Form

First Name*

Last Name*

City*

State*

Phone Number*

Email*

How did you hear about us?*
JOB INFORMATION
Position applying for:*

Party HostFront DeskSummer Camp StaffLil kickers CoachOther
Expected pay rate per hour*
Type a question*

Monday - DaytimeMonday - EveningTuesday -DaytimeTuesday - EveningWednesday - DaytimeWednesday - EveningThursday - DaytimeThursday - EveningFriday - DaytimeFriday - EveningSaturday - DaytimeSaturday - EveningSunday - DaytimeSunday - Evening
Work Week*
Preferred Start Date*

MonthDayYear
What type of commitment are you looking for?*

Short Term1 year2 yearsLong Term
Are you over 18 years of age? If not, you are required to obtain working papers.*

YesNo
Are you currently employed?*

YesNo
May we contact your current employer?*

YesNo
Are you prevented from becoming lawfully employed because of Visa or Immigration status?*

YesNo
Have you been convicted of a felony?*

YesNo
Have you ever been convicted for any crime including sex-related or child abuse related offenses?*

YesNo
Do you have your own car or dependable way to work?*

YesNo
EDUCATION
High SchoolCollegeOther
Describe honors, apprenticeships or specialized training.*
EMPLOYMENT EXPERIENCE - start with your present or most recent job.
Company Name*
Address*
Address 2

City*

State*

Date Started*

Date Ended*

Starting Wage/Salary*

Final Wage/Salary*

Name of immediate supervisor*
Current Employment*

I am no longer at this companyI am currently employed at this company and it is OK to contact this personI am currently employed at this company, please DO NOT contact this person
Describe your duties and responsibilities*
I would like to share additional work experience
PERSONAL QUALITIES
Describe the qualities you have which will enable you to do the job you are applying for. Please be thorough.*
REFERENCES
Please give us the names of at least three professional references (not friends or family) that you have know for over one year.
First Reference

First Name*

Last Name*

Phone Number*

Relation to you*

First Name*

Last Name*

Phone Number*

Relation to you*

First Name*

Last Name*

Phone Number*

Relation to you*