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 Experience AVAILABILITYTo 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 Study Years Completed* Degree/Diploma Add College?Choose OneYesNoCollegeSchool Name Course of Study Years Completed Degree/Diploma Add Technical School or Other?Choose OneYesNoTechnical or OtherSchool Name Course of Study Years Completed Degree/Diploma EMPLOYMENT 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 Service Date Started Date Left Rank and Type of Service REFERENCESDo 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. CAPTCHACommentsThis field is for validation purposes and should be left unchanged.