Roller Valley Online Job Application

APPLICATION FOR EMPLOYMENT

with Roller Valley Skate & Event Center.
GENERAL INFORMATION
Full Name*

First NameLast Name
Date of birth*

MonthDayYear
Date
E-mail*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
If hired, can you furnish proof you are eligible to work in the U.S.?*

YesNo
Are you at least 16 years of age or older?*

YesNo
Have you ever worked for any roller skating rinks before?*

YesNo
When & where
Have you ever worked for this company?*

YesNo

Employment History Information
Work History: Current and previous 2 employers (most current employer listed first)
Most Recent Employer Name*
City, State*
Position Held*
Start Date

MonthDayYear
Still employed?

YesNo
Date Finished

MonthDayYear
Employer phone*

Area CodePhone Number
Supervisor name*
Describe your duties:*
Reason for leaving*
If still employed, please state : still employed
NEXT EMPLOYER
Employer Name

First NameLast Name
City, State
Position Held
Start Date

MonthDayYear
Date Finished

MonthDayYear
Employer phone

Area CodePhone Number
Supervisor name

First NameLast Name
Describe your duties:
Reason for leaving
NEXT EMPLOYER
Employer Name

First NameLast Name
City, State
Position Held
Start Date

MonthDayYear
Date Finished

MonthDayYear
Employer phone

Area CodePhone Number
Supervisor name

First NameLast Name
Describe your duties:
Reason for leaving

Additional Information
Have you ever been employed under a name other than the name used on this application?*

YesNo
Please explain

EDUCATION INFORMATION
HIGH SCHOOL
Name & City/State of High School*
Course of Study/ Degree Earned*
Did you graduate?*

YesNoAttending
COLLEGE OR UNIVERSITY
Name & City/State of College or University
Course of Study/ Degree Earned
Did you graduate?

YesNoAttending
OTHER
Name & City/State of OTHER (specify)
Course of Study/ Degree Earned
Did you graduate?

YesNoAttending

Tell us about your self

* The following questions are "Optional" And they will not affect your employment eligibility.
Tell us something about your self?
What are your hobbies?
What is your definition of hard work?
What is something you'd be happy doing every single day for the rest of your career?
You should hire me because...*
Resume

Browse Files
(If applicable) Cancelof

I certify that my answers are true, complete and accurate to the best of my knowledge.

If this application leads to employment, I understand that false or misleading information in my application or interview may resut in my
release or termination on employment with this company.
Name*
( Please Print)
Date

MonthDayYear
Should be Empty: