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Skate N Fun Zone Employment

Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
If hired, do you have a reliable means of transportation to get to work?*
- Yes
- No
Explain your transportation:*
Minimum hourly wage expected:*
Are you at least 16 years old?*
- Yes
- No
Are you legally eligible for employment in the U.S.?*
- Yes
- No
Have you been convicted of a felony in the last seven years?*
- Yes
- No
Are you currently on parole?*
- Yes
- No
Are you currently awaiting trial?*
- Yes
- No
If you answered yes to any of the previous question, stat the nature of the offense and disposition of the case. Include dates and places. (Note: Felony convictions or the existence of a criminal record do not constitute an automatic bar of employment)
Availability (Must be available Friday, Saturday, & Sunday to be considered)
Are you currently employed?*
- Yes
- No
Have you ever worked for this organization before?*
- Yes
- No
Education
Name of High School:*
Grade:
Graduated:
College:
Years:
Degree:
Employment Information
Any Previous Work Experience?*
- Yes
- No
Company*
Phone
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Start Date
MM slash DD slash YYYY
End Date
MM slash DD slash YYYY
Ending Wage
Supervisor Name
First Last
Briefly describe your duties
Reason for leaving
May we contact this employer?
- Yes
- No
If not why?
Applicant's Digital Signature*

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