Brookmont Bowling Center Employment Application

Brookmont Bowling Center Employment Application

We consider applications for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, sexual orientation, citizenship status, genetic information or any other legally protected status.
1. How did you hear about us?
2. Full Name*

First NameMiddle NameLast Name
3. Email Address*
4. Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
5. Phone Number*

Area CodePhone Number
Phone Type*
Home, Cell, etc.
7. Best Time to Contact You*

:HourMinutesAM/PM Option
8. Applying for Position*
9. If under 18 can you provide eligibility for work?*

YesNo
10. Have you applied here before?*

YesNo
If Yes, to question 10, please provide a start date

MonthDayYear
Date
11. Does a spouse, relative, or friend work here?*

YesNo
12. Are you currently employed?*

YesNo
13. May we contact your current employer?*

YesNo
14. Are you prevented from being lawfully employed in this country due to Visa or Immigration status?*

YesNo
15. Date available to begin work*

MonthDayYear
Date
16. Work Availability*

Full-TimePart-TimeTemporary
If you answered "Part-Time" to question 16, please indicate time of day
Morning, Afternoon, Evening
If you answered "Temporary" to question 16, please indicate start and end date
mm/dd/yy – mm/dd/yy
17. Are you currently on “Lay-off” Status and subject to recall?*

YesNo
18. Can You travel if job requires it?*

YesNo
Employment Experience

Start with your present or last job. Include any job-related military service assignments and volunteer activities. You may exclude organizations which indicate race, color, religion, gender, national origin, disabilities or other protected statuses.
Employment Location 1
Employer Name
Employer Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Employer Phone Number

Area CodePhone Number
Job Title
Supervisor's Name
Reason for leaving
Start Date

MonthDayYear
Date
End Date

MonthDayYear
Date
Work Performed
List of professional, trade, business or civic activities or offices held. You may exclude membership which could reveal gender, race, religion, national origin, age, ancestry, disability or other protected status.
Employment Location 2
Employer Name
Employer Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Employer Phone Number

Area CodePhone Number
Job Title
Supervisor
Reason for Leaving
Start Date

MonthDayYear
Date
End Date

MonthDayYear
Date
Work Performed
List of professional, trade, business or civic activities or offices held. You may exclude membership which could reveal gender, race, religion, national origin, age, ancestry, disability or other protected status.
Employment Location 3
Employer Name
Employer Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Employer Phone Number

Area CodePhone Number
Job Title
Supervisor
Reason for Leaving
Start Date

MonthDayYear
Date
End Date

MonthDayYear
Date
Work Performed
List of professional, trade, business or civic activities or offices held. You may exclude membership which could reveal gender, race, religion, national origin, age, ancestry, disability or other protected status.
Employment Location 4
Employer Name
Employer Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Employer Phone Number

Area CodePhone Number
Job Title
Supervisor
Reason for Leaving
Start Date

MonthDayYear
Date
End Date

MonthDayYear
Date
Work Performed
Education
Name of School
Course of Study
Number of Years Completed
Diploma/Degree
Levels of Education
If you selected "Other" above, please specify here
Describe Any Personalized training, apprenticeship, skills and extra-curricular activities
Describe any job-related training received in the United States Military.
This information requested is needed for legally permissible reason, including, without limitation, national security considerations, a legitimate occupational qualification or business necessity. The Civil Rights Act of 1964 prohibits discrimination based on age and citizenship. The laws of most States also prohibit some or all of the above types of discrimination as well as some additional types such as discrimination based upon ancestry, marital status or physical or mental handicap or disability.
Provide dates you attended School
Elementary
MM/YY – MM/YY
High School
MM/YY – MM/YY
College
MM/YY – MM/YY
Other
Number of Dependents Including Yourself*
Are you a Vietnam Veteran*

YesNo
Sex*

MaleFemale
Marital Status
Marital Status*

SingleEngagedMarriedSeparatedDivorcedWidow
Date of Marriage

MonthDayYear
Date
Are you a U.S. Citizen?*

YesNo
What was your previous address?

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
How long at present address?

YearsMonths
How long at previous address?

YearsMonths
Have you ever been bonded?*

YesNo
If you answered "Yes" to the previous question, with what employers?
Are you over 18 years of age? IF not, employment is subject to verification of age*

YesNo
Have you been convicted of a crime in the past ten years, excluding misdemeanors and summary offenses, which has not been annulled, expunged or sealed by a court?*

YesNo
If Yes describe in full
State names of relatives and friends working for us, other than your spouse.

First NameLast Name
Have you received Worker’s Compensation or disability income payments?*

YesNo
If Yes describe in full
Have you physical defects which preclude you from performing certain jobs?*

YesNo
If yes describe limitation
Do you have any physical condition which might limit your ability to perform the job for which you are applying?*

YesNo
If yes describe this condition and how you can perform the job in spite of it
Have you had a major illness in the past 5 years?*

YesNo
If yes please describe
Additional Information
Please list any other qualifications and skills
The information provided in this application for employment is true, correct, and complete. If employed, any misstement or omission of fact on this application may result in my dismissal.

I understand that acceptance of an offer of employment does not create a contractual obligation of the employer to continue to employ me in the future.

If you decide to engage an investigative consumer reporting agency to report on my and personal history I authorize you to do so. If a report is obtained you must provide, at my request, the name of the agency so I may obtain from them the nature and substance of the information contained in the report.
Date*

MonthDayYear
Date
Signature*
First and Last Name
Should be Empty:

Brookmont Bowling Center Employment Application

Employment Experience

Education

Marital Status

Additional Information