EmailMe Form - Sky Zone Indy South Employment Application

Contact Information

Name *

First Last

Home Address *

Street Address City State / Province / Region Postal / Zip Code Country / Region

Phone Number *

### - ### - ####

Email (Non-School Related) *

Position Applying for (Check all that interest you): *

Court Monitor

Cashier

Party Host

Availability (must have availability Fri-Sun). *

	Mon	Tues	Wed	Thur	Fri	Sat	Sun
From/To:

When can you start?

MM / DD / YYYY

If hired, how many hours per week are you interested in working?

Were your referred by an employment/recruiting company?

Yes

No

If yes, please enter name of company here

You must be at least 16 years old to work at Sky Zone Indy South.

Are you at least 16 years old? *

Yes

No

Are you at least 18 years old? *

Yes

No

Education

	School Name	# of Years Completed	Actual or Expected Graduation Date (mo/yy)
High School
College

Are you involved in any extra curricular activities?

Yes

No

If yes, what activities are you a part of?

Personal Information

Read each line carefully

If hired, can you present evidence of your U.S. Citizenship or proof of your legal right to live and work in this country?

Yes

No

Are you able to perform the essential functions of the job for which you are applying, either with or without reasonable accommodation?

Yes

No

If no, describe the functions that cannot be performed. (Note: We comply with the ADA and consider reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions. Hire may be subject to passing a medical examination, as well as skill and agility tests.)

Have you ever been convicted of a criminal offense (felony or serious misdemeanor)? (Convictions for marijuana-related offenses that are more than two years old need not be listed)

Yes

No

If yes, state the nature of the crime(s), when and where convicted and disposition of the case

Employment History

Starting with Most Recent Employer:

Name and Address of Employer:

Phone

### - ### - ####

Title of your position:

Reason for leaving:

Starting Date:

MM / DD / YYYY

Final Date:

MM / DD / YYYY

Final Rate of Pay

$ Dollars . Cents

Final Hourly Rate or Salary/Year

May we contact this employer:

Employer #2

Name and Address of Employer:

Phone

### - ### - ####

Reason for leaving:

Title of your position:

Starting Date:

MM / DD / YYYY

Final Date:

MM / DD / YYYY

Final Rate of Pay

$ Dollars . Cents

Final Hourly Rate or Salary/Year

May we contact this employer:

PLEASE READ CAREFULLY AND INITIAL UNDER EACH PARAGRAPH

I hereby certify that I have not knowingly withheld any information that might adversely affect my chances for employment and that the answers given by me are true and correct to the best of my knowledge. I further certify that I, the undersigned applicant, have personally completed this application. I understand that any omission or misstatement of material fact on this application or any document used to secure employment shall be grounds for rejection of this application or for immediate discharge if I am employed, regardless of the time elapsed before discovery.

I hereby authorize the company to thoroughly investigate my references, work record, education and other matters related to my suitability for employment and further, authorize the references I have listed to disclose to the company any and all letters, reports and other information related to my work records, without giving me prior notice of such disclosure. In addition, I hereby release the company, my former employers and all other persons, corporations, partnerships and associations from any and all claims, demands or liabilities arising out of or in any way related to such investigation or disclosure. *

I understand that nothing contained in this application, or conveyed during any interview which may be granted or during my employment, if hired, is intended to create an employment contract between me and the company. In addition, I understand and agree that if I am employed, my employment is for no definite or determinable period and may be terminated at any time, with or without prior notice, at the option of either myself or the company, and that no promises or representations contrary to the foregoing are binding on the company unless made in writing and signed by me and the designated company representative. *