Application for Employment 1-30-06
Position(s) applied for:_________________________________________________________________________
How did you learn about us?____________________________________________________________________
Last Name:_____________________________________First:__________________________MI:____________
Address:____________________________________________________________________________________
City__________________________________State___________________Zipcode_________________________
Phone (Home)________________________Cell:________________________SSN________________________
Date of Birth: (mo)_______________(day)_________________(year)__________________________________
If you are under 18yrs of age, can you provide required proof of your eligibility to work? Yes_______No______
Are you currently employed? Yes____ No_____. May we contact your present employer? Yes______No_____
Are you prevented from lawfully becoming employed in this country because of VISA or Immigration status?
Yes_____No______. (Proof of citizenship or immigration status will be required upon employment).
Are you available to work: Full time_________/ Part time__________?
Have you been convicted of a felony within the last 7 years? Yes______ No_______. If yes please explain:
___________________________________________________________________________________________
References: (give name, address and telephone of 3 references who are not related to you and are NOT previous employers:
1__________________________________________________________________________________________
2.__________________________________________________________________________________________
3.__________________________________________________________________________________________
Special skills or hobbies: _______________________________________________________________________
___________________________________________________________________________________________
State any additional information you feel may be helpful to us in considering your application:
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
Final Information:
Please attach your years of completed of Education (Name &addresses of schools and years attended).
Please attach your past Employment History (starting with your most recent job). We need name of company, address and phone number along with description of your job title and duties performed. Also please fill in the dates you worked for this company.
Application Process:
Return your completed application to us either via email at: lisa@empirerollerrink.com or drop it off or mail it to: 1305 Business Loop 70E, Columbia Mo 65201. Please call ahead (443-7375) to make sure we are open for you to hand it in.
If you have not heard from us within 7 days from receiving your application that means we have either filled the job position or are considering other applicants. DO NOT CALL to check on the status of your application we will contact you to set up an interview if we are considering you.
Thank you. Lisa Trent Owner