Milroy Dairy Queen® Restaurant - Employment Application

This application is intended for use in evaluating your qualifications for employment.
Please answer all questions completely and accurately.
All applications will receive consideration without discrimination based on sex, marital status, race, color, age, creed, national origin, sexual orientation, military reserve membership, ancestry, religion, height, weight, use of guide or support animal because of blindness, deafness or physical handicap or the presence of disabilities.
Primary Phone
E-Mail Address
Position Applying for
General Manager    Assistant Manager    Shift Leader    Grill Staff    Chill Staff    Cake Decorator    Any   
If you are not 18 years of age, please enter birth date here :
If you are still in school, please list any extra cirricular activites which might limit your work availability:
Have you ever worked for Dairy Queen in any capacity before:
Yes    No   
If so, please indicate when and where:
Can you perform the essential functions for the position for which you are applying:
Yes    No   
In NO, please describe limitations:
Are you legally eligible for employment in the USA? (Proof of citizenship or immigration status will be required within 3 days of hire)
Yes    No   
Have you ever been convicted of a felony:
Yes    No   
Type of work desired:
Full Time    Part Time    Shift Work    Temporary    Any   
Date you are available to start :
When are you available to work? Please check all that apply:
Mornings    AFternoons    Evenings    Nights    Holidays    Weekends    Anytime   
Do you have transportation:
Yes    No   
May we contact your current employer:
Yes    No   
Name (last, first)
Reason for leaving:
Last year of education completed:
High School - City & State:
College/University - City & State:
Please list only persons who are familiar with your work capabilities. DO NOT list relatives:
Name: (last, first)
Years known:
Name (last, first)
Years known:
1. I certify that the answers given herein are true and complete to the best of my knowledge and are subject to confirmation by Milroy Dairy Queen Restaurant
2. I hereby acknowledge notification that, in compliance with the Fair Credit Reporting Act, that we may take such investigations and inquiries of my personal, employment, financial, or other related matters as may be necessary in arriving at an employment decision. I hereby release employers, schools, and all other persons contacted from all liability.
3. In the event of employment, I understand I am applying for employment which can be terminated at will by either myself or Milroy Dairy Queen Restaurant at any time and that nothing contained in any application, manual, brochure, or other Dairy Queen materials shall constitute an implied or expressed contract for employment. I also acknowledge that Dairy Queen may request previous employment information to evaluate my qualifications for employment. I understand that false or incomplete information in an application for employment is grounds for dismissal and forfeiture of all related benefits. I understand that I am required to abide by all company rules and regulations.
4. I also understand and agree that Milroy Dairy Queen Restaurant supports a Drug Free Workplace and as such may require me to submit to a drug test as a condition of employment or continued employment. These drug tests may be administered at any time. Refusal to submit to any drug test will disqualify an applicant or will result in termination of a current employee.
I have read and understand all of the information provided above
By typing your name and entering the date in the spaces below you agree that you are electronically signing this employment application
Yes    No   
Applicant Signature:
Current Date: