Join the team

Personal Information
First Name*
Last Name*
Middle Name*
Street Address*
City*
State*
Zip Code*
Email Address*
Phone*
BIrthdate*
Are you 18 years or older?*
- Yes
- No

Educational History
College Name*
Years Completed*
Degree / Diploma*
High*
Years Completed*
Degree / Diploma*
Middle*
Years Completed*
Degree / Diploma*
Activities / Organizations*

Employment Record

*

Company Name	Location	Supervisor	Employed From/To	Phone #	Salary	Reason for Leaving

Company Name*

References
*
Name Occupation Years Known Telephone #

Availability
It is important that we collect information on your availability for the season and we ask that you keep in mind that your responses will play a large factor in the hiring decision.
The first day that I can work is:*
The last day that I can work is:*
Spring
Are you able to work after school during the week?*
- Yes
- No
If yes, what time can you be here on school days?*
How many hours a week are you able to work?*
What is your last/first day of school?*
Are you able to work Saturdays?*
- Yes
- No
Are you able to work Sundays?*
- Yes
- No
What days/times are you available?*
Sat. Sun. Mon. Tue. Wed. Thu. Fri.
Summer
Are you able to work after school during the week?*
- Yes
- No
If yes, what time can you be here on school days?*
How many hours a week are you able to work?*
What is your last/first day of school?*
Are you able to work Saturdays?*
- Yes
- No
Are you able to work Sundays?*
- Yes
- No
What days/times are you available?*
Sat. Sun. Mon. Tue. Wed. Thu. Fri.
Fall
Are you able to work after school during the week?*
- Yes
- No
If yes, what time can you be here on school days?*
How many hours a week are you able to work?*
What is your last/first day of school?*
Are you able to work Saturdays?*
- Yes
- No
Are you able to work Sundays?*
- Yes
- No
How many hours a week are you able to work?*
What days/times are you available?*
Sat. Sun. Mon. Tue. Wed. Thu. Fri.
Winter
Are you able to work after school during the week?*
- Yes
- No
If yes, what time can you be here on school days?*
How many hours a week are you able to work?*
What is your last/first day of school?*
Are you able to work Saturdays?*
- Yes
- No
Are you able to work Sundays?*
- Yes
- No
If you have any special scheduling needs during either the Spring or the Fall due to sports, band practice, etc., please indicate it here:*
What days/times are you available?*
Sat. Sun. Mon. Tue. Wed. Thu. Fri.
Please indicate any vacations/special occasions that you have planned for the year:
*
REASON DATE(S)
Any additional information:*
I understand that any desired changes to the above schedule must be approved by my manager and may affect my employment status.

I authorize the above employer to obtain information about me from my previous employer(s), schools, and references. I authorize my previous employers, schools that I have attended, and references to disclose to the above employer such information about me as the employer may request.
I attest that the above information is true and complete. I understand that if I am hired, any false or incomplete statements in this application will be grounds for immediate discharge.
Applicant's Signature*
Date*

Step 1 of 6

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