Retail Employment Application

The following application must be filled out in its entirety for consideration. If any of the following areas requested do not apply please write "N/A". Do not submit a resume in lieu of the information requested below; applications specifying "see resume" will be considered incomplete and thus ineligible. You may also fax a completed application to 714-939-7738 or deliver to your favorite location. Click here for a PDF of the application.

NOTE: All fields with * are required.

Personal Information

First Name *

Middle Name *

Last Name *

Address *

City *

State *

Zip Code *

Desired Location *

Email Address *

Home Phone Number *

Cell Phone Number

Job Information

Position *

Date Available

Desired Salary *

Job Type *
Full Time
Part Time
Seasonal: Summer
Seasonal: Winter

Other Job Type

Availability (Hourly)








More Personal Information

Are you at least 18 years of age? *

If No, you may be required to provide a work permit upon hire.

Are you a citizen of the United States of America? *

If No, are you authorized to work in the U.S.?

Have you ever worked for this company? *

If Yes, when and where?

Have you ever been convicted of a felony? *

If Yes, please explain.


High School

Have you graduated?




Have you graduated?



Previous Employment

Company *


Phone *

Supervisor *

Employment Start Date *

Employment End Date *

Starting Salary *

Ending Salary *

Job Title *

Responsibilities: *

Reason for Leaving: *

May we contact this employer? *





Employment Start Date

Employment End Date

Starting Salary

Ending Salary

Job Title


Reason for Leaving:

May we contact this employer?

Military Service




Rank at Discharge

Type of Discharge

Please explain if other than honorable:

Upload Resume

Upload Resume
Files Allowed: *.txt, *.doc, *.docx, *.pdf
Max File Size: 150k


The Secretary of Health and Human Services has determined that certain diseases, including hepatitis A, salmonella, shigella, staphylococcus, streptococcus, giardia, E. coli, and campylobacter may prevent you from serving food or handling food equipment in a sanitary or healthy fashion. An essential function of this job involves handling and serving food, food service equipment and utensils in a sanitary and healthy fashion.

Is there any reason why you cannot perform the
essential functions of this job? *

If YES, please explain

  1. I certify that I have read and fully completed all three (3) pages of this application and that the information contained in this application is correct to the best of my knowledge. I understand that any omission or erroneous information is grounds for dismissal in accordance with YOGURTLAND's policy.
  2. I authorize the reference(s) listed in this application to provide any and all information concerning my previous employment as well as pertinent information they may have, personal or otherwise. I release all parties from all liabilities for any damages that may result from furnishing the aforementioned information.
  3. I acknowledge that YOGURTLAND reserves the right to amend or modify the policies in its Employee Handbook as well as other YOGURTLAND policies at any time, without prior notice. These policies do not create any promise(s) or contractual obligation(s) between YOGURTLAND and its employee(s). At YOGURTLAND, my employment is at-will. This means I am free to terminate my employment at any time or for any reason, with or without cause. YOGURTLAND also retains these same rights.
YOGURTLAND is an Equal Opportunity Employer. Various federal, state, and local laws prohibit discrimination on account of sex gender, race or color, national origin, ancestry, sexual orientation, pregnancy, citizenship status, age, religion, disability or medical condition, marital status or military status. It is YOGURTLAND's policy to fully comply with these laws, as applicable. The information requested in this application will not be used for any purpose(s) prohibited by the law.

By checking this box I have read, understand, and agree to the disclaimer above. *