2015 Shave It Forms for Printing

EmployeePerformance

Review

Office Performance Appraisal

Employee Name: Job Title:

Date of Hire: Department: Supervisor:

Annual Review 90 day Review Review Period: From To

Purpose: The purpose of conducting the Performance Appraisal is to: Develop better communication between the

employee and the supervisor; Improve the quality of work; Increase productivity; and Promote employee development. The supervisor should appraise the employee’s overall performance primarily on whether the employee’s performance produced the desired results in each of the principle accountabilities of the job during the performance periods.

Performance Rating Categories: Consider the employee’s performance in each category and designate the level of

performance that most accurately describes his/her job performance. Give careful consideration to each category before choosing the rating. The following is a description of each level of Performance:

5. Outstanding — The employee consistently exceeds all the expectations for responsibilities and objectives, skills,abilities and commitment required for the job. Possesses superior knowledge of major aspects of the total job and

has had experience in each area. Demonstrated superior knowledge and ability to take initiative and improveprocesses and efficiency resulting in positive impact on the department or organization.

4. Exceeds Expectations / Requirements — The employee achieves and frequently exceeds expectations forresponsibilities and objectives, skills, abilities and knowledge for the job. Sought to enhance or increase skills,

made recommendations / offered possible solutions to improve processes.

3. Meets Expectations / Requirements — The employee met established expectations for responsibilities andobjectives of the position. Employee demonstrates requisite skills, ability knowledge and commitment for the job.

2. Improvement Needed — The employee does not always meet the responsibilities and objectives of the job.Demonstrates some of the requisite skills, abilities and knowledge to do the job, but additional training and orcommitment is required. Individual may still be learning the job and/or willingness to develop or improve requisite

skills, knowledge maybe in question.

1. Unsatisfactory Job Performance— Responsibilities of the position have not been met. Employee does notdemonstrate the necessary knowledge, skills, abilities and commitment required for the position.

SECTION I – Review the employee’s performance by checking the most appropriate box in each

category based on the time on the job. Write specific example’s supporting each rating.

Job / Technical Knowledge:

Outstanding Exceeds Expectations Meets Expectations Improvement Needed Unsatisfactory

Possesses and demonstrates a thorough understanding and working knowledge of all phases of the job; including the various techniques and skills necessary for efficient completion of all tasks. Remains up to date on changes /trends in technical knowledge related to job. Understands the impact of his/her job function on other functions/departments and

business.

Specific Examples / Comments:

Problem Solving and Decision Making:


Demonstrates ability to make sound and proper decisions by; defining the issue, diagnosing the problem; analyzing the

cause(s) and drawing on professional expertise, internal external resources to make recommendation or solutions with minimal negative effect on departmental /company goals and employee relations . Employee demonstrates willingness to take ownership and responsibility for decisions made.


Planning and Organization:


Plans effectively to produce required volume to meet production / dept. goal utilizes appropriate resources; meets or exceeds deadlines without jeopardizing quality; seeks opportunities to increase productivity and/or eliminate waste;

able to re-prioritize as required to meet new/changing demands. Carries out work assignments and tasks within budget.


Communication – Verbal and Written:


Demonstrates clear effective communication (includes; listening, nonverbal communication and language) in individual and group settings (all levels, internal and external). Keeps manager/supervisor, associates and subordinates fully informed on work/project status and problems. Provides accurate concise written communication to

support scope of assignments.


Interpersonal Skills / Teamwork:


Demonstrates ability to establish and maintain effective relationships both internally and externally. Willing to

cooperate and be flexible when working with co-workers, subordinates and management to complete job. Treats all employees and customers with dignity and respect.


Adherence to Company Policy / Safety:


Properly interprets and applies company, department and job policies and guidelines. Maintains a clean safe work area and wears appropriate PPE as required.


Self Management Skills:


Displays confidence and remains in control when handling difficult or new situation’s. Demonstrates adaptability and flexibility when handling change. Demonstrates a sense of cooperativeness by remaining open and positive when

receiving direction or constructive feedback.


Section II – Results of Goals and Objectives (established at prior review)

Goal/Objective:

Result:

Goal/Objective:

Result:

Goal/Objective:

Result:

Section III – Accomplishments and Contributions:

Section IV – Performance Summary:

RATE OVERALL PERFORMANCE (include Managers / Supervisors Addendum if applicable)


Section V – Goals and Objectives (for new review period):

1.

2.

3.

4.

Employee’s Comments:

Discussed/reviewed with employee on: Follow up requested/desired: YES NO

Manager/Supervisor Signature: Date:

Employee Signature: Date:

3

REQUEST FOR

ADVERTISING

APPROVAL

Date:

Franchisee Name:

Location:

I propose the use of the materials described below, with samples attached:

Please review these materials. If I do not receive written disapproval from you within 15 business days of you receiving these materials, I will consider them approved.

Franchisee’s Signature

FOR CORPORATE OFFICE USE ONLY:

Date Received:

� Approved � Disapproved

Date Communicated to Franchisee:

Communicated by:

Sample Employment Application Form

APPLICATION FOR EMPLOYMENT

APPLICANTS MAY BE TESTED FOR ILLEGAL DRUGS

PLEASE COMPLETE PAGES 1-4. DATE ________________________________

Name ______________________________________________________________________________________________Last First Middle Maiden

Present address ______________________________________________________________________________________Number Street City State Zip

How long ____________________ Social Security No. _______ – _____ – _________

Telephone ( )

If under 18, please list age _____________________

Position applied for (1) ________________________and salary desired (2) ________________________(Be specific)

Days/hours available to workNo Pref _______ Thur ________Mon __________ Fri __________Tue __________ Sat _________Wed _________ Sun ________

How many hours can you work weekly? _________________________ Can you work nights? _______________________

Employment desired __ FULL-TIME ONLY __ PART-TIME ONLY __ FULL- OR PART-TIME

When available for work?_______________

____________________________________________________________________________________________________

TYPE OF SCHOOL NAME OF SCHOOL LOCATION(Complete mailing

address)

NUMBER OF YEARSCOMPLETED

MAJOR &DEGREE

High School

College

Bus. or Trade School

Professional School

HAVE YOU EVER BEEN CONVICTED OF A CRIME? __ No __ Yes

If yes, explain number of conviction(s), nature of offense(s) leading to conviction(s), how recently such offense(s) was/werecommitted, sentence(s) imposed, and type(s) of rehabilitation. __________________________________________________

____________________________________________________________________________________________________

SHAVE IT NATION INC. WWW.SHAVEITNATION.COM 855.77.SHAVE

PLEASE PRINT ALLINFORMATION REQUESTED

EXCEPT SIGNATUREAPPLICATION FOR EMPLOYMENT

DO YOU HAVE A DRIVER’S LICENSE? __ Yes __ No

What is your means of transportation to work? _______________________________________________________________

Driver’s licensenumber ____________________________ State of issue _______ __ Operator __ Commercial (CDL) __ ChauffeurExpiration date ______________________

Have you had any accidents during the past three years? How many? ___________________Have you had any moving violations during the past three years? How Many? ___________________

OFFICE ONLY

__ Yes __ Yes Word __ YesTyping __ No _____ WPM 10-key __ No Processing __ No _____ WPM

Personal __ Yes __ PC Computer __ No __ Mac

Other _____________________________________________Skills ______________________________________________

Please list two references other than relatives or previous employers.

Name _______________________________________ Name _____________________________________________

Position ______________________________________ Position ___________________________________________

Company _____________________________________ Company __________________________________________

Address ______________________________________ Address ___________________________________________

______________________________________ ___________________________________________

Telephone ( ) Telephone ( )

An application form sometimes makes it difficult for an individual to adequately summarize a complete background. Use thespace below to summarize any additional information necessary to describe your full qualifications for the specific position forwhich you are applying.



EXCEPT SIGNATURE


MILITARY

HAVE YOU EVER BEEN IN THE ARMED FORCES? __ Yes __ No

ARE YOU NOW A MEMBER OF THE NATIONAL GUARD? __ Yes __ No

Specialty ___________________________________ Date Entered ________________ Discharge Date ______________

WorkExperience

Please list your work experience for the past five years beginning with your most recent job held.If you were self-employed, give firm name. Attach additional sheets if necessary.

Name of employerAddress

Name of lastsupervisor

Employment dates Pay or salary

City, State, Zip CodePhone number From

To

Start

Final

Your last job title

Reason for leaving (be specific)

List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at thiscompany.





To

Start

Final

Your Last Job Title





EXCEPT SIGNATURE


Workexperience

Please list your work experience for the past five years beginning with your most recent job held.If you were self-employed, give firm name. Attach additional sheets if necessary.





To

Start

Final

Your last job title







To

Start

Final

Your last job title



May we contact your present employer? __ Yes __ No

Did you complete this application yourself __ Yes __ No

If not, who did? _______________________________________________________________________________________


Exit Interview

Employee Name Termination Date

Job Title ______________________ Eligible for Rehire [ ] Yes [ ] No

Reason for Termination Voluntary Involuntary

[ ] Another Position [ ] Attendance [ ] Personal Reasons [ ] Violation of Company Policy [ ] Relocation [ ] Lay Off [ ] Retirement [ ] Reorganization [ ] Return to School [ ] Position Eliminated [ ] Other_______________ [ ] Other_______________

Employee Comments:

Interviewer Comments:

Employee's Signature ________________________________ Date: ____________________

Interviewer's Signature ________________________________ Date: ___________________

SHAVEITNATION.COM 855.77.SHAVE

Questionnaire

1. What are your primary reasons for leaving? _______________________________________________________________________

_______________________________________________________________________ _______________________________________________________________________

_______________________________________________________________________

2. What did you find most satisfying about your job? _______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________ _______________________________________________________________________

3. What did you find most frustrating about your job?

_______________________________________________________________________ _______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________ 4. Would you consider returning to this company in the future?

_______________________________________________________________________ _______________________________________________________________________

_______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________

_______________________________________________________________________

5. Is there anything the company could have done to prevent you from leaving? _______________________________________________________________________

_______________________________________________________________________ _______________________________________________________________________

_______________________________________________________________________ _______________________________________________________________________

_______________________________________________________________________


Form HS-06

Shave It Nation Inc.Induction checklist

It is good practice to let new starters have a copy of this list – this enables

them to follow what is happening and will act as a reminder of anything

missed or that needs particular attention. It should be the responsibility of

both management and new starter to ensure that all relevant items are

properly covered during the induction period.

Name ............................ Date of starting ……………….

Induction completed (signature of new starter)

..............................................

Carried

out by

Date Comments

Reception

Received by

Personnel documentation and

checks completed – P45

NI number

Swipe/security card

Introduction to the company

Who’s who

History

Products/services/markets

Future plans and

developments

Terms and conditions of employment

Written terms and conditions

issued

Contract of employment issued


Carried

out by

Date Comments

Hours, breaks, method of

payment

Holidays

Clocking on/flexitime/reporting

procedures

Probationary period

Period of notice

Sickness provisions

Pension provisions

Maternity/paternity/parental

leave provisions

Equal opportunities policy and worker development

Equal opportunities policy

Training needs and objectives

Training provision

Further education/training

policies

Performance appraisal

Promotion avenues

Policy/procedures to prevent

bullying and harassment

Worker/employer relations

Trade union membership

Other worker representation

Worker communications and

consultation


Carried

out by

Date Comments

Grievance and disciplinary

procedure

Appeals procedure

Organisation rules

Smoking policy

General behaviour/dress code

Telephone calls/emails and use

of the internet

Canteen/break facilities

Cloakroom/toilets/lockers

Health and safety

Risk assessment

Preventative and protective

measures

Pregnant women and new

mothers

Emergency procedures

Health surveillance (if

appropriate)

Awareness of hazards – any

particular to type of work

Safety rules

Emergency procedures

Clear gangways, exits

Location of exits


Carried

out by

Date Comments

Dangerous substances or

processes

Reporting of accidents

First aid

Personal hygiene

Introduction to safety

representative

Welfare and worker benefits/facilities

Sports facilities

Protective clothing – supply,

laundry, replacement

Medical services

Savings schemes

(including share options)

Transport/parking

arrangements

Company discounts

The job

Introduction to

manager/supervisor

Requirements of new job

Standards expected

Co-workers

Supervision and work

performance appraisals


13

Employee Name: Date:

Position: Hire Date:

Salary: Date of Last Review: New Salary:

General Work Habits Excellent Satisfactory Needs

Improvement f Personal appearance and dress f Friendliness f Dependability f Self-confidence f Housekeeping/cleanliness f Organization f Energy f Enthusiasm f Safety

Work Interest and Drive f Attendance/promptness f Acceptance of responsibility f Flexibility f Acceptance of suggestions and feedback f Ambition f Attention to detail f Quality of work

Job Knowledge and Performance f Adherence to Shave It’s systems f Willingness to learn f Productive use of time f Ability to follow directions f Ability to work independently f Knowledge of record keeping

responsibilities f Ability to handle multiple tasks at the

same time f Ability to communicate effectively with

peers

PERFORMANCE EVALUATION

SAMPLE JOB INTERVIEW QUESTIONS

• Tell me about yourself / Briefly take me through your résumé. • How did you hear about the company? about the job opening? • Why are you interested in this particular position? • What interests you about our product or service? • What companies do you compare us to? • What is an example of what you consider a “great” company? • Describe a time you had to use creativity to solve a problem. • Describe a time when you had to work in a group to overcome an obstacle. • Describe a time when you had to become the leader of a group. • Why did you select your college or university? • What led you to choose your major or field of study? • What college subjects did you like best? Why? • What college subjects did you like least? Why? • If you could do so, how would you plan your academic studies differently? • Do you think your grades are a good indication of your academic achievement? • What have you learned from participation in extracurricular activities? • What two or three accomplishments have given you the most satisfaction? Why? • Describe your most rewarding college experience. • What are your long-range goals and objectives • What are your short-range goals and objectives? • How do you plan to achieve your career goals? • What are the most important rewards you expect in your career? • Why did you choose the career for which you are preparing? • What are your strengths, weaknesses, and interests? • How do you think a friend or professor who knows you well would describe you? • Describe a situation in which you had to work with a difficult person (another student, co-worker, customer, supervisor, etc.). How did you handle the situation? Is there anything you would have done differently in hindsight? • What motivates you to put forth your greatest effort? Describe a situation in which you did so. • In what ways have your college experiences prepared you for a career? • How do you determine or evaluate success? • In what ways do you think you can make a contribution to our organization? • Describe a contribution you have made to a project on which you worked. • What qualities should a successful manager possess? • Was there an occasion when you disagreed with a supervisor's decision or company policy? Describe how you handled the situation. • In what kind of work environment are you most comfortable? • How do you work under pressure? • Describe a situation in which you worked as part of a team. What role did you take on? What went well and what didn't? • In what part-time, co-op, or summer jobs have you been most interested? Why? • How would you describe the ideal job for you following graduation? • Why did you decide to seek a position with this organization? • What two or three things would be most important to you in your job? • What criteria are you using to evaluate the organization for which you hope to work? • Will you relocate? Does relocation bother you? • Are you willing to travel? • Are you willing to spend at least six months as a trainee?


INVOLUNTARY DISCHARGE FROM EMPLOYMENT

Date: _________________________

To: _________________________

Effective ____________ (month & day), _____ (year), we regret to inform you that your employment with

the Company is terminated for cause, due to the following reason(s):

_____________________________________________________________________

_____________________________________________________________________ .

As of the above date, you are required to vacate the premises. Please take all personal possessions with you

upon your departure.

___________________________ _________________

Signature Date

I hereby acknowledge receipt of this warning:

___________________________ _________________

Employee Date

cc: Personnel File

!!On-Duty Meal Period Agreement !

I, , understand and agree that the nature of my work as a prevents me from being relieved of all duties and requires me to remain on-duty during meal periods. I voluntarily agree to work an on- duty meal period. I understand that any on-duty meal period is to be recorded on my time records as time worked, and that I will be paid for such time. I further understand that I will be given the opportunity to eat a meal while on duty. Finally, I understand that, by signing this on- duty meal period agreement, I will not be entitled to receive the one hour of pay provided by Labor Code section 226.7 as a penalty for situations when a meal period is not provided. !

I understand that I may revoke this agreement at any time by providing written notice in advance to my supervisor. As an option, I further understand that I may revoke this agreement by signing the revocation section below and returning this Agreement to my supervisor. I also understand that I may work on-duty meal periods after revoking this agreement by signing a new on-duty meal period agreement. !

!Employee signature Date

!Print employee’s name !!!!

On-Duty Meal Period Agreement Revocation !I revoke my On-Duty Meal Period Agreement. I acknowledge that this revocation is not

complete until I sign below and return this form to my supervisor. I also further understand that this revocation only applies to meal periods to which I otherwise would be entitled after I submit this signed revocation to my supervisor.

!Employee signature Date

!Print employee’s name !!!!81438754.1

_________________________________

_________________________________

____________________________

_________________________________

_________________________________

_________________________________

6

ACCIDENT / INCIDENT REPORT

Location: Date of Report: Customer Name: Date of Accident: Age: Sex: � Male � Female Time: � a.m. � p.m.Address: Contact: City/State/Zip: Telephone #:

Home Telephone #: Work Telephone #:

Description of Accident (including cause):

Exact location of accident: Was site inspected after accident? � Yes � No If Yes, when? By whom? Was site clean? � Yes � No Dry? � Yes � No Any foreign substance? � Yes � No If No, please describe: Any obstacles/obstructions? � Yes � No If Yes, what? Any signs posted? � Yes � No Any mats? � Yes � No Floor surface: � Carpet � Tile � Blacktop � Steps/ramp � Other: When was area last cleaned? By whom? When was area last checked? By whom? Was lighting adequate? � Yes � No Photos? � Yes � No If Yes, date taken? Was customer carrying anything? � Yes � No If Yes, what? Customer’s shoes: � Pumps � Flats � Tennis � Other: Was customer wearing glasses? � Yes � No Contact lenses? � Yes � No Was employee or other party working in area? � Yes � No If Yes, who? Name of supplier if product involved: Address: City/State/Zip:

Employer: Address: City/State/Zip: Injury/property damage: Medical assistance offered/provided: � Yes � No If Yes, how? Police notified? � Yes � No If Yes, who? Where taken? How? Name of Doctor/Hospital: Companion: Telephone # Address: City/State/Zip: Witness Telephone # Address: City/State/Zip: Employee Witness: Telephone # Address: City/State/Zip: Person Completing Report:

Employee DisciplinaryAction Form

Shave It Nation Employee Emergency Information Form

Date last updated: [Date]

Personal Information Employee ID

First name

Middle name

Last name

Nickname

Gender

Citizenship

Place of birth (country/region)

Home address

District/County

Home phone

Cellular phone

Home fax

Home e-mail address

Birthday (MM/DD/YYYY)

Government ID or SSN

Passport number

Driver’s license/state ID number

Medical Information Doctor’s name

Address

Phone number

Blood type

Medical conditions

Allergies

Current medications

Emergency Information Emergency contact’s name

Relationship

Address

Phone number(s)


EMPLOYEE REIMBURS EMENT AGREEMENT

The undersigned employee of _________________________, (Company), agrees to repay to the

Company all compensation payments or reimbursements that are disallowed, in whole or in part, as a

deductible expense by the Internal Revenue Service. The reimbursement shall be made to the full extent

of the disallowance.

Signed and sealed this ________ day of ______________ (month), ___ (year).

_______________________________

Signature

11

EMPLOYEE WARNING

Date:

Employee’s Name:

Type of Violation Attendance Willful damage to material/equipment Tardiness or quitting early Violation of company policies/procedures Rudeness to employees/customers Insubordination Unsatisfactory work quality Violation of company safety rules Carelessness Working on personal matters Failure to follow directions Other:

Previous Warnings 1st 2nd 3rd Date By

ORAL WRITTEN

Employer Statement

Date of Incident: Time: AM PM

Comments:

ACTION TO BE TAKEN Warning Probation Suspension Termination Other

Consequence should incident occur again:

Employee Statement I AGREE with Employer Statement I DISAGREE with Employer Statement

Comments:

I have read this Employee Warning and understand it.

Signature of Employee: Date:

Signature of Person Issuing Warning: Date:

GRIEVANCE FORM

Date: _____________________

Name of Employee: ________________________

Department: ______________________________

State your grievance in detail, including the date of act(s) or omissions causing grievance.

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

Identify other employees with personal knowledge of your grievance.

____________________________________________________________________

____________________________________________________________________

State briefly your efforts to resolve this grievance. ____________________________

____________________________________________________________________

Describe the remedy or solution you would like. _____________________________

____________________________________________________________________

Employee's Signature: _________________________ Date: _____________

Grievance Team Member - Informal Review Date Received: ______________________

______________________________________________________________________.

Actions Taken: _________________________________________________________

_____________________________________________________________________.

Disposition: ___________________________________________________________

Employee Accepted [ ] Employee Appealed [ ]

Assigned Team Member: _____________ Date Communicated: _____________

Grievance Team - Formal Review

Date Received: _________________________________________________________

Actions Taken: _________________________________________________________

______________________________________________________________________

Disposition: ___________________________________________________________


Grievance Review Team: _________________________________________________ Date

Communicated: _________________________

Grievance Team and Management - Formal Review

Date Received: _________________________________________________________

Actions Taken: _________________________________________________________

_____________________________________________________________________

Disposition: ____________________________________________________________


Management Team: ______________________________________________________ Date

Communicated: __________________________

PERSONAL INFORMATION

Complete only after employment. For records only.

Date: _____________________

Last Name: ________________ First: ________________ Middle: ______________

Street Address: _______________________________________________________

City: ___________________________ State: _________________ Zip: __________

Home Phone Number: (____) ______-__________

Driver's License Number: ______________________

Social Security Number: ______-____-______

Marital Status: [ ] Single [ ] Married [ ] Divorced

Date of Birth: __________________________

Height: _________ ft. _________ in.

Weight: __________ lbs.

Sex: [ ] Male [ ] Female

Name of Spouse: ________________________________

Phone: (_____) ______-_________

Spouse's Employer: ______________________________

Person to notify in case of emergency other than your spouse:

Name: ________________________________________

Relation: ______________ Phone: ___________________

What was your previous address? ______________________________________________

______________________________________________

______________________________________________

How long at present address? ________________ years

Please fill out and return to the Personnel Department.

REFERENCE CHECK FORM

APPLICANTS NAME:_________________________________ DATE:_____________

SOCIAL SECURITY NUMBER:_____________________________________________

POSITION APPLIED FOR:_________________________________________________

________________________________________________________________________

DO WE HAVE YOUR PERMISSION TO CONTACT YOUR PREVIOUS EMPLOYER? YES______ NO_____ IF NO PLEASE GIVE REASON/S ________________________________________________________________________

________________________________________________________________________

SIGNATURE______________________________________DATE_________________

PREVIOUS EMPLOYMENT:

NAME OF BUSINESS_____________________________________________________

YOUR POSITION ________________________________________________________

EMPLOYED FROM _________________________ TO _________________________

SALARY____________________ ELIGIBLE FOR REHIRE? YES______

NO______

ARE YOU PHYSICALLY ABLE TO PERFORM THE DUTIES ACCOMPANYING THIS POSITION? YES_____ NO _____ IF NO, PLEASE EXPLAIN_______________

________________________________________________________________________ ________________________________________________________________________

DAYS & HOURS YOU CAN WORK:

SUN__________M________T________W_________TH________F________S_______

PHONE NUMBER ____________________________________________

INTERVIEWED BY___________________________________________


12

Date:

Applicant’s Name:

Company Name:

Address:

Phone #:

Reference/Position:

REFERENCE

CHECK

Hello, .

My name is in .

has applied with us, and I would like to confirm some of the information he/she has given me about his/her employment with your company.

1) (applicant) stated that he/she was employed from to . Are these dates correct?

2) (applicant) stated that he/she was earning $ per when he/she left. Is that correct?

3) What was (applicant)’s job when he/she started for you? When he/she left?

4) What can you tell me about (applicant)’s separation? Did you release him/her? Did he/she resign?

5) Did (applicant) get along well with and cooperate with his/her fellow employees and his/hersupervisor?

6) Did (applicant) have excess absenteeism or tardiness while employed by you?

7) Did he/she work hard?

8) Did he/she apply initiative or bring anything new to his/her job?

9) Would you rehire (applicant)?

10) What is your opinion of (applicant)’s ability to deal with the general public?

Thank you very much for your help and for taking time to answer my questions. I would value any additional information you can give me or comments you may choose to make.

Additional Comments:

Verified by:

SECRET SHOPPER FORM

Store Address____________________________________________________________

Date of visit______________________ Time of visit___________________ a.m./ p.m.

Name of server (If known) ___________________________________________________

What item did you order?___________________________________________________

________________________________________________________________________

Was the store clean? ..…………………………..............................YES_____ NO______

Were you greeted promptly? YES_____ NO _____ If no, how much time elapsed?______________

Were you greeted in a friendly manner?…………………………...YES_____NO______

Was the employee neatly dressed in clean apparel?…………….….YES_____NO______

Did the employee wash their hands before handling food?……….. YES_____NO______

Was the product fresh?……………………………...........................YES_____NO______

Was your order prepared efficiently?…………………………….....YES_____NO______

Was you order prepared as you requested?…………………………YES_____NO______

Was the employee able to answer your question?…………………..YES_____NO______

Were you offered any specials?……………………………..............YES_____NO______

Were you thanked and asked to come again?……………………….YES_____NO______

Additional comments / observations: __________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________


!! !!!!!!!!!!!!!!

Date Changed Action Required

BLADE CHANGE FORM Blades should be changed at least 2-3 times a busy season.

SWAN 411!!!!USING DIRECTION 1. Use machine on a firm stand or counter. 2. Replace or sharpen blade at least 2 or 3 times a season. 3. Lubricate Main Shaft from time to time. 4. Ice stored in refrigerator should not be sued immediately for shaving as it will damage the blad. Let the ice to thaw and become semi-transparent before use. !DIRECTIONS BEFORE USE The Ice Block Holder Crank is detached from the machine and packed together so it must be installed. Insert Ice Block Holder Crank onto Shaft Pin located on the right side of machine, then firmly tighten screw in the center. !OPERATION DIRECTIONS 1. Turn Ice Block Holder Crank counter-clockwise and raise Main Shaft Ice Block Holder. The Polycarbonate shield should be turned horizontally to the rear. 2. Place ice block flat side up on center of Shaving Disc. 3. Turn Ice Block Holder Crank clockwise and lower Ice Block Holder onto ice. Apply pressure until the Ice Block Holder prongs are firmly imbedded in the ice. The polycarbonate shield should be turned horizontally to the front. 4. Turn on Motor Switch. Main Shaft Ice Block Holder will start to revolve. 5. Turn Blade Adjustment Knob located on the left side of Shaving Disc Frame counterclockwise. This will raise the blade, allowing it to shave the ice. The higher the blade is raised, the coarser and faster the ice will come out. 6. After the texture of shave ice is adjusted, hold the cone or cup under the outlet of shave ice. 7. Turn off Motor Switch after use. 8. Turn Ice Block Holder Crank counter-clockwise and raise Main Shaft Ice Block Holder. 9. Remove ice block. !BLADE ADJUSTMENT 1. The Blade is recessed below the surface of the Shaving Disc when the Blade Adjustment Dial is turned to 0. 2. To raise the Blade, slowly turn the Blade Adjustment Know left. 3. Set the Blade Adjustment Dial on 1 for fine shaving and 6 for roughest shaving. Note: THE DIAL WILL INDICATE 0 WHEN THE BLADE ADJUSTMENT KNOW IS TURNED RIGHT ALL THE WAY AND STOPS !

!BRAKE ADJUSTMENT Adjust when shaving is unsatisfactory. 1. When the Ice Block Holder Crank turns very lightly, turn Brake Adjustment Screw clockwise with screw driver. 2. When the Ice Block Holder Crank turns very heavily, turn Brake Adjustment Screw counterclockwise with (-) screw driver. Note: THE BRAKE IS ADJUSTED WHEN SHIPPED OUT OF THE FACTORY SO DO NOT MEDDLE WITH IT. !PROTECTOR A Push Button Switch (Protector) is located on the left side of the Head Cover. If something is wrong with the blade section or the revolving section, the machine will automatically stop to prevent overheating and damage the motor. In such case, turn off the Power Source Switch (Disconnect the plug) and after the cause is removed. Plug in cord and push the protector. The Motor will automatically start again. !TO REPLACE DAMAGED PRONG As the 4 Slotted screw heads as well as the seam between the plastic and the Ice Block Holder base plate is sealed with silicone, be sure to seal after the replacement. !TO MAINTAIN SANITATION WITHOUT TOOLS For periodic cleaning of the Shaving Disc as well as adjacent area in the food zone, removal is possible as follows. 1. By removing the 4 thumb-screws located on the underside of the plate, the Shaving Disc can be easily removed by pushing it up. 2. To clean the Shaving Disc Frame and the adjacent area, remove the 4 thumb-screws holding the Front Cover (2 thumb-screws on each side), then pull the Front Cover towards the user to remove. The entire food zone can be easily cleaned. !BLADE REPLACEMENT 1. Turn the Blade Adjustment Knob right all the way until it stops. 2. Unscrew the two Phillips-screws. Remove the Blade Holder and blade. Important: DO NOT MEDDLE WITH THE CENTER SLOTTED SCREW. 3. Place the new Blade accurately on the Standard Level Guide Screws on the Blade Support. 4. Put on the Phillips-screw and slowly screw it on so the blade will not life up from the Standard Level Guide Screws. Screw it on tight. *If both ends of the Blade are not accurately set on the Standard Level Guide Screws, the ice will not shave satisfactorily. In such case, use something flat and lightly press down the Blade from the surface of the Shaving Disc, then tighten the Phillips-screws. !STORAGE AFTER SEASON Wipe off moisture with piece of cloth, then wipe again with dry piece of cloth. Remove Blade, clean and lubricate with cooking oil, the wrap in oil paper before storage. Remove all soiled oil from the Main Shaft and lubricate with grease approved by FDA for the lubrication of food processing machinery. Do not use cooking oil. *Specifications are subject to change without notice for further design and performance improvement. !!!!!SPECIFICATIONS Dimensions: 25-3/4” high x 11-1/8” wide x 15-1/8” deep Weight: 61.7 lbs. Shaving Capacity: 4.84 to 5.5 lbs per minute Motor: 115V, 200WPower Requirement: 210W, 60Hz

REQUEST FOR VENDOR APPROVAL

Date:

Franchisee Name:

Location:

I propose the addition of the vendor described below on the List of Approved Suppliers:

Supplier Name: ___________________________________________________________________

Address: ________________________________________________________________________

________________________________________________________________________________

Contact Name: Contact Phone Number:

Product(s) Supplied/Service(s) Provided:

________________________________________________________________________________

________________________________________________________________________________

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_____________________________________________Franchisee’s Signature

FOR CORPORATE OFFICE USE ONLY:

Date Received:

Testing Required? � Yes � No

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If Yes, Meets Standards? � Yes � No

� Approved � Disapproved

Cost of Testing Services (if applicable) $ ___________________

4

!! !!!!!!!!!!!!!!

Date Changed Action Required

BLADE CHANGE FORM Blades should be changed at least 2-3 times a busy season.

SWAN 411!!!!USING DIRECTION 1. Use machine on a firm stand or counter. 2. Replace or sharpen blade at least 2 or 3 times a season. 3. Lubricate Main Shaft from time to time. 4. Ice stored in refrigerator should not be sued immediately for shaving as it will damage the blad. Let the ice to thaw and become semi-transparent before use. !DIRECTIONS BEFORE USE The Ice Block Holder Crank is detached from the machine and packed together so it must be installed. Insert Ice Block Holder Crank onto Shaft Pin located on the right side of machine, then firmly tighten screw in the center. !OPERATION DIRECTIONS 1. Turn Ice Block Holder Crank counter-clockwise and raise Main Shaft Ice Block Holder. The Polycarbonate shield should be turned horizontally to the rear. 2. Place ice block flat side up on center of Shaving Disc. 3. Turn Ice Block Holder Crank clockwise and lower Ice Block Holder onto ice. Apply pressure until the Ice Block Holder prongs are firmly imbedded in the ice. The polycarbonate shield should be turned horizontally to the front. 4. Turn on Motor Switch. Main Shaft Ice Block Holder will start to revolve. 5. Turn Blade Adjustment Knob located on the left side of Shaving Disc Frame counterclockwise. This will raise the blade, allowing it to shave the ice. The higher the blade is raised, the coarser and faster the ice will come out. 6. After the texture of shave ice is adjusted, hold the cone or cup under the outlet of shave ice. 7. Turn off Motor Switch after use. 8. Turn Ice Block Holder Crank counter-clockwise and raise Main Shaft Ice Block Holder. 9. Remove ice block. !BLADE ADJUSTMENT 1. The Blade is recessed below the surface of the Shaving Disc when the Blade Adjustment Dial is turned to 0. 2. To raise the Blade, slowly turn the Blade Adjustment Know left. 3. Set the Blade Adjustment Dial on 1 for fine shaving and 6 for roughest shaving. Note: THE DIAL WILL INDICATE 0 WHEN THE BLADE ADJUSTMENT KNOW IS TURNED RIGHT ALL THE WAY AND STOPS !

!BRAKE ADJUSTMENT Adjust when shaving is unsatisfactory. 1. When the Ice Block Holder Crank turns very lightly, turn Brake Adjustment Screw clockwise with screw driver. 2. When the Ice Block Holder Crank turns very heavily, turn Brake Adjustment Screw counterclockwise with (-) screw driver. Note: THE BRAKE IS ADJUSTED WHEN SHIPPED OUT OF THE FACTORY SO DO NOT MEDDLE WITH IT. !PROTECTOR A Push Button Switch (Protector) is located on the left side of the Head Cover. If something is wrong with the blade section or the revolving section, the machine will automatically stop to prevent overheating and damage the motor. In such case, turn off the Power Source Switch (Disconnect the plug) and after the cause is removed. Plug in cord and push the protector. The Motor will automatically start again. !TO REPLACE DAMAGED PRONG As the 4 Slotted screw heads as well as the seam between the plastic and the Ice Block Holder base plate is sealed with silicone, be sure to seal after the replacement. !TO MAINTAIN SANITATION WITHOUT TOOLS For periodic cleaning of the Shaving Disc as well as adjacent area in the food zone, removal is possible as follows. 1. By removing the 4 thumb-screws located on the underside of the plate, the Shaving Disc can be easily removed by pushing it up. 2. To clean the Shaving Disc Frame and the adjacent area, remove the 4 thumb-screws holding the Front Cover (2 thumb-screws on each side), then pull the Front Cover towards the user to remove. The entire food zone can be easily cleaned. !BLADE REPLACEMENT 1. Turn the Blade Adjustment Knob right all the way until it stops. 2. Unscrew the two Phillips-screws. Remove the Blade Holder and blade. Important: DO NOT MEDDLE WITH THE CENTER SLOTTED SCREW. 3. Place the new Blade accurately on the Standard Level Guide Screws on the Blade Support. 4. Put on the Phillips-screw and slowly screw it on so the blade will not life up from the Standard Level Guide Screws. Screw it on tight. *If both ends of the Blade are not accurately set on the Standard Level Guide Screws, the ice will not shave satisfactorily. In such case, use something flat and lightly press down the Blade from the surface of the Shaving Disc, then tighten the Phillips-screws. !STORAGE AFTER SEASON Wipe off moisture with piece of cloth, then wipe again with dry piece of cloth. Remove Blade, clean and lubricate with cooking oil, the wrap in oil paper before storage. Remove all soiled oil from the Main Shaft and lubricate with grease approved by FDA for the lubrication of food processing machinery. Do not use cooking oil. *Specifications are subject to change without notice for further design and performance improvement. !!!!!SPECIFICATIONS Dimensions: 25-3/4” high x 11-1/8” wide x 15-1/8” deep Weight: 61.7 lbs. Shaving Capacity: 4.84 to 5.5 lbs per minute Motor: 115V, 200WPower Requirement: 210W, 60Hz

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