Employment

    Personal Information

    Position of Interest *

    First Name *

    Last Name *

    Email *

    Phone *

    Address 1 *

    Address 2

    City *

    State *

    Zip Code *

    Are you over 21 years of age? *

    Desired Rate of Pay

    $ / hour

    Desired Hours

    / week

    Start Date

    Are you currently a student?

    Have you ever been convicted of a felony?

    If yes, please expain:

    Have you applied before?

    If yes, when:

    Federal law prohibits the employment of unauthorized aliens. All persons hired must submit satisfactory proof of employment eligibility and eligibility and identity within three days of being hired. Failure to submit such proof within the required time shall result in immediate employment termination.

    Identity may be established with a valid drivers license, a state or school photo I.D. card, a voter registration card, or a military or draft card. Ask about other qualifying documents.

    Employment eligibility may be established with a social security card, or a birth certificate (an original or a certified copy). Ask about other qualifying documents. Employment Eligibility and identity both may be established with a U.S. passport,a green card, or a foreign passport with employment authorization attached. Ask about other qualifying documents.


    Education History

    High School

    High School Name

    High School Location

    Years Attended

    Did you graduate?

    College

    College Name

    College Location Location

    Years Attended

    Did you graduate?


    Employment History

    Are you currently employed? *

    May we contact them?

    Most Recent Employer

    Employer Name

    City, State

    Phone

    Job Title

    Work Performed

    Supervisor

    Reason for Leaving

    Dates Employed

    From: To:

    Salary / Wages

    Previous Employer

    Employer Name

    City, State

    Phone

    Job Title

    Work Performed

    Supervisor

    Reason for Leaving

    Dates Employed

    From: To:

    Salary / Wages

    Which employer was best?

    We will contact the employers listed on this application unless you specifically exclude them below. Please list any employers you do not want us to contact and your reason for the exclusion.

    Do Not Contact Employer

    Do Not Contact Reason

    Other Credentials

    Please take a moment to tell us briefly why you feel you would make a great addition to the Poelking Bowling Centers' Team

    * Required to submit form.