Employment Application

BACKGROUND
Full Name: ______________________________

Address: ________________________________

_______________________________________
Phone Number: ___________________________

Social Security Number: ____________________

Are you legally entitled to work in the United States? [ ] Yes [ ] No
Are you 18 years old or older? [ ] Yes [ ] No
If not, please give your date of birth: ______________________
What position are you applying for? set up and tear down person

EDUCATION
High School

Name of School: _______________________
Location: _____________________________
Number of years attended: _____________
Did you graduate? [ ] Yes [ ] No
Date of graduation:____________________
Trade School
Name of School: ______________________
Location: ____________________________
Number of years attended: ______________
Did you graduate? [ ] Yes [ ] No


College

Name of School: ______________________
Location: ____________________________
Number of years attended: _____________
Did you graduate? [ ] Yes [ ] No
Date of graduation: ________________
What degree did you earn? ____________________________________


EMPLOYMENT HISTORY
Beginning with your most recent employment and working back in time, please give the following information:

Employer 1

Employer: _________________________________
Address: __________________________________
__________________________________
Telephone Number: __________________
Job Title: ___________________________
Duties: ____________________________

Dates of Employment: _________________
Supervisor: __________________________
Reason for Leaving: ___________________

Employer 2

Employer: __________________________________
Address: ___________________________________
___________________________________
Telephone Number: ___________________
Job Title: ___________________________
Duties: _____________________________

Dates of Employment: _________________
Supervisor: __________________________
Reason for Leaving: ___________________

Employer 3

Employer: __________________________________
Address: ___________________________________
___________________________________
Telephone Number: ___________________ Dates of Employment: _________________
Job Title: ___________________________ Supervisor: __________________________
Duties: _____________________________ Reason for Leaving: ___________________



PERSONAL REFERENCES
Please provide the names of two references who have not employed you and are not related to you.
Reference 1
Name: ______________________________
Address: ____________________________
____________________________________________
Telephone Number: __________________________
Relationship: __________________________
Reference 2
Name: ______________________________
Address: ____________________________
____________________________________________
Telephone Number: ___________________________
Relationship: ________________________________

******************************************************************************
Have you ever been convicted of a criminal offense (felony or misdemeanor)? [ ] Y or [ ] N
If yes, please describe the crime - state nature of the crime(s), when and where convicted and disposition of the case.________________________________________________________________

(Note: No applicant will be denied employment solely on the grounds of conviction of a criminal offense. The date of the offense, the nature of the offense, including any significant details that affect the description of the event, and the surrounding circumstances and the relevance of the offense to the position(s) applied for may, however, be considered.)
******************************************************************************

Drivers License # _______________________ State Issuing License: _________________
Have you had any traffic violations in the past 3 years? ______________
If yes, please explain: ____________________________________________________________
______________________________________________________________________________

JOB DESCRIPTION
This is a part-time position you are applying for. Help is needed on the weekends, both Saturdays and Sundays. Duties will include: driving a box truck, collecting payment for rental services from customers, properly setting up inflatable units, cleaning the units, packing up the units, taking inventory of items to be picked up, and lifting or maneuvering heavy equipment as necessary.
******************************************************************************
My answers are true and complete. I understand that if I am hired, any false or incomplete statements in this application will be grounds for immediate discharge. I understand that a background check will be done on me, and I authorize it to be done by Incredible Inflatables, llc.

Date: _______________

Applicant's Name: _____________________________________

Applicant's Signature: __________________________________