Employment Application

Seeking energetic, dependable & self motivated individuals for many positions. Please indicate desired position and answer position specific questions below. Thank you for your interest in Jaarsma!

Do you need to have sales experience? No way.
Teachers flourish in this position. Recovering administrators, also awesome. Love the gym? We provide plenty of exercise here.
We are a little team and we like to get-stuff-done.

Want to try before you sign up? We’re happy to schedule a trial day.

Red text denotes required field

Last Name:

First Name:

Middle Initial:

Gender *

Name you prefer to be called:

Street Address:

City:

State *

Zip Code:

Phone #:

Cell #:

Best time of day to reach you:

Age:

Date Of Birth:

Email Address:

Are you currently a student? *

If so, what school?

Do you participate in extracurricular activities that would interfere with working any specific days or times of the year?

Highest level of education achieved: *

What position are you applying for? *

Hourly Wages expected:

Date you can start work:

What number of hours are you interested in working?

Are you able to work Saturdays? *

Do you have any lifting restrictions or other health issues that would prevent you from lifting or standing on your feet for long periods of time? If so, please explain:

If applying for sales position, please answer the following questions

Do you have any sales experience?

If Yes, please list:

Did you operate a cash register?

Did you operate a credit card machine?

Do you consider yourself outgoing and a people person?

Clerking during busy times can be stressful. How well do you work in stressful situations?

If applying for production position, please answer the following questions

Do you have any baking experience?

If Yes, please list:

Have you ever worked in the food service industry?

If Yes, where:

Would you be willing to work early morning hours?

Are you able to lift 50lbs or more?

Present and Former Employers
Please List Last Three Jobs Held (present or last job first)

Business 1 Name:

Business 1 Address:

Business 1 Contact Person:

Business 1 Phone Number:

Business 1 Dates Employed:

Business 1 Work Duties:

Business 1 Wages/Salary:

Business 1 Reason for Leaving:

Business 2 Name:

Business 2 Address:

Business 2 Contact Person:

Business 2 Phone Number:

Business 2 Dates Employed:

Business 2 Work Duties:

Business 2 Wages/Salary:

Business 2 Reason for Leaving:

Business 3 Name:

Business 3 Address:

Business 3 Contact Person:

Business 3 Phone Number:

Business 3 Dates Employed:

Business 3 Work Duties:

Business 3 Wages/Salary:

Business 3 Reason for Leaving:

Do we have your permission to contact your former employers? *

If no, please give reason why:

Store Hours
Monday - Friday:	6:00am - 6:00pm
Saturday:	6:00am - 6:00pm
Sunday:	Closed

Store Hours
Monday - Friday	7:30am - 5:30pm
Saturday:	7:30am - 5:00pm
Sunday:	Closed