You can always press Enter⏎ to continue
Scramblers Employee Application
Hi there, please fill out and submit this form.
15
Questions
START
1
Name
*
This field is required.
First Name
Last Name
Previous
Next
Submit
Press
Enter
2
Contact Information
*
This field is required.
Street Address
City
State
Zip Code
Phone Number
Email Address
Previous
Next
Submit
Press
Enter
3
Are you 18 years or older?
YES
NO
Previous
Next
Submit
Press
Enter
4
Are you a US citizen or authorized to work in the US?
*
This field is required.
YES
NO
Previous
Next
Submit
Press
Enter
5
Preferred Location:
*
This field is required.
Please select your top location. Scroll down to see more options.
-Toledo Market-
Toledo - 3344 Secor Rd
Toledo - 6819 W Central Ave
Maumee - 570 W Dussel
Perrysburg - 25690 Dixie Hwy
Findlay -516 W Main St
-Columbus Market-
Columbus - 8679 Sancus Blvd
Columbus - 5729 N Hamilton Rd
Powell - 3980 Presidential Pkwy
Hilliard - 3989 Britton Pkwy
Hilliard - 5291 Nike Station
Westerville - 7395 State Route 3
Lewis Center - 6313 Pullman Dr
Reynoldsburg - 7970 E Broad
Lancaster - 1377 Ety Rd
Pickerington - 1219 Hill Rd
Canal Winchester 6402 Winchester Blvd
-Dayton Market-
Miamisburg - 9600 Springboro Pike
-Cleveland Market-
Canton - 4345 Belden Village Mall
Strongsville - 16726 Pearl Rd.
Mayfield Heights - 1394 S.O.M. Center Rd.
Mentor - 9570-A Mentor Ave.
North Olmsted - 26435 Great Northern Shopping Ctr.
-Cincinnati Market-
Sharonville - 4006 Hauck Rd
Mariemont - 7453 Wooster Pike
-Detroit Market-
Farmington Hills - 27909 Orchard Lake Rd
-Florida Market-
Deerwood - 9940 Old Baymeadows Rd
Lakewood - 1500 University Blvd W
-Toledo Market-
Toledo - 3344 Secor Rd
Toledo - 6819 W Central Ave
Maumee - 570 W Dussel
Perrysburg - 25690 Dixie Hwy
Findlay -516 W Main St
-Columbus Market-
Columbus - 8679 Sancus Blvd
Columbus - 5729 N Hamilton Rd
Powell - 3980 Presidential Pkwy
Hilliard - 3989 Britton Pkwy
Hilliard - 5291 Nike Station
Westerville - 7395 State Route 3
Lewis Center - 6313 Pullman Dr
Reynoldsburg - 7970 E Broad
Lancaster - 1377 Ety Rd
Pickerington - 1219 Hill Rd
Canal Winchester 6402 Winchester Blvd
-Dayton Market-
Miamisburg - 9600 Springboro Pike
-Cleveland Market-
Canton - 4345 Belden Village Mall
Strongsville - 16726 Pearl Rd.
Mayfield Heights - 1394 S.O.M. Center Rd.
Mentor - 9570-A Mentor Ave.
North Olmsted - 26435 Great Northern Shopping Ctr.
-Cincinnati Market-
Sharonville - 4006 Hauck Rd
Mariemont - 7453 Wooster Pike
-Detroit Market-
Farmington Hills - 27909 Orchard Lake Rd
-Florida Market-
Deerwood - 9940 Old Baymeadows Rd
Lakewood - 1500 University Blvd W
Previous
Next
Submit
Press
Enter
6
Work Preferences
*
This field is required.
Server
Cook
Busser
Host
Dishwasher
General Manager
Server
Cook
Busser
Host
Dishwasher
General Manager
Desired Position
Desired Starting Pay
Previous
Next
Submit
Press
Enter
7
Desired Position?
*
This field is required.
Pick your top one. Scroll down to see more options.
Server
Cook
Busser
Host
Dishwasher
General Manager
Server
Cook
Busser
Host
Dishwasher
General Manager
Previous
Next
Submit
Press
Enter
8
Desired starting salary
*
This field is required.
Previous
Next
Submit
Press
Enter
9
Available Start Date
*
This field is required.
-
Date
Year
Month
Day
Previous
Next
Submit
Press
Enter
10
Were you referred by someone or do you know anyone that works for Scramblers?
YES
NO
Previous
Next
Submit
Press
Enter
11
Please enter the name and relation of the person that you know.
Previous
Next
Submit
Press
Enter
12
Are you currently a student?
YES
NO
Previous
Next
Submit
Press
Enter
13
At which school and in which grade are you in?
EX) OSU - Sophomore
Previous
Next
Submit
Press
Enter
14
Have you ever been convicted of a felony?
YES
NO
Previous
Next
Submit
Press
Enter
15
Previous Work History
Please scroll to the right for additional fields.
Name
Location
Start Date
End Date
Starting Salary
Ending Salary
Employer 1
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
Row 0, Column 4
Row 0, Column 5
Employer 2
Row 1, Column 0
Row 1, Column 1
Row 1, Column 2
Row 1, Column 3
Row 1, Column 4
Row 1, Column 5
Employer 3
Row 2, Column 0
Row 2, Column 1
Row 2, Column 2
Row 2, Column 3
Row 2, Column 4
Row 2, Column 5
Employer 1
Employer 2
Employer 3
Name
Row 0, Column 0
Location
Row 0, Column 1
Start Date
Row 0, Column 2
End Date
Row 0, Column 3
Starting Salary
Row 0, Column 4
Ending Salary
Row 0, Column 5
Name
Row 1, Column 0
Location
Row 1, Column 1
Start Date
Row 1, Column 2
End Date
Row 1, Column 3
Starting Salary
Row 1, Column 4
Ending Salary
Row 1, Column 5
Name
Row 2, Column 0
Location
Row 2, Column 1
Start Date
Row 2, Column 2
End Date
Row 2, Column 3
Starting Salary
Row 2, Column 4
Ending Salary
Row 2, Column 5
1
of 3
Previous
Next
Submit
Press
Enter
16
Availability
*
This field is required.
PLEASE NOTE
: : We are open 6:30am-3:00pm everyday. We encourage weekend availability at most stores.
Not Available
All day availability
Start Time
End Time
Monday
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
Tuesday
Row 1, Column 0
Row 1, Column 1
Row 1, Column 2
Row 1, Column 3
Wednesday
Row 2, Column 0
Row 2, Column 1
Row 2, Column 2
Row 2, Column 3
Thursday
Row 3, Column 0
Row 3, Column 1
Row 3, Column 2
Row 3, Column 3
Friday
Row 4, Column 0
Row 4, Column 1
Row 4, Column 2
Row 4, Column 3
Saturday
Row 5, Column 0
Row 5, Column 1
Row 5, Column 2
Row 5, Column 3
Sunday
Row 6, Column 0
Row 6, Column 1
Row 6, Column 2
Row 6, Column 3
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Not Available
Row 0, Column 0
All day availability
Row 0, Column 1
Start Time
Row 0, Column 2
End Time
Row 0, Column 3
Not Available
Row 1, Column 0
All day availability
Row 1, Column 1
Start Time
Row 1, Column 2
End Time
Row 1, Column 3
Not Available
Row 2, Column 0
All day availability
Row 2, Column 1
Start Time
Row 2, Column 2
End Time
Row 2, Column 3
Not Available
Row 3, Column 0
All day availability
Row 3, Column 1
Start Time
Row 3, Column 2
End Time
Row 3, Column 3
Not Available
Row 4, Column 0
All day availability
Row 4, Column 1
Start Time
Row 4, Column 2
End Time
Row 4, Column 3
Not Available
Row 5, Column 0
All day availability
Row 5, Column 1
Start Time
Row 5, Column 2
End Time
Row 5, Column 3
Not Available
Row 6, Column 0
All day availability
Row 6, Column 1
Start Time
Row 6, Column 2
End Time
Row 6, Column 3
1
of 7
Previous
Next
Submit
Press
Enter
17
Upcoming Interruptions
Please enter any reasons you will need time off in the near future (vacations, school schedule, personal obligations)
Previous
Next
Submit
Press
Enter
Should be Empty:
Question Label
1
of
17
See All
Go Back
Submit