Gold Crown Field House
Application For Part-Time Employment
Personal Information
Name
*
First Name
Last Name
Current Phone Number
*
-
Area Code
Phone Number
E-mail
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Employment Desired
Position Desired
*
Desired Start Date
*
Are You Currently Employed?
*
Yes
No
If Yes, may we contact your current employer?
*
Yes
No
Have you ever worked for Gold Crown Foundation?
*
Yes
No
If Yes, when were you employed and in what position?
Education History
High School Name, Location, Years Attended, Graduation Year, and Course of Study:
College/Trade School Name, Location, Years Attended, Graduation Year, and Course of Study:
Any special training or skills applicable to the position applied for:
Former Employers
1.) Employer Name, Position Held, Salary/Pay Rate, Date Started & Left, and Reason For Leaving:
2.) Employer Name, Position Held, Salary/Pay Rate, Date Started & Left, and Reason For Leaving:
References
1.) Name, Address, Phone Number, and Years Known:
*
2.) Name, Address, Phone Number, and Years Known:
*
3.) Name, Address, Phone Number, and Years Known:
*
Authorization
I certify that the facts contained in this application are true and complete. I understand that if employed any falsified information on this application shall be grounds for termination. I authorize investigation into any and all information provided in this application. I understand that no representative of Gold Crown Foundation has any authority to enter into any agreement for employment unless done in writing and signed by an authorized representative.
*
I Agree
Submit
Should be Empty: