SMART SMOOTHIE LLC EMPLOYMENT APPLICATION Question Title * 1. CONTACT Name Address City/Town State/Province -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP/Postal Code Email Address Phone Number Question Title * 2. WHEN ARE YOU AVAILABLE TO BEGIN WORKING? DATE Date Question Title * 3. ARE YOU CURRENTLY EMPLOYED? Yes No Question Title * 4. Desired Pay Hourly? Question Title * 5. Do you have reliable transportation? Yes No Question Title * 6. Do you currently have a food handlers card? Yes No No; but able to obtain one Question Title * 7. Please list any days or times that you are UNAVAILABLE to be scheduled Monday through Saturday 530am to 630pm. Question Title * 8. References Personal Reference Name Personal Reference Number Personal Reference Current Email address Professional Reference Name Professional Reference Number Professional Reference Current Email address Question Title * 9. If you're a responsible and enthusiastic individual with a passion for healthy eating and a desire to make a positive impact in other's lives, then The Smart Foodie Cafe is the perfect place for you! We're looking for dynamic individuals who are dedicated to providing exceptional customer service and have a strong work ethic. As a team member, you'll have the opportunity to be part of a fast-paced and supportive environment while helping us promote healthy eating habits and lifestyles. Don't miss out on this exciting opportunity to join our growing team at The Smart Foodie Cafe.... Does this apply to you? Strongly agree (HECK YEAH) Agree (YES) Disagree (NAH, IM GOOD) Question Title * 10. Have You Emailed Resume' to Apply@TheSmartSmoothie.com Yes No No; will do today Next