Step 1 of 6 16% Personal InformationFirst Name*Last Name*Middle Name*Street Address*City*State*Select StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificZip Code*Email Address* Phone*Are you over 16?*YesNo Educational History College Name*Years Completed*Degree / Diploma*High*Years Completed*Degree / Diploma*Middle*Years Completed*Degree / Diploma*Activities / Organizations* Employment Record*Company NameLocationSupervisorEmployed From/ToPhone #SalaryReason for Leaving Company Name* References*NameOccupationYears KnownTelephone # AvailabilityIt is important that we collect information on your availability for the season and we ask that you keep in mind that your responses will play a large factor in the hiring decision. The first day that I can work is:* The last day that I can work is:* SpringAre you able to work after school during the week?*YesNoIf yes, what time can you be here on school days?*How many hours a week are you able to work?*What is your last/first day of school?*Are you able to work Saturdays?*YesNoAre you able to work Sundays?*YesNoWhat days/times are you available?*Sat.Sun.Mon.Tue.Wed.Thu.Fri. SummerAre you able to work after school during the week?*YesNoIf yes, what time can you be here on school days?*How many hours a week are you able to work?*What is your last/first day of school?*Are you able to work Saturdays?*YesNoAre you able to work Sundays?*YesNoWhat days/times are you available?*Sat.Sun.Mon.Tue.Wed.Thu.Fri. FallAre you able to work after school during the week?*YesNoIf yes, what time can you be here on school days?*How many hours a week are you able to work?*What is your last/first day of school?*Are you able to work Saturdays?*YesNoAre you able to work Sundays?*YesNoHow many hours a week are you able to work?*What days/times are you available?*Sat.Sun.Mon.Tue.Wed.Thu.Fri. WinterAre you able to work after school during the week?*YesNoIf yes, what time can you be here on school days?*How many hours a week are you able to work?*What is your last/first day of school?*Are you able to work Saturdays?*YesNoAre you able to work Sundays?*YesNoIf you have any special scheduling needs during either the Spring or the Fall due to sports, band practice, etc., please indicate it here:* What days/times are you available?*Sat.Sun.Mon.Tue.Wed.Thu.Fri. Please indicate any vacations/special occasions that you have planned for the year:*REASONDATE(S) Any additional information:*I understand that any desired changes to the above schedule must be approved by my manager and may affect my employment status. I authorize the above employer to obtain information about me from my previous employer(s), schools, and references. I authorize my previous employers, schools that I have attended, and references to disclose to the above employer such information about me as the employer may request. I attest that the above information is true and complete. I understand that if I am hired, any false or incomplete statements in this application will be grounds for immediate discharge.Applicant's Signature*Date* Δ