BOOMERS FAMILY FUN: EMPLOYMENT OPPORTUNITIES

*Name:

*Address:

*Phone:

Cell Phone:

*Email:

Emergency Contact:

Over the Age of 18?
Please Select One Yes No

Birthdate if Under 18:

If you are under age 16, are you able to provide working papers before starting work?
Please Select One Yes No

Position Applying For:
Please Select One Redemption Pizza Shop Delivery

Desired Hourly Wage:

Days Available to work:
Monday: Yes No
Tuesday: Yes No
Wednesday:

Yes No
Thursday: Yes No
Friday: Yes No
Saturday: Yes No
Sunday: Yes No

Do you participate in any after school activities or sports? Yes No

If yes, what sports?


How were you referred to Boomers Family Fun Center? (if person please give name)

Prior work experience: (With contact name & number)


Personal reference other than a family member (With contact name and number):

Are you able to stand for a long period of time on a regular basis? Yes No

Have you ever worked with children before? Yes No

Please elaborate on your relevant experience with children:


Please list any related skills or experience that you have that would make you a potential fit for the position that you applied for


OUTDOOR AND FUN FAIR APPLICANTS ONLY: Are you able to lift up to 50 lbs on a regular basis? Yes No

Have you read the requirements of each position that you are applying for? Yes No

Please read below and select yes if you understand and accept:

Boomers Family Fun Center is an Equal Opportunity Employer and offers equal employment opportunity to all persons without regard to race, color, age, religion, sex, sexual orientation, ancestry, national origin, disability, marital status or veteran status. Federal, state and local laws prohibit these and other forms of discrimination and it is our policy to comply with these laws and the information requested on this application will not be used for any purpose prohibited by law. Your application will be considered active for 60 days. For consideration after that, you must submit a new application. I certify that all of the information that I have supplied on this application is true and complete to the best of my knowledge and that I have not knowingly withheld any information, which, if known to the Company, would affect my application unfavorably. I understand that any false, misleading and/or incomplete statements on this application and/or in any interview constitute sufficient cause for the Company not to employ me, or if I am employed, to terminate my employment. I understand and agree that if I am hired in any capacity, my employment is at-will and my employment and compensation can be terminated with or without cause or notice at any time at the option of the Company or me. I also understand that no Company representative has any authority to enter into any agreement for employment for a specific period of time, to assure any benefits or terms and conditions of employment, or to make any agreement contrary to the foregoing. I authorize investigation of all the information I have supplied on this application and all other information, which the Company deems to be relevant to my qualification for employment.