Advanced Laser Tag - Application for Employment
Equal Opportunity Employer
Name:           Date:  
Last First M.I.
Street City State  Zip
Phone: (         )   Date of Birth (if Under 18):    
When are you able to start?   May we contact your present employer?  
Education School Name and Location   Grade Level Date Graduated Subjects Studied
High School              
Activities Please list activities, clubs or groups in which you participate.
Availability For closing shifts, you may work approximately two hours past closing time.
Store Hours: 10am-10pm       10am-12mid   10am-9pm
Mon Tues Weds Thurs Fri Sat Sun
Number of days and hours per week you would like to work:      
Employment History Please list your last two employers, starting with the most recent.
Dates     Company and Phone Number Position Reasons for Leaving
Personal References Please list two personal references you have known for more than one year.
Name     Relationship   Phone Number Years Known
By signing this application, I certify that all information is herein is true, correct, and complete.
If employed, misstatement or omission of fact on this application may result in my dismissal.
Signature:         Date:    
Please give a brief description of why you would like to work at Advanced Laser Tag: