Application for Employment

COMPLETELY ANSWER ALL QUESTIONS

In compliance with Federal and State equal opportunity laws, qualified applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, military status, or disability, as defined by federal law.

PERSONAL INFORMATION
*Required Information
First Name*
Last Name*
Phone*
Street*
Address
City*
State*
Zip Code*
LOCATION DESIRED
AUBURN
ELKHART (3)
FT. WAYNE
GOSHEN
MARION
PLYMOUTH
SYRACUSE
WABASH
WARSAW (3)
ANY
Education: Schools, Colleges & Other training (List in order of completetion)
High School
Name Years Complete
Graduated/Completed Yes No Attending
College
Name Years Complete
Graduated/Completed Yes No Attending
Others 1
Name Years Complete
Graduated/Completed Yes No Attending
Others 2
Name Years Complete
Graduated/Completed Yes No Attending
PERSONAL QUESTIONS
Have you ever filed an application or worked here before? *
Yes No
Are you legally eligible to work in the United States? *
Yes No
Are you under 18 years of age? *
Yes No
Are you available to work: *
Full time Part time On shifts Nights Weekends Holiday
Have you been convicted of a felony or released from prison within the last 7 years? *
Yes No
If yes, describe in full, including date(s)

(Conviction will not necessarily disqualify applicant form employment)
Do you have any reason to believe that you could not perform the essential tasks of the job for which you are being considered? *
Yes No If yes, please explain
(Employment discrimination is prohibited on the basis of a disability as that term is defined by federal law)
Are you a veteran? * Yes No
If yes, what was your branch of military service Rank
References : (not related to you)
Name Address Phone
Employment History: (List Most Recent First)
Employer 1
Employer Last Position
Supervisor Street Address
City State Zip
Phone Ending Pay
Employed From To Reason For Leaving
Duties & Responsibilities
Employer 2
Employer Last Position
Supervisor Street Address
City State Zip
Phone Ending Pay
Employed From To Reason For Leaving
Duties & Responsibilities
Employer 3
Employer Last Position
Supervisor Street Address
City State Zip
Phone Ending Pay
Employed From To Reason For Leaving
Duties & Responsibilities
Special Skills & Qualifications
Describe any special skills or qualifcations for this position.
Referral Source
Walk-In Employee Friend / Relative School / Job Fair
Newspaper / Advertisement Other
If Other, Please specify:

APPLICANT'S STATEMENT

I certify that the answers given herein are true and complete. I authorize investigation of all statements contained in this application for employment. I hereby authorize anyone of whom request is made to supply to Penguin Point Franchise Systems, Inc. any information concerning my background in connection with my being considered for employment with Penguin Point Franchise Systems, Inc. I hereby release all parties, including but not limited to Penguin Point Franchise Systems, Inc., my personal references and my previous employers, from any all liability for any injury or damage that may result from their furnishing information to the Company concerning me or any action the Company takes on the basis of such information.

I understand that this application is not and is not intended to be a contract of employment. In the event of employment, I understand that:

(a) Misrepresentation or omission of facts on this application is cause for immediate dismissal

(b) I am required to and agree to abide by all Penguin Point Franchise Systems, Inc. rules and regulations as a conditions of employment;

(c) This application is not a contract of employment; and

(d) My employment is at-will and is for no definite period of time, and as such either the Company or I may terminate the employment relationship with or with out cause at any time.

*AGREE DO NOT AGREE

You can submit your completed application to us electronically by clicking the Submit Button below. If you prefer, you can click the Print Button to view a printer friendly version of your completed application, and bring it in person to your local Penguin Point or mail to: P.O. Box 975, Warsaw, In 46581