Employment Opportunities

Employment Application

First Name *

Last Name *

Phone *

Email *

Address *

City *

State *

Zip/Postal Code *

Position You Are Interested In: *

Full-Time Delivery Driver

Full-Time Delivery Assistant

Part-Time Inflatable Cleaner

Part-Time Inflatable Attendant

Check Days Available For Work: *

Any

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Do you have a valid New York driver's license? *

Yes

No

Have you had any moving violations in the past 2 years? *

Yes

No

Have you ever been convicted of a crime? *

Yes

No

Are you able to perform frequent heavy lifting as required for this position? *

Yes

No

How did you hear about our employment opportunites? *

What interests you about working for our company? *

Education

Name Of High School *

Did you graduate high school? *

Yes

No

College/Trade School

Did you graduate college/trade school?

Yes

No

Military Experience

Other Education

Work Experience - Start With the most recent

Company #1 Name *

Company #1 Phone Number *

Company #1 Supervisor *

Company #1 Job Title *

Company #1 Starting Pay *

Company #1 Ending Pay *

Company #1 Start Date *

Company #1 End Date *

Company #1 Reason For Leaving *

Company #1 May we contact your previous supervisor for a reference? *

Yes

No

Company #2 Name

Company #2 Phone Number

Company #2 Supervisor

Company #2 Job Title

Company #2 Starting Pay

Company #2 Ending Pay

Company #2 Start Date

Company #2 End Date

Company #2 Reason For Leaving

Company #2 May we contact your previous supervisor for a reference?

Yes

No

Company #3 Name

Company #3 Phone Number

Company #3 Supervisor

Company #3 Job Title

Company #3 Starting Pay

Company #3 Ending Pay

Company #3 Start Date

Company #3 End Date

Company #3 Reason For Leaving

Company #3 May we contact your previous supervisor for a reference?

Yes

No

References

Reference #1 Full Name *

Reference #1 Relationship *

Reference #1 Company

Reference #1 Phone Number *

Reference #1 Address *

Reference #2 Full Name *

Reference #2 Relationship *

Reference #2 Company

Reference #2 Phone Number *

Reference #2 Address *

Reference #3 Full Name *

Reference #3 Relationship *

Reference #3 Company

Reference #3 Phone Number *

Reference #3 Address *

Certify

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 misleadinig information in my application or interview may result in my release. *

I certify

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