Adult Application Apply Online - Adult Application Applicant Name * Address * Address Address Address City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal Phone Number * Email Address * Confirm Email Address * Are you eligible to work in the U.S.? * Yes No EDUCATION High School * Location * Scholastic Standing * ex: GPA Years Completed * Did you graduate? * Yes No College Location Scholastic Standing ex: GPA Years Completed Did you graduate? Yes No Business/Trade School Location Scholastic Standing Years Completed Did you graduate? Yes No Do you plan to continue school? * Yes No If yes, where? WORK EXPERIENCE Enter last or current job first. Account for all time during the last ten years, whether employed or not. Click 'add' button to enter next job. Job Title Company Location From MM/YYYY To MM/YYYY I currently work here Yes If yes, may we contact? Yes No Supervisor's Name Phone Number Reason for Leaving plus1 Add minus1 Remove REFERENCES People who know you, not relatives, who may be called at this time. Reference Name #1 * Phone Number * Relationship * Reference Name #2 * Phone Number * Relationship * Reference Name #3 * Phone Number * Relationship * WORK AVAILABILITY For what type of work are you applying? -- Select --Retail Store EmployeeRetail Store ManagementManufacturing (Production)Wholesale / Truck DriversOffice / AdministrativeStock Truck Driver + StockerHuman Resources Manager For what type of work are you applying? To select multiple, hold down the Ctrl key and click each of the items you want to select. For what location(s) are you applying -- Select --Moline – 2601 41st. StreetMoline – 1601 Avenue of the CitiesMoline – Plant / Manufacturing Moline – Office East Moline – 1335 Avenue of the CitiesRock Island – 2520 18th AvenueDavenport - 1230 West Locust StreetDavenport – 2419 East 53rd StreetBettendorf – 3515 Middle RoadEldridge – 114 North 1st Street To select multiple, hold down the Ctrl key and click each of the items you want to select. List the qualities that you possess or the knowledge or the experience that you have gained which would help you in the position for which you are applying: How many hours per day/week would you prefer? Please include minimum hours and maximum hours. During which hours of the day are you available to work? During which days of the week are you available to work? How long do you plan to work? -- Select --CareerSummer OnlyOne Year or MoreOther How long do you plan to work? Wage requirement, if any: Write a paragraph explaining why you are a good candidate for employment by Whitey’s Ice Cream, Inc. * How did you hear about this job? * -- Select --NewspaperFriendInternetSchoolWhiteysIceCream.comFacebookJob FairInstagramOther Date available for employment: * Upload resume if available: Drop a file here or click to upload Choose File Maximum file size: 157.29MB reCAPTCHA I certify that the answers given by me in the foregoing questions and statements are true and correct without omissions of any kind whatsoever. I authorize the U.S. Government, companies, schools or persons named above to give any information regarding my employment, separation or discharge, together with any information they may have regarding me whether or not it is in their records. I hereby release the above from all liability for any damage for issuing this information. I understand and agree that a false statement herein is grounds for denial of employment or basis for dismissal if already employed. Yes, I have read and consent to the terms and conditions. Text Submit
