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JOB APPLICATION Personal FULL NAME: ___________________________________ DATE: _______________ ADDRESS: _____________________________________________________________ Street Address Apt/Suite _____________________________________________________________ City State Zip Code E-MAIL: __________________________________ PHONE: _________________________________ LOCATION: Chisholm Creek Shawnee DATE AVAILABLE: __________________ WEEKLY AVAILABILITY:

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JOB APPLICATION

PersonalFULL NAME: ___________________________________

DATE: _______________

ADDRESS:

_____________________________________________________________

Street Address Apt/Suite

_____________________________________________________________

City State Zip Code

E-MAIL: __________________________________

PHONE: _________________________________

LOCATION:Chisholm CreekShawnee

DATE AVAILABLE: __________________

WEEKLY AVAILABILITY:

Monday: ______________________________________

Tuesday: ______________________________________

Wednesday: ______________________________________

Thursday: ______________________________________

Friday: ______________________________________

Saturday: ______________________________________

Sunday: ______________________________________

DESIRED HOURS: __________________

ESTIMATED LENGTH OF TIME WORKING FOR THE SURFBAR:________________________________

Employment Eligibility

ARE YOU LEGALLY ELIGIBLE TO WORK IN THE U.S? ☐ YES ☐ NO*

HAVE YOU EVER WORKED FOR THIS EMPLOYER?☐ YES* ☐ NO

*IF YES, WRITE THE START AND END DATES:____________________________________

HAVE YOU EVER BEEN CONVICTED OF A FELONY? ☐ YES* ☐ NO

*IF YES, PLEASE EXPLAIN:____________________________________________________

EducationHIGH SCHOOL: _____________________

CITY / STATE: _____________________

FROM: _____________________ TO: _____________________

GRADUATE? ☐ YES ☐ NO

COLLEGE: _____________________ CITY / STATE: _____________________

FROM: _____________________ TO: _____________________

GRADUATE? ☐ YES ☐ NO DEGREE: _____________________

OTHER: _____________________ CITY / STATE: _____________________

FROM: _____________________ TO: _____________________

DEGREE/CERTIFICATION: _____________________

Previous EmploymentEMPLOYER 1:__________________________________________________________

Company / Individual

E-MAIL: __________________________________

PHONE: _____________________

ADDRESS:____________________________________________________________

Street Address Apt/Suite

____________________________________________________________City State Zip Code

STARTING PAY: $_________ ☐ HOUR ☐ SALARY ENDING PAY: $_________ ☐HOUR ☐ SALARY

JOB TITLE: ______________

RESPONSIBILITIES: _____________________________

FROM: _____________________ TO: _____________________

REASON FOR LEAVING:_______________________________________________________

EMPLOYER 2:__________________________________________________________

Company / Individual

E-MAIL: __________________________________

PHONE: _____________________

ADDRESS:____________________________________________________________

Street Address Apt/Suite

____________________________________________________________City State Zip Code

STARTING PAY: $_________ ☐ HOUR ☐ SALARY ENDING PAY: $_________ ☐HOUR ☐ SALARY

JOB TITLE: ______________

RESPONSIBILITIES: _____________________________

FROM: _____________________ TO: _____________________

REASON FOR LEAVING:_______________________________________________________

EMPLOYER 3:__________________________________________________________

Company / Individual

E-MAIL: __________________________________

PHONE: _____________________

ADDRESS:____________________________________________________________

Street Address Apt/Suite

____________________________________________________________City State Zip Code

STARTING PAY: $_________ ☐ HOUR ☐ SALARY ENDING PAY: $_________ ☐HOUR ☐ SALARY

JOB TITLE: ______________

RESPONSIBILITIES: _____________________________

FROM: _____________________ TO: _____________________

REASON FOR LEAVING:______________________________________________________

ReferencesFULL NAME: _______________________________

RELATIONSHIP: ______________

COMPANY: ________________________________ TITLE: ______________

E-MAIL: __________________________________

PHONE: _____________________

FULL NAME: _______________________________

RELATIONSHIP: ______________

COMPANY: ________________________________ TITLE: ______________

E-MAIL: __________________________________

PHONE: _____________________

FULL NAME: _______________________________

RELATIONSHIP: ______________

COMPANY: ________________________________ TITLE: ______________

E-MAIL: __________________________________

PHONE: _____________________

Short Answer

Why would you be a good fit for The Surf Bar?__________________________________________________________________________________________________________________________________________________________________________________________________________________

Why do you want to work for The Surf Bar? (Besides getting to eat açaí bowls allthe time;))__________________________________________________________________________________________________________________________________________________________________________________________________________________

Background ConsentIF ASKED, ARE YOU WILLING TO CONSENT TO A BACKGROUND CHECK?☐YES ☐ NO

DisclaimerApplicant understands that this is an Equal Opportunity Employer and committed toexcellence through diversity. In order to ensure this application is acceptable, pleaseprint or type with the application being fully completed in order for it to beconsidered.

Please complete each section EVEN IF you decide to attach a resume.

I, the Applicant, certify that my answers are true and honest to the best of myknowledge. If this application leads to my eventual employment, I understand thatany false or misleading information in my application or interview may result in myemployment being terminated.

SIGNATURE _________________________________

DATE _____________________

PRINT NAME _________________________________

➔Who Are We?◆We are a company with a goal to serve people intentionally

and make God known through us.

➔ Our Story◆ Tyler was given the opportunity to open up The Surf Bar in the

back of a boutique his senior year of high school. Having beento Hawaii, California, and Florida, he had tried açaí bowls fromthese places and always enjoyed eating them. When theopportunity came, there was no doubt. Since the opening in2018, with the help of many community and Team members,The Surf Bar has evolved into what it is. We wouldn't be herewithout your support.

➔What Can You Expect?◆ You’ll be a part of a family, our family.◆We will help you grow in any aspect of life.◆ Opportunities to grow with the company.◆ A social and energetic environment.◆ There will be some high-pressured hours when busy.◆ To be led by leaders who genuinely care for you.◆ To be apart of a growing company that is trying to change

communities, one bowl at a time.