Blue Pacific Management, LLC , Scanlan Management, LLC, Jamba Juice Hawaii, LLC Online Mgt Application

Today's Date *

Phone number *

Email address *

Full Legal Name *

Street Address *

City *

State *

Zip code *

Have you previously worked for Blue Pacific Management, Sanlan Management (Jack in the Box) or Jamba Juice Hawaii, LLC? *

If yes, input starting and ending date.

Please indicate if you used a different name at that time.

Reason for Leaving

Location

Name of immediate Supervisor

Are you at over 16 years of age? *

Minors age 16 or 17 must be able to provide a Certificate of Age at the time of hire.

Select highest grade completed. Grade School to High School. *

Do you have a high school deploma, GED or equivalent? *

Have you attended college and/or technical/trade school? *

Select years completed. College

Select years completed. Technical/Trade School.

Number of credits earned.

Type(s) of degree(s)

Name of institution(s) where degree(s) received

Provide details of the highest education completed and explain special skills you have developed from sources other that formal education: (e.g., bilingual, include education in progress, if any, with date and name of school attended)


What led you to contact us for employment? *

How did you hear about us? *

Were you referred by an existing employee to apply? *

If yes, what is their First and Last name

Are you able to perform all the essential functions of the job for which you are applying with or without accommodation? *

If No, please explain


What is your short term career goal? *

What is your long term career goal? *

Which company are you applying for? *

Position you are applying for.

Position you are applying for.

Position you are applying for.

Date available for employment: *

Availibility

Desired Salary

List first choice of city or area to work. *

List second choice of city or area to work *

List third choice of city or area to work *

Are you willing to relocate?

Are you willing to work nights? *

Are you willing to work weekends? *

Are you willing to work holidays? *

Will you travel? *


Employment History. In order for this application to be considered, you must account for all of the time since leaving high school, or the past ten years, whichever is shorter. Please complete all the information requested.

1) Present or last employer

Street Address

City

Phone

State

Zip Code

Dates of employment (Month/Day/Year)-(Month/Day/Year)

Position Held

4) Employer's Name

Street Address

City

Phone

State

Zip Code

Dates of employment (Month/Day/Year)-(Month/Day/Year)

Position Held

Monthly Pay

Describe your duties

Name of immediate supervisor

Reason for Leaving?

May we contact this reference?

5) Employer's Name

Street Address

City

Phone

State

Zip Code

Dates of employment (Month/Day/Year)-(Month/Day/Year)

Position Held

Monthly Pay

Describe your duties

Name of immediate supervisor

Reason for Leaviing?

May we contact this referene?

Monthly pay

Describe your duties

Name of immediate supervisor

Reason for leaving?

May we contact this reference?

2) Employer's Name

Street Address

City

Phone

State

Zip Code

Dates of employment (Month/Day/Year)-(Month/Day/Year)

Position held

Monthly Pay

Describe your duties

Name of immediate supervisor

Reason for leaving?

May we contact this reference?

3) Employer's Name

Street Address

City

Phone

State

Zip Code

Dates of employment (Month/Day/Year)-(Month/Day/Year)

Position held

Monthly Pay

Describe your duties

Name of immediate supervisor

Reason for leaving?

May we contact this reference?


1) Name of professional reference

Relationship

Years Acquainted

Phone number

2) Name of professional reference

Relationship

Years Acquainted

Phone number

Name of 1st personal reference *

Relationship *

Years Acquainted *

Phone number *

Name of 2nd personal reference *

Relationship *

Years Acquainted *

Phone number *


COMMENTS This space is provided for your use in giving us any information about yourself not already covered by this form; e.g. career interests, plans, objectives, or any other information about yourself that you feel we should know when considering you for this position.

DRUG TESTING NOTICE TO ALL APPLICANTS This notice is to inform you that BLUE PACIFIC MANAGEMENT, SCANLAN MANAGEMENT, and JAMBA JUICE HAWAII, LLC promotes a drug-free work environment. If a job offer is extended to you, you may be required to submit to and pass a drug test for the abuse of illegal substances prior to being hired, following a work-related injury, prior to finalizing a promotion, on a periodic basis testing basis and/or on a random testing basis. Employment with BLUE PACIFIC MANAGEMENT, SCANLAN MANAGEMENT, and JAMBA JUICE HAWAII, LLC is also conditioned upon your agreement to submit any claims or controversies arising out of your employment to arbitration pursuant to the BLUE PACIFIC MANAGEMENT, SCANLAN MANAGEMENT, and JAMBA JUICE HAWAII, LLC Dispute Resolution Agreement, and your agreement to keep company information confidential pursuant to the BLUE PACIFIC MANAGEMENT, SCANLAN MANAGEMENT, and JAMBA JUICE HAWAII, LLC Confidentiality Agreement. *

BLUE PACIFIC MANAGEMENT, SCANLAN MANAGEMENT, and JAMBA JUICE HAWAII, LLC hires only U.S. citizens and lawfully authorized alien workers. Your name and social security number will be verified with the Social Security Administration. The law prohibits discrimination because of race, color, religion, sex, age, national origin, sexual orientation, ancestry, marital status, arrest and court record, or a disability which may be reasonably accommodated. *

Please read the following paragraphs very carefully before signing this application. I certify that to the best of my knowledge and belief, that statements made by me is this application are correct and complete without omission of any kind. I understand that any false information I give when applying for employment, whether in this application or otherwise, will cause termination of my employment, regardless of when discovered. You are hereby authorized to investigate all the statements made in this application, except for any information about disability and medical conditions or treatment, which is prohibited by the Americans With Disabilities Act. I further agree that I do not have an employment contract and that my employment can be terminated or modified with or without notice or cause at any time by the company or me. *