Employment Application Employment Application Step 1 of 3 33% Date MM DD YYYY Name* First Middle Initial Last Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone Number*Phone NumberPhone Type HomeMobileOther Email Address* Enter Email Confirm Email Birthday*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Starting 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?*YesNoCan you operate a cash register?*YesNoWhy 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?*YesNoAre you willing to wear costumes & dress up for special events?*YesNoWhy did you decide to apply for a position with The Castle?If hired, when could you start working?* Do you have reliable transportation?*YesNoHave you ever been convicted of a crime?*YesNoWhat 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?*YesNoHave you ever collected workers' compensation?*YesNoWhy, When and for how long?Do you have any relatives or friends currently employed by The Castle?*YesNoWho?*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?*YesNo EducationHighest level of education*Middle SchoolHigh SchoolCollege/OtherMiddle SchoolMiddle School Name*Middle School Address* City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Years Attended*Please enter a value between 0 and 5.High SchoolHigh School Name*High School Address* City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Years Attended*Please enter a value between 0 and 5.Major Subjects*College/OtherCollege Name*College Address* City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Years Attended*Please enter a value between 0 and 8.Major Subjects* Employment HistoryIf hired, will this be your first job?*YesNoEmployment History*CompanyPhone #Street AddressAddress Line 2CityStateZip CodeFromToDutiesReason for leaving AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest 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 & Signature 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* MM DD YYYY CAPTCHAPhoneThis field is for validation purposes and should be left unchanged.
