Employment Application

Thank you for your interest in Ululani's Hawaiian Shave Ice and its subsidiaries Sugar Beach Bake Shop and Merchandice and Gift Shop!

Your Information

Education & Training

Professional References

Application Acknowledgement and Authorization

Ululani's Hawaiian Shave Ice is an equal opportunity employer. This application will not be used for limiting or excluding any applicant from consideration for employment on a basis prohibited by local, state, or federal law. Applicants requiring reasonable accommodation in the application and/or interview process should notify a representative of the Company. If you would like to apply to join our Company, please complete the application below.

NOTE: WE CONDUCT REFERENCE CHECKS, BACKGROUND SCREENS AND DRUG TESTS AS CONDITION OF EMPLOYMENT

The application must be completed in full.
Do not leave any spaces blank or write "see resume" in response to any question.

Location	Position Applying For	Date Available	Home Phone	Mobile Phone

Last Name	First name	Middle Initial	Email Address

Address	City	State	Zip

Are you 18 years of age or older? (If not, you may be required to provide work authorization.)	Yes No
If hired, can you provide verification of your legal right to work in the United States?	Yes No
Can you perform the essential functions of the job for which you are applying, with or without reasonable accommodation?	Yes No

Employment Information
Check days you are available to work. List hours in 00:00 to 00:00 format.
Sunday	Monday	Tuesday	Wednesday	Thursday	Friday	Saturday
Hours Available	Hours Available	Hours Available	Hours Available	Hours Available	Hours Available	Hours Available

Preferred Job Status:	How did you hear about this opening?	Name of referral Source (Name only ONE)

Have you previously been employed by Ululani's Hawaiian Shave Ice, Sugar Beach Bake Shop or Ululani's Merchandice Gift Shop?	Yes No	If Yes, when?		Where?
Do you have any relatives or household members currently working for Ululani's Hawaiian Shave Ice, Sugar Beach Bake Shop or Ululani's Merchandice Gift Shop?	Yes No	If Yes, name(s)?		Relationship?

Describe any non-employment experience such as school or volunteer activities that might strengthen your application:

Safety & Job Specific Certifications
Certification	Type	Provider	Expiration

Employment History
List all previous employment during the past seven years starting with the most recent.
Employer 1
Name	Address	Phone	Job Title	Supervisor	Supervisor Title

Reason for Leaving	Date Hired	Date Left	Ok to Contact?
			Yes No

Summarize the nature of the work performed and job responsibilities.

Employer 2
Name	Address	Phone	Job Title	Supervisor	Supervisor Title

Reason for Leaving	Date Hired	Date Left	Ok to Contact?
			Yes No

Summarize the nature of the work performed and job responsibilities.

Employer 3
Name	Address	Phone	Job Title	Supervisor	Supervisor Title

Reason for Leaving	Date Hired	Date Left	Ok to Contact?
			Yes No

Summarize the nature of the work performed and job responsibilities.

Employer 4
Name	Address	Phone	Job Title	Supervisor	Supervisor Title

Reason for Leaving	Date Hired	Date Left	Ok to Contact?
			Yes No

Summarize the nature of the work performed and job responsibilities.

Please explain any gaps in your employment history.

Please write a brief statement describing what "Aloha" means to you. In this area you may additionally write a cover letter or describe what business or personal experiences and/or training you've had that have prepared you for this position.

Do not list relatives or friends.

Reference 1
Name	Company and Position Held	Years Known	Main Phone	Alternate Phone

Address	City	State	Zip	Email

Reference 2
Name	Company and Position Held	Years Known	Main Phone	Alternate Phone

Address	City	State	Zip	Email

Reference 3
Name	Company and Position Held	Years Known	Main Phone	Alternate Phone

Address	City	State	Zip	Email

Educational Background

Name of School

Diploma Awarded

Degree

High School
GED

College

Graduate
School

Vocational
/ Other

Please read all statements and sign below:

I authorize Ululani's Hawaiian Shave Ice and persons listed (references, schools, current (unless noted) and former employers and any others with whom you desire to check) to communicate with regard to any relevant information that may be required to reach an employment decision. I agree to hold such persons harmless with respect to any information they may supply.

I certify that all information provided by me in this application is correct, accurate and complete to the best of my knowledge. I understand that the falsification, misrepresentation, or omission of any facts in this application or any other document submitted in connection with Ululani's Hawaiian Shave Ice employment will result in denial of employment or termination of employment regardless of the timing or circumstances of discovery.

If I am employed by Ululani's Hawaiian Shave Ice I understand my employment can be terminated, with or without cause and with or without notice, at any time at the option of Ululani's Hawaiian Shave Ice or myself. I understand that, other than the CEO of Ululani's Hawaiian Shave Ice, no manager, supervisor or representative of Ululani's Hawaiian Shave Ice has authority to enter into any agreement for employment for any specific period of time, or to make any agreement contrary to the foregoing.

I understand that all offers of employment are conditional upon my ability to provide appropriate documents regarding my identity and legal right to work in the United States. I understand that this application is only valid for the position applied for at present and that the Ululani's Hawaiian Shave Ice is not obligated to retain or consider this application for future openings. If hired, I agree to abide by Ululani's Hawaiian Shave Ice policies and rules at all times.

I acknowledge that I have read the above statements and understand them.