EMPLOYMENT APPLICATION Name* First Last Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* Emergency Contact Name* First Last Emergency Contact Phone*Are you 18 years of age or older?**Being younger than 18 will not disqualify your application.Choose OneYesNoAre you 16 years of age or older?*Choose OneYesNoIf no, can you provide a work permit?*Choose OneYesNoIf hired, can you provide written evidence that you are authorized to work in the U.S.?*Choose OneYesNoEMPLOYMENTDate you can start:*Relevant Experience Apps & Software Audio/Visual Technology Cleaning Creative Design & Editing Customer Service Electrical Tools Lighting Maintenance & Repair Management Organizing Public Speaking Technology Video Creation & Editing Other Other ExperienceAVAILABILITYTo be considered, you must be available to work weekends (Friday, Saturday, and Sunday). Please answer Yes or No for each option below. Wednesday | 4pm to 10pm* No Yes Thursday | 4pm to 10pm* No Yes Friday | 2:30pm to 8:30pm* No Yes Friday | 6pm to 12am* No Yes Saturday | 11am to 6pm* No Yes Saturday | 5pm to 12am* No Yes Sunday | 11am to 6pm* No Yes Sunday | 2pm to 9pm* No Yes EDUCATIONAdd High School?Choose OneYesNoHigh SchoolSchool Name*City*Course of StudyYears Completed*Degree/DiplomaAdd College?Choose OneYesNoCollegeSchool NameCourse of StudyYears CompletedDegree/DiplomaAdd Technical School or Other?Choose OneYesNoTechnical or OtherSchool NameCourse of StudyYears CompletedDegree/DiplomaEMPLOYMENT RECORDAdd Employment Experience?Choose OneYesNoEmployment Experience Company Name Position Date Started Date Left Pay Rate Reason For Leaving Contact Person Name Contact Person Phone Actions Edit Delete There are no Employment Experiences. Add Employment Experience Maximum number of employment experiences reached. MILITARY EXPERIENCEAdd Military Experience?Choose OneYesNoBranch of ServiceDate StartedDate LeftRank and Type of ServiceREFERENCESDo not include relatives. Include teachers, coaches, church leadership or previous employers.Add Reference?*NoYesReferences Name Occupation Phone Actions Edit Delete There are no References. Add Reference Maximum number of references reached. CAPTCHAEmailThis field is for validation purposes and should be left unchanged.