Juice Stop Application

Tell us about yourself. Fields marked * are required.

Personal Information

Email *First & Last Name *Address *Phone *

Are you at least 16 years of age? *

YesNo

Date of Birth

Are you legally able to be employed in the United States? *

YesNo

Referred by

Which location(s) are you interested in working at? *

26th & Marion10th & Sycamore57th & Cliff33rd & Minnesota57th & LouiseAll Locations

What is your availability?

SunMondayTuesdayWednesdayThursdayFridaySaturday

What hours are you available on the days you chose? *How many hours would you like to work per week? *When are you available to start? *

Name of High School attended/attending *Last grade completed

Graduated *

YesNo

Name of College attended/attendingLast grade completed (college)

Graduated (college)

YesNoN/A

List any sports or activities you currently participate in

Is this your first job? (if no, fill out current and previous employment below) *

YesNo

EmployerAddressPhone Number

Start DateEnd Date (if current, use today)

Hourly WagePosition

May we contact?

YesNo

EmployerAddressPhone

Start DateEnd Date

Hourly WagePosition

May we contact?

YesNo

By typing your name below, you certify the information provided is true and accurate.

Electronic Signature *Today's Date

Sioux Falls' real-fruit smoothie stop. Five locations, one happy habit.