Sky Zone Employment Application -
1425 Market Blvd. Suite 100-A
,
Roswell
,
GA
.
Personal Address
Name:
Home Phone
Secondary phone
Street Address
Zip
City
State
Email
Employment Desired
Position applying for
What days and hours are you available for work?
Are you available on the weekends?
Yes
No
Would you be available to work overtime if necessary?
Yes
No
If hired, what date can you start work?
Salary desired:
Personal Information
Have you ever applied to or worked for Sky Zone before?
Yes
No
If yes, when?
Do you have any friends or relatives working for Sky Zone?
Yes
No
If yes, state name(s) and relationship
Why are you applying for work at Sky Zone?
If hired, would you have a reliable means of transportation to and from work?
Yes
No
Are you at least 18 years of age? (If under 18, hire is subject to verification that you are of legal minimum age)
Yes
No
If hired, can you present evidence of your U.S. Citizenship or proof of your legal right to live and work in this country?
Yes
No
Are you able to perform the essential functions of the job for which you are applying, either with or without reasonable accommodation?
Yes
No
If no, describe the functions that cannot be performed: (Note: We comply with the ADA and consider reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions. Hire may be subject to passing a medical examination, as well as skill and agility tests.)
Have you ever been convicted of a criminal offense (felony or serious misdemeanor)? (Convictions for marijuana-related offenses that are more than two years old need not be listed)
Yes
No
If yes, state the nature of the crime(s), when and where convicted and disposition of the case: (Note: No applicant will be denied employment solely on the grounds of convictions of a criminal offense. The nature of the offense, the date of the offense, the surrounding circumstances and the relevance of the offense to the position(s) applied for may, however, be considered.)
Education, Training and Experience
High School
Name and Address
Number of years completed
Did you graduate?
Yes
No
Degree or Diploma
College/University
Name and Address
Number of years completed
Did you graduate?
Yes
No
Degree or Diploma
Vocational/Business
Name and Address
Number of years completed
Did you graduate?
Yes
No
Degree or Diploma
HealthCare
Name and Address
Number of years completed
Did you graduate?
Yes
No
Degree or Diploma
Do you speak, write or understand any foreign languages?
Yes
No
If yes, which language(s)?
Employment History:
Beginning with your present or last employer, list all previous employment for the past 5 years. Account for all periods of unemployment. You must complete this section even if attaching a
resume.
Employer #1
Name of Employer
Address
Type of Business
Name of Immediate Supervisor
Supervisor's title and telephone number
Title of your position
Reason for leaving
Starting date
Final date
Starting pay
Final pay
Hours worked per week
Duties
May we contact your present employer?
Yes
No
Please contact me first?
Yes, contact me first.
Employer #2
Name of Employer
Address
Type of Business
Name of Immediate Supervisor
Supervisor's title and telephone number
Title of your position
Reason for leaving
Starting date
Final date
Starting pay
Final pay
Hours worked per week
Duties
May we contact your present employer?
Yes
No
Please contact me first?
Yes, contact me first.
Employer #3
Name of Employer
Address
Type of Business
Name of Immediate Supervisor
Supervisor's title and telephone number
Title of your position
Reason for leaving
Starting date
Final date
Starting pay
Final pay
Hours worked per week
Duties
May we contact your present employer?
Yes
No
Please contact me first?
Yes, contact me first.
Employer #4
Name of Employer
Address
Type of Business
Name of Immediate Supervisor
Supervisor's title and telephone number
Title of your position
Reason for leaving
Starting date
Final date
Starting pay
Final pay
Hours worked per week
Duties
May we contact your present employer?
Yes
No
Please contact me first?
Yes, contact me first.
References
List below three persons not related to you who have knowledge of your work performance within
the last three years:
Reference #1
Name:
Phone
Secondary phone
Street Address
City
State
Zip
Occupation
Number of Years Acquainted
Reference #2
Name:
Phone
Secondary phone
Street Address
City
State
Zip
Occupation
Number of Years Acquainted
Reference #3
Name:
Phone
Secondary phone
Street Address
City
State
Zip
Occupation
Number of Years Acquainted
Reference #4
Name:
Phone
Secondary phone
Street Address
City
State
Zip
Occupation
Number of Years Acquainted
Please Read Carefully, Initial Each Paragraph and Sign Below
Paragraph #1
I hereby certify that I have not knowingly withheld any information that might adversely affect my chances for employment and that the answers given by me are true and correct to the best of my knowledge. I further certify that I, the undersigned applicant, have personally completed this application. I understand that any omission or misstatement of material fact on this application or any document used to secure employment shall be grounds for rejection of this application or for immediate discharge if I am employed, regardless of the time elapsed before discovery.
I understand and have read this.
Paragraph #2
I hereby authorize the company to thoroughly investigate my references, work record, education and other matters related to my suitability for employment and further, authorize the references I have listed to disclose to the company any and all letters, reports and other information related to my work records, without giving me prior notice of such disclosure. In addition, I hereby release the company, my former employers and all other persons, corporations, partnerships and associations from any and all claims, demands or liabilities arising out of or in any way related to such investigation or disclosure.
I understand and have read this.
Paragraph #3
I understand that nothing contained in this application, or conveyed during any interview which may be granted or during my employment, if hired, is intended to create an employment contract between me and the company. In addition, I understand and agree that if I am employed, my employment is for no definite or determinable period and may be terminated at any time, with or without prior notice, at the option of either myself or the company, and that no promises or representations contrary to the foregoing are binding on the company unless
made in writing and signed by me and the designated company representative.
I understand and have read this.
Applicant's Signature
Date
Applicant's Signature (Type Your Name)
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