Valid Drivers License

Yes No **General Information about Employment Desired**Position you are applying for:* Employment status*:Full-Time Part-Time On-Call Yes No Hours available to work: If part-time, hours per week desired: Yes No Yes No Yes No ***if required for the position you are seeking****Education and Training (include on-the-job training)**High School*Yes No School/Location/Sponsor Course of Study # of Years Attended Community College*Yes No School/Location/Sponsor Course of Study # of Years Attended Trade School*Yes No School/Location/Sponsor Course of Study # of Years Attended College/University*Yes No School/Location/Sponsor Course of Study # of Years Attended Seminars/Other*Yes No School/Location/Sponsor Course of Study # of Years Attended **Special Skills**Computer Skills Dates Used Level of Proficiency Duties: Duties: Duties: Duties: Duties: **References**References Give the names of three persons not related to you, whom you have known at least three (3) years.Name Address, Phone, Email Company Years Acquainted Maui Soda and Ice Works, Ltd. is an Equal Opportunity Employer. Race, color, religion, age, sex, disability, marital or veteran status, place of national origin, and other categories protected by law are not factors in employment, promotion, compensation or working conditions.I hereby authorize Maui Soda & Ice Works, Ltd. to thoroughly investigate my references, work records, education, and other matters related to my suitability for employment and further authorize my current and former employers to disclose to the company any and all letters, reports, and other information pertaining to my employment with them without giving me prior notice of such disclosure. In addition, I hereby release Maui Soda & Ice Works, Ltd., my current and former employers, and all other persons, corporations, partnerships, and associations from any and all claims, demands or liabilities arising out of or in any way related to such investigation or disclosure.* I understand that if offered employment, Maui Soda & Ice Works, Ltd. may inquire into and consider any criminal conviction record that I may have after it makes a conditional offer of employment to me. Maui Soda & Ice Works, Ltd. may withdraw a conditional employment offer if I have a criminal conviction record which bears a rational relationship to the duties and responsibilities of the position for which I am applying. Any criminal conviction record that is more than 10 years old or that involves certain Family Court matters will not be considered.* I understand and agree that any future changes in my title, duties, compensation, working conditions, and/or Maui Soda & Ice Works, Ltd. benefits, policies, and procedures will not alter our will and arbitration agreements.* If the position applied for requires driving in the course of work, I understand that I will be required to possess a current and valid Hawai`i drivers license and understand that I will be required to provide a copy of my official driving record and proof of insurance. I also understand that any offer of employment is contingent on my ability to be covered by Maui Soda & Ice Works, Ltd. auto insurance, if required for my position.* I hereby certify that I have not knowingly withheld any information that might adversely affect my chances for employment and that the answers given by me are true and correct to the best of my knowledge. I further certify that I, the undersigned applicant, have personally completed this application. I understand that any omission or misstatement on this application or on any documents used to secure employment shall be grounds for rejection of this application or for immediate discharge is I am employed, regardless of the time elapsed before discovery.*