JAMBA JUICE EMPLOYMENT APPLICATION
PE RSON AL INF ORMATION
________________________________________________________________________________________________________________
Last Name
First Name
Middle Name
Email
Phone Number
( _______ ) _______ - _________
Home
Work
( _______ ) _______ - _________
Home
Work
________________________________________________________________________________________________________________
Address
________________________________________________________________________________________________________________
City
State
Zip
1. What position are you applying for? _______________________________________________________
Full time
Part time
2. Are you 16 years of age or older?
Yes
No
(For Team Members under age 18 a work permit is required)
3. Have you ever worked for Jamba Juice?
If yes, please list dates and location(s):
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
4. Can you, upon employment, submit verifi cation of your legal right to work in the U.S. and documentation verifying your identity?
Yes
No
5. Have you ever been convicted of a crime (except minor traffic violations)?
Yes
No
(Applicant may omit any convictions that have been sealed, expunged or eradicated. In addition, any convictions for the possession of marijuana that are more than two (2) years old,
and any information concerning a referral to and participation in any pretrial or post trial diversion program may also be omitted.)
If Yes, please list convictions that are a matter of public record except as stated above:
________________________________________________________________________________________________________________
(Arrests are not convictions. No applicant will be denied employment solely on the ground that he/she has been charged with, committed, or convicted of [or pleaded guilty or no contest
to] a criminal offense. The nature surrounding the circumstances and relevance of the offense to the position(s) applied for will be considered.)
AVA ILA BILITY
(Stores only)
Total available work hours per week: ____________
Are you willing and available to work at any other Jamba Juice locations?
Yes
No
If yes, where: ______________________
Please tell us your weekly availability:
FROM
TO
JJ008011 Rev. 01/08