APPLICATION

FOR EMPLOYMENT
http://www.brusters.com

___________________________________, Franchisee
Brusters Ice Cream is an equal opportunity employer, dedicated to a policy of non-discrimination in employment on any basis including race, color, age,
sex, religion, national origin, disability, sexual orientation, or any other basis prohibited by federal or state law.

Name (Last) (First) (Middle) Date

Harris Jamel Deon May 14, 2015

Address City State Zip

8621 Hilltop Road Jonesboro Georgia 30236

Phone Number (best number to reach you) Email Address How many hours per week would you like to
678-908-4787 work?
Alternate Number jamel.harris0514@icloud.com
678-357-9662
25

Brusters Store Hours Are: (hours are subject to change at management discretion)

X X
SUMMER: ___________________________________________________ WINTER: ___________________________________________________
Opening staff typically starts between 9:00 and 11:00AM.
Closing staff typically requires 30 minutes after store hours to close the shop.

List the hours you are available for work in the spaces below. Employees 16 years old & older will be scheduled to close at least one night per week.
Day Mon Tue Wed Thurs Fri Sat Sun
From
4:30 p.m. 4:30 p.m. 4:30 p.m. 4:30 p.m. 4:30 p.m. 11:00 a.m. 12:00 p.m.
To
9:00 p.m. 9:00 p.m. 9:00 p.m. 9:00 p.m. 10:00 p.m. 7:00 p.m. 7:00 p.m.
Describe other activities that may periodically affect your availability, such as sports, music, school, etc (Exclude activities that indicate race, creed, color,
sex, age, religion, handicap or national origin.)
Jonesboro High School Marching Band and Jonesboro High School Track & Field
______________________________________________________________________________________________________________________________

If you are under 18 years of age, please state your date of birth ______/______/______
05 14 16
1999 If under 18 years of age, how old are you? _________________

Are you able to perform the essential duties of the job for which you are applying? Yes / No If no, please describe:

Do you have reliable transportation to work? Yes / No Are you legally eligible for employment in the United States? Yes / No

School Most Recently Attended
Name City / State
Jonesboro High School Jonesboro, Georgia
Teacher or Counselor Grade GPA Graduated Now Enrolled
Completed
Ms.Green 10th 3.2 YES NO YES NO
Extracurricular Activities (band, choir, student council, football, etc)

Marching Band and Track & Field

Personal References
Name Name Name
N/A
Akosua Davis Bridgette Schuch

Address Address Address
N/A
N/A N/A

Telephone Telephone Telephone


(404) 655-1067 (989) 450-7819 N/A

Most Recent Job - May We Contact? YES _______ NO _______

 Company Name Address City State
N/A N/A
Phone Job Title Supervisor Dates worked: From / To
N/A N/A N/A N/A
Salary Reason for leaving
N/A N/A

Why would you like to work for Brusters?
I would like to work for Bruster's because I have the potential to be a great addition to the team. I would also like to for Bruster's

because Bruster's is a Nice, Friendly place and I think I have the ability to be a great employee there.
Have you ever worked at a Brusters store before? If so, why did you leave?
No
What does customer service mean to you?
Customer Service mean, Having the ability to talk to all different kinds of new people with respect. Customer Service also
mean

List any additional information you would like us to know (awards, special skills, recognition received)

A & B Honor Roll in January 2015

Determine the correct change:
1. The customer gives you $5.00. The guest total is for $2.71. The customers change is ________________________. $2.29
2. The customer gives you $10.00. The guest total is for $6.12. The customers change is ________________________. $3.88
3. The customer gives you $6.15. The guest total is for $5.11. The customers change is ________________________. $1.04
Select the correct description (Circle the Correct Answer)
1. $1.79
A. One dollar bill, three quarters, one nickel
B. One dollar bill, three quarters, four pennies
C. One dollar bill, two quarters, two dimes, four pennies
2. $4.61
A. Four dollar bills, three quarters, one penny
B. Four dollar bills, two quarters, one nickel, one penny
C. Four dollar bills, two quarters, one dime, one penny
3. $12.22
A. One ten dollar bill, two one dollar bills, two nickels, two pennies
B. One ten dollar bill, two one dollar bills, two dimes, two pennies
C. One ten dollar bill, one one dollar bill, two dimes, two pennies

PLEASE READ CAREFULLY BEFORE SIGNING
My signature below indicates that I have read, understand, and agree to the following:
1. I understand that I may be required to sign a confidentiality and/or non-compete agreement, should I become an employee of Brusters Ice Cream. 2. I
certify that I have read and fully completed both sides of this application and that the information contained on this application is correct to the best of my
knowledge and understand that any omission or erroneous information is grounds for dismissal in accordance with Brusters policy. 3. I acknowledge that
Brusters reserves the right to amend or modify the policies in its Handbook, or conveyed verbally, and other policies at any time, without prior notice.
These policies do not create any promise or contractual obligation between Brusters and its employees. At Brusters, my employment is at will. This
means I am free to terminate my employment at any time, for any reason, with or without cause, and Brusters retains the same rights. 4. I authorize
Brusters to make whatever inquiries either personal, work-related, or through a consumer agency that may be necessary. In exchange for Brusters
agreement to receive, process, and consider my application, I hereby release Brusters, and any and all persons or organizations contacted by Brusters
from any and all claims or causes of action arising out of Brusters verification of the information provided in this application, and other job-related
information arising from such verification. 5. I understand that if an offer of employment is made to me it may be contingent upon my completion of a
physical examination to the satisfaction of Brusters. I herby consent to undergo that physical examination, which may include any and all tests and
procedures determined by Brusters to be helpful in evaluating my suitability for employment, including but not limited to blood tests, urinalysis, and x-
rays. 1/15

Applicants Signature Date
May 14, 2015
If under age 18, parent/guardian signature Date

May 14, 2015