Rita's Ice Midlothian, Va Online Employment Application
* indicates required field.
Personal Information
First Name*
 Last Name*
Street Address*
City*
State*
 Zip Code*
Home Phone*
 Cell Phone
E-mail Address*
Are you 18 years of age or older?*
 Yes
 No
Have you ever been convicted of a crime?*
Yes
 No
If yes, state nature of offense, when, where, and disposition.
Note: Answering "Yes" to this question does not constitute an automatic bar to employment. Only those crimes
which are substantially related to the position you are seeking will be considered
Job Interest
Position Desired
Have you ever worked for this company before?
Yes
 No
Do you have any friends or relatives working here?
 Yes
 No
If yes, Name and relationship.
Is there anything that would prevent you from performing in a reasonable and
safe manner the activities involved in the position for which you have applied?
Yes
 No
If yes, please explain.
Education
School Name
 Years Completed
 Degree/Diploma
College
High
Middle
Activities/Organizations
Employment History
(List Most Recent Employer First)
Company Name
 Location
Supervisor Name
 Employed From/To
 Phone Number
Basic Job Responsibilities
Reason for leaving
Company Name
 Location
Supervisor Name
 Employed From/To
 Phone Number
Basic Job Responsibilities
Reason for leaving
Company Name
 Location
Supervisor Name
 Employed From/To
 Phone Number
Basic Job Responsibilities
Reason for leaving
Have you ever been terminated or asked to resign from any job?
 Yes
 No
If yes, please explain.
Please explain fully any gaps in your employment history.
May we contact your current employer?
 Yes
 No
Please State the Days and Hours you are available to work.
Including Days and Hours Unavailable.
To download and print the full application click here.
Current Hours of Operation
Noon - 9:00 pm Daily
Located between
Clover Hill High School
and Walgreens
13918 Hull Street Rd
Midlothian, VA 23112
Phone: 804.595.0970