City Ice
What's the difference between these 2 glasses of ice? The answer may surprise you. Find out about Purity Ice made right here in central Virginia.
Purity Standards
Bottled Water Quality Ice
Consistent Quality
The Difference is Clarity
Convenient Store Ice....
Is It Convenient?
"The Fridge 30sec TV Spot"
City Ice Company
APPLICATION FOR EMPLOYMENT
       
POSITION APPLYING FOR:  DATE: 
HOW DID YOU LEARN ABOUT US?
LAST NAME:     
FIRST NAME:     
MIDDLE NAME:     
ADDRESS:     
CITY: 
STATE:  ZIP: 
TELEPHONE (Home):     
CELL PHONE:     
EMAIL ADDRESS:     
SOCIAL SECURITY NUMBER:    
NAME OF NEAREST   
LIVING RELATIVE: 
   
ADDRESS:     
CITY: 
STATE:  ZIP: 
RELATIVE PHONE:  RELATION  
TO YOU: 
DO YOU HAVE A VALID   VIRGINIA’S DRIVER’S   LISCENCE?:  YES NO  
IF UNDER THE AGE OF 18,  
CAN YOU PROVIDE PROOF  
OR YOUR ELIGIBILITY TO  
WORK?: 
YES NO  
HAVE YOU EVER FILED AN   APPLICATION WITH US   BEFORE?:  YES NO  
IF YES, Date?     
HAVE YOU EVER BEEN  
EMPLOYED WITH US  
BEFORE?: 
YES NO  
IF YES, GIVE DATES:     
ARE YOU CURRENTLY  
EMPLOYED?: 
YES NO  
MAY WE CONTACT  
YOUR EMPLOYER?: 
YES NO  
ON WHAT DATE WOULD  
YOU BE AVAILABLE FOR  
WORK?: 
   
ARE YOU ABLE TO WORK  
(check All that apply): 
 FULL TIME  PART TIME
   EVENINGS  WEEKENDS
WILL YOU BE WILLING  
TO WORK OVERTIME?: 
YES NO  
AT WHAT RATE OF PAY  
WOULD YOU EXPECT TO  
START AT?: 
   
HAVE YOU EVER BEEN CONVICTED OF A FELONY  
WITH IN THE LAST SEVEN YEARS?:
(Convictions will not necessarily disqualify  
an applicant from employment)  
YES NO
IF YES, PLEASE EXPLAIN: 
       
WORK HISTORY
START WITH YOUR PRESENT OR LAST JOB. INCLUDE ANY JOB-RELATED MILITARY SERVICE ASSIGNMENTS AND VOLUNTEER ACTIVITIES. YOU MAY EXCLUDE ORGANIZATIONS WHICH INDICATE RACE, COLOR, RELIGION, NATIONAL ORIGIN, DISSABILITIES
OR OTHER PROTECTED STATUS.
Employer:  Dates Employed From: to
Address:     
City: 
STATE:  ZIP: 
Job Title:  Supervisor: 
Hourly Rate:  Start: Final:   
Reason for Leaving: 
   
Work Performed: 


Employer:  Dates Employed From: to
Address:     
City: 
STATE:  ZIP: 
Job Title:  Supervisor: 
Hourly Rate:  Start: Final:   
Reason for Leaving: 
   
Work Performed: 


Employer:  Dates Employed From: to
Address:     
City: 
STATE:  ZIP: 
Job Title:  Supervisor: 
Hourly Rate:  Start: Final:   
Reason for Leaving: 
   
Work Performed: 


Employer:  Dates Employed From: to
Address:     
City: 
STATE:  ZIP: 
Job Title:  Supervisor: 
Hourly Rate:  Start: Final:   
Reason for Leaving: 
   
Work Performed: 

EDUCATION
Elementary  
School:   
   
Address:     
City: 
State:  Zip: 
Course of  
Study: 
Years Completed: 
Diploma/  
Degree: 
   


High  
School:   
   
Address:     
City: 
State:  Zip: 
Course of  
Study: 
Years Completed: 
Diploma/  
Degree: 
   


Business or 
Trade:   
   
Address:     
City: 
State:  Zip: 
Course of  
Study: 
Years Completed: 
Diploma/  
Degree: 
   

College:      
Address:     
City: 
State:  Zip: 
Course of  
Study: 
Years Completed: 
Diploma/  
Degree: 
   


Graduate:     
Address:     
City: 
State:  Zip: 
Course of  
Study: 
Years Completed: 
Diploma/  
Degree: 
   

OTHER QUALIFICATIONS
SUMMERIZE SPECIAL JOB-RELATED SKILLS AND QUALIFICATIONS ACQUIRED
FROM EMPLOYMENT OR OTHER EXPERENCES.

STATE ANY ADDITIONAL INFORMATION YOU FEEL MAY BE HELPFUL
TO US IN CONSIDERING YOUR APPLICATION.

APPLICANT’S STATEMENT
I CERTIFY THAT THE ANSWERS GIVEN HEREIN ARE TRUE AND COMPLETE TO THE BEST OF MY KNOWELEDGE.

I AUTHORIZE CITY ICE COMPANY TO INVESTIGATE All STATEMENTS CONTAINED IN THIS APPLICATION FOR EMPLOYMENT AS MAY BE NECESSARY IN ARRIVING AT AN EMPLOYMENT DECISION.

THIS APPLICATION FOR EMPLOYMENT SHALL BE CONSIDERED ACTIVE FOR A PERIOD OF TIME NOT TO EXCEED 30 DAYS. ANY APPLICANT WISHING TO BE CONSIDERED FOR EMPLOYMENT BEYOND THIS TIME PERIOD SHOULD INQUIRE AS TO WHETHER OR NOT THE APPLICANTIONS ARE BEING ACCEPTED AT THAT TIME.

I HEARBY UNDERSTAND AND ACKNOWLEDGE THAT, UNLESS OTHERWISE DEFINED BY APPLICABLE LAW, ANY EMPLOYMENT RELATIONSHIP WITH THIS ORGANIZATION IS OF AN “AT WILL” NATURE, WHICH MEANS THAT THE EMPLOYEE MAY RESIGN AT ANYTIME AND THE EMPLOYER MAY DISCHARGE THE EMPLOYEE AT ANY TIME WITH OR WITHOUT CAUSE. IT IS FURTHER UNDERSTOOD THAT THIS “AT WILL” EMPLOYMENT RELATIONSHIP MAY NOT BE CHANGED BY ANY WRITTEN DOCUMENT OR BY CONDUCT UNLESS SUCH CHANGE IS SPECIFICALLY ACKNOWLEDGED IN WRITING BY AN AUTHORIZED EXECUTIVE OF THIS ORGANIZATION.

IN THE EVENT OF EMPLOYMENT, I UNDERSTAND THAT FALSE AND MISLEADING INFORMATION GIVEN IN MY APPLICATION OR INTERVIEW(S) MAY RESULT IN DISCHARGE. I UNDERSTAND, ALSO, THAT I AM REQUIRED TO ABIDE BY ALL RULES AND REGULATIONS OF THE EMPLOYER.

SHOULD I BE HIRED, I UNDERSTAND THAT I WILL BE SUBJECT TO RANDOM DRUG AND ALCOHOL TESTING. I WILL ALSO BE SUBJECT TO A DRUG AND ALCOHOL TEST FOLLOWING ANY ACCIDENT WHICH MAY OCCUR IN WHICH I AM INVOLVED.

 

Click here To Agree with the above and submit your application