Employment Application Name * First Name Last Name Are you under the age of 18? * Yes No If yes, what is your Date of Birth? MM DD YYYY Permanent Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Summer Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Phone * (###) ### #### Email Address * Position Applying For * Team Member AVAILABILITY Dates Available Full Time * From (MM/DD) — To (MM/DD) Weekends in May? * Yes No If yes, list dates available Weekends in June? * Yes No If yes, list dates available Weekends in September? * Yes No If yes, list dates available Weekends in October? * Yes No If yes, list dates available List all dates unavailable to work during full-time period * Include all vacations, pre-season sports, camps, summer classes, etc. EDUCATION HIGH SCHOOL * High School Address * Dates Attended * From (YYYY) — To (YYYY) Did you graduate? * Yes No Diploma * COLLEGE College Address Dates Attended From (YYYY) — To (YYYY) Did you graduate? Yes No Degree REFERENCES Please list two personal or professional references. REFERENCE 1 * First Name Last Name Relationship * Company * Phone * (###) ### #### Address * Address 1 Address 2 City State/Province Zip/Postal Code Country REFERENCE 2 * First Name Last Name Relationship * Company * Phone * (###) ### #### Address * Address 1 Address 2 City State/Province Zip/Postal Code Country PREVIOUS EMPLOYMENT Company Phone (###) ### #### Address Address 1 Address 2 City State/Province Zip/Postal Code Country Supervisor First Name Last Name Job Title Responsibilities Dates Employed From (MM/DD/YYYY) — To (MM/DD/YYYY) Reason for Leaving Company Phone (###) ### #### Address Address 1 Address 2 City State/Province Zip/Postal Code Country Supervisor First Name Last Name Job Title Responsibilities Dates Employed From (MM/DD/YYYY) — To (MM/DD/YYYY) Reason for Leaving DISCLAIMER By clicking submit, I certify that my answers are true and complete to the best of my knowledge. If this application leads to my employment, I understand that false or misleading information in my application or interview may result in my release. Thank you!