Job Application Form

Last Name*

First Name*

Middle Initial

Today's Date*

Street Address*

Apartment/Unit #

City*

State*

Zip Code*

Phone*

E-mail Address*

Date Available

Desired Salary

Desired Position
Please check all that apply

General Manager

Assistant Manager

Office

Event Coordinator

Head Cashier

Cafe Supervisor

Court Supervisor

Birthday Party Host

Cashier/Greeter/Gear Rental

Court Monitor

Cafe/Food Prep

Attendant

Street Team

Fitness Instructor

Mascot

Days Available
Please check all that apply

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Are you a citizen of the United States?*

Yes No

If no, are you authorized to work in the U.S.?

Yes No

Have you ever worked for this company?*

Yes No

If so, when?

Have you ever been convicted of a felony?*

Yes No

If yes, explain

Education

High School*
Name and Address

From (Date)*

To (Date)*

Did you graduate?*

Yes No

Degree

College
Name and Address

From (Date)

To (Date)

Did you graduate?

Yes No

Degree

References
Please list three professional references.

Full Name*

Relationship*

Company*

Phone*
Please include area code

Address

Full Name*

Relationship*

Company*

Phone*
Please include area code

Address

Full Name*

Relationship*

Company*

Phone*
Please include area code

Address

Previous Employment

Company

Phone
Please include area code

Address

Supervisor

Job Title

Starting Salary

Ending Salary

Responsibilities

Start Date

End Date

Reason for leaving

May we contact your previous supervisor for a reference?

Yes No

Company

Phone
Please include area code

Address

Supervisor

Job Title

Starting Salary

Ending Salary

Responsibilities

Start Date

End Date

Reason for Leaving

May we contact your previous supervisor for a reference?

Yes No

Company

Phone
Please include area code

Address

Supervisor

Job Title

Starting Salary

Ending Salary

Responsibilities

Start Date

End Date

Reason for leaving

May we contact your previous supervisor for a reference?

Yes No

Military Service

Branch

Start Date

End Date

Rank at Discharge

Type of Discharge

If other than honorable, explain

Disclaimer and Signature
I certify that my answers are true and complete to the best of my knowledge.

If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

Signature*
Please enter a digital signature which will be binding as your actual signature. Your electronic signature below indicates your agreement with all information provided on this application.

Date*

Send me a copy of my responses

Email address

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