Employment Application Employment Application Step 1 of 3 33% HiddenDate Month Day Year Name* First Middle Initial Last Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone Number*Phone NumberPhone Type HomeMobileOther Email Address* Enter Email Confirm Email Birthday*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year20112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Starting Position* Snack Bar Skate Room Please select the starting position you are applying for. (Select all positions that you are willing to do)Have you ever worked in a food service job?* Yes No Can you operate a cash register?* Yes No Why do you think you would be successful with this position? List any special skills you have that you feel would be helpful in your employmentCan you roller skate?* Yes No Are you willing to wear costumes & dress up for special events?* Yes No Why did you decide to apply for a position with The Castle?If hired, when could you start working?* MM slash DD slash YYYY Do you have reliable transportation?* Yes No Have you ever been convicted of a crime?* Yes No What was the crime?Please list any extracurricular or community activities you do or plan to participate in:Describe yourself in one sentence:*What is the one thing that angers you the most and why?*Do you have any injury or health issues that would prevent you from lifting objects over 15 pounds?* Yes No Have you ever collected workers' compensation?* Yes No Why, When and for how long?Do you have any relatives or friends currently employed by The Castle?* Yes No Who?* Times Available*DayStart TimeEnd Time SundayMondayTuesdayWednesdayThursdayFridaySaturdayN/A12 AM1 AM2 AM3 AM4 AM5 AM6 AM7 AM8 AM9 AM10 AM11 AM12 PM1 PM2 PM3 PM4 PM5 PM6 PM7 PM8 PM9 PM10 PM11 PMN/A12 AM1 AM2 AM3 AM4 AM5 AM6 AM7 AM8 AM9 AM10 AM11 AM12 PM1 PM2 PM3 PM4 PM5 PM6 PM7 PM8 PM9 PM10 PM11 PM SundayMondayTuesdayWednesdayThursdayFridaySaturdayN/A12 AM1 AM2 AM3 AM4 AM5 AM6 AM7 AM8 AM9 AM10 AM11 AM12 PM1 PM2 PM3 PM4 PM5 PM6 PM7 PM8 PM9 PM10 PM11 PMN/A12 AM1 AM2 AM3 AM4 AM5 AM6 AM7 AM8 AM9 AM10 AM11 AM12 PM1 PM2 PM3 PM4 PM5 PM6 PM7 PM8 PM9 PM10 PM11 PM SundayMondayTuesdayWednesdayThursdayFridaySaturdayN/A12 AM1 AM2 AM3 AM4 AM5 AM6 AM7 AM8 AM9 AM10 AM11 AM12 PM1 PM2 PM3 PM4 PM5 PM6 PM7 PM8 PM9 PM10 PM11 PMN/A12 AM1 AM2 AM3 AM4 AM5 AM6 AM7 AM8 AM9 AM10 AM11 AM12 PM1 PM2 PM3 PM4 PM5 PM6 PM7 PM8 PM9 PM10 PM11 PM SundayMondayTuesdayWednesdayThursdayFridaySaturdayN/A12 AM1 AM2 AM3 AM4 AM5 AM6 AM7 AM8 AM9 AM10 AM11 AM12 PM1 PM2 PM3 PM4 PM5 PM6 PM7 PM8 PM9 PM10 PM11 PMN/A12 AM1 AM2 AM3 AM4 AM5 AM6 AM7 AM8 AM9 AM10 AM11 AM12 PM1 PM2 PM3 PM4 PM5 PM6 PM7 PM8 PM9 PM10 PM11 PM SundayMondayTuesdayWednesdayThursdayFridaySaturdayN/A12 AM1 AM2 AM3 AM4 AM5 AM6 AM7 AM8 AM9 AM10 AM11 AM12 PM1 PM2 PM3 PM4 PM5 PM6 PM7 PM8 PM9 PM10 PM11 PMN/A12 AM1 AM2 AM3 AM4 AM5 AM6 AM7 AM8 AM9 AM10 AM11 AM12 PM1 PM2 PM3 PM4 PM5 PM6 PM7 PM8 PM9 PM10 PM11 PM SundayMondayTuesdayWednesdayThursdayFridaySaturdayN/A12 AM1 AM2 AM3 AM4 AM5 AM6 AM7 AM8 AM9 AM10 AM11 AM12 PM1 PM2 PM3 PM4 PM5 PM6 PM7 PM8 PM9 PM10 PM11 PMN/A12 AM1 AM2 AM3 AM4 AM5 AM6 AM7 AM8 AM9 AM10 AM11 AM12 PM1 PM2 PM3 PM4 PM5 PM6 PM7 PM8 PM9 PM10 PM11 PM SundayMondayTuesdayWednesdayThursdayFridaySaturdayN/A12 AM1 AM2 AM3 AM4 AM5 AM6 AM7 AM8 AM9 AM10 AM11 AM12 PM1 PM2 PM3 PM4 PM5 PM6 PM7 PM8 PM9 PM10 PM11 PMN/A12 AM1 AM2 AM3 AM4 AM5 AM6 AM7 AM8 AM9 AM10 AM11 AM12 PM1 PM2 PM3 PM4 PM5 PM6 PM7 PM8 PM9 PM10 PM11 PM Choose the day, start time and end time rounded to the next hour.Being an entertainment facility, The Castle is busiest around holidays. Are you available to work on or around holidays?* Yes No EducationHighest level of education*Middle SchoolHigh SchoolCollege/OtherMiddle SchoolMiddle School Name* Middle School Address* City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Years Attended*Please enter a number from 0 to 5.High SchoolHigh School Name* High School Address* City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Years Attended*Please enter a number from 0 to 5.Major Subjects* College/OtherCollege Name* College Address* City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Years Attended*Please enter a number from 0 to 8.Major Subjects* Employment HistoryIf hired, will this be your first job?* Yes No Employment History*CompanyPhone #Street AddressAddress Line 2CityStateZip CodeFromToDutiesReason for leaving AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific Personal ReferencesReferences*NamePhone #Years Known List at MINIMUM 3 people who are NOT related to you & not past employers who know the type of person you are.Consent & SignatureHidden I hereby declare the information provided by me in this Application For Prospective Employment is true, correct, and complete. I understand that if employed, any misstatement or omission of fact shall be considered cause for immediate dismissal. I also understand that, if hired, my employment is at the will of the management of The Castle, and may be terminated at any time for any reason. In addition, I authorize The Castle Roller Skating, Inc. to obtain and/or conduct an investigative consumer report containing information obtained through personal interviews with my neighbors, friends, acquaintances, and previous employers. This report, if obtained, may include information as to my character, general reputation, personal characteristics, and mode of living. I hereby declare the information provided by me in this Application For Prospective Employment is true, correct, and complete. I understand that if employed, any misstatement or omission of fact shall be considered cause for immediate dismissal. I also understand that, if hired, my employment is at the will of the management of The Castle, and may be terminated at any time for any reason. In addition, I authorize The Castle Roller Skating, Inc. to obtain and/or conduct an investigative consumer report containing information obtained through personal interviews with my neighbors, friends, acquaintances, and previous employers. This report, if obtained, may include information as to my character, general reputation, personal characteristics, and mode of living.Applicant's Signature* Date* Month Day Year CAPTCHANameThis field is for validation purposes and should be left unchanged.
