Employment Application

Hello! Thanks for considering applying to Juice Stop. We are always on the lookout for self-motivated, fun, out-going employees who can put a smile on someone’s face. After you fill out the form, we’ll contact you within 7-10 business days to let you know if there is an opening.

Please make sure to fill out the form completely.

Personal Information

Your Name

Street Address



Phone Number

Your Email

Are you at least 16 years of age?
 Yes No



Are you legally able to be employed in the United States?
 Yes No

Which location(s) are you interested in working at?
 Eagle Run 129th & Maple Lakeside Plaza 171st & Center Aksarben Village 67th & Center Downtown 12th and Howard

What are your available hours?
Sunday: to
Monday: to
Tuesday: to
Wednesday: to
Thursday: to
Friday: to
Saturday: to

How many hours would you like to work per week?

When are you available to start?



School Most Recently Attended

Name of school:

Last grade completed?

Now enrolled?
 Yes No

 Yes No

Sports or activities?


Most Recent Employment (if any)




Start work date

End work date

Reason for leaving

Do we have permission to contact the employer?  Yes No

If no, why?