Facility Name:
Last Name:
First Name:
Address:
City:
State:
Zip Code:
Email Address:
Home Phone number:
Cell Phone number:
Do you have any friends or
relatives employed by us?
Yes
 No
Are you 16 years of age or
older?
Yes
No
Do you have reliable
transportation?
Yes
 No
Date Available to Start?
How many hours a week can
you work?
What shifts do you prefer days or
evenings or either?
Days
 Evenings
 Either
No
Yes
Can you work Sundays?
No
Yes
Are you currently employed?
Have you been convicted with a
felony within the last 5 Years?
No
Yes
If Yes, please explain:
Please check which apply:
 College
High School
Grade-Point Average:
How did you learn about us?
Computer Experience:
Cash Register Experience:
Supervisor Experience:
Office Experience:
Marketing Experience:
Mechanical Experience:
Specialized Experience:
No
Yes
Are you currently Employed?
Past Employer #1
Past Employer Phone Number #1
Past Employer #2
Past Employer Phone Number #2
No
May we contact your past Employers?
Yes
List any relevant
experience or training:
1. I hereby certify that all facts on this employment application are true and complete to the best of my knowledge. I
understand that any false statements made on this application shall be considered sufficient cause for rejection of
this application and/or dismissal from employment.
2. I authorize all schools, persons, previous employers and other organizations named in this employment application
to provide our facility (Its authorized employees, agents or representatives) with any relevant information that may be
required to arrive at an employment decision, and hereby release any such schools, parsons, employment, and
organizations, from any liability which they might otherwise incur to we as a result.
3. In the event that I am employed by our facility I agree to abide by all present and future policies and regulations.
5. Upon acceptance of employment, I agree to provide documents that establish my identity and employment
eligibility.
Cooperstown Fun Park or Kid's Fun Zone
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