseases, or gastro-intestinal infections, hepatitis or salmonella? *
Yes
No
During the past 7 years, have you ever been convicted of a crime, including misdemeanors and traffic violations? *
Yes
No

• a conviction will not necessarily bar you from employment.

If yes, please describe in full in the space provided.
1. I certify that the information on this application is correct to the best of my knowledge and understand that deliberate falsification is grounds for dismissal in accordance with the policies of KGGK, Inc d/b/a Katie’s Homemade Ice Cream. 2. I authorize the references listed above to give you any, and all, information concerning my previous employment and pertinent information they may have, personal or otherwise, and release all parties from all liability for any damage that may result from furnishing same to you. 3. I acknowledge that, if I become employed, I will be free to terminate my employment at any time for any reason and that KGGK Inc d/b/a Katie’s Homemade Ice Cream retains the same rights. No representative of KGGK Inc. d/b/a Katie’s Homemade Ice Cream has the authority to make any contrary agreement. *
I agree.
Name
Submit
KGGK Inc. d/b/a Katie’s Homemade Ice Cream is an equal opportunity employer. The Civil Rights Act of 1964 and State and Local laws prohibit discrimination on the basis of race, color, religion, sex, national origin or veteran status.
YOUR APPLICATION WILL BE CONSIDERED FOR 30 DAYS- FOR CONSIDERATION AFTER THAT YOU MUST REAPPLY. THIS SCOOP SHOP IN LOCALLY OWNED AND OPERATED.