Synergy Paintball Challenge, LLC Employment Application Form (Please Print)

Transcription

1 Synergy Paintball Challenge, LLC Employment Application Form (Please Print) Applicant Name: Home Phone: Cell Phone: Address: Current Address: City: State & Zip: How were you referred to Synergy Paintball Challenge, LLC? Positions Position(s) applying for: Are you applying for? Temporary part-time work such as summer or holiday work? [ ] Y or [ ] N Regular part-time work? [ ] Y or [ ] N Full Time Work? [ ] Y or [ ] N What days and hours are you available for work? If applying for temporary work, when will you be available? If hired, on what date can you start working? / / Can you work on the weekends? [ ] Y or [ ] N Can you work evenings? [ ] Y or [ ] N Can you work during the day? [ ] Y or [ ] N Personal Information: Have you ever applied to / worked for Synergy Paintball Challenge, LLC before? [ ] Y or [ ] N If yes, please explain (include date): If hired, would you have transportation to/from work? [ ] Y or [ ] N Are you over the age of 18? [ ] Y or [ ] N

2 If you are under the age of 18, and it is required, can you provide a work permit? [ ] Y or [ ] N If hired, would you be able to present evidence of your U.S. citizenship or proof of your legal right to work in the United States? [ ] Y or [ ] N If hired, are you willing to submit to and pass a controlled substance test? [ ] Y or [ ] N Have you ever been convicted of a criminal offense (felony or misdemeanor)? [ ] Y or [ ] N If yes, please 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 conviction of a criminal offense.) Education, Training and Experience High School: School name: School address: School city, state, zip: Number of years completed: Did you graduate? [ ] Y or [ ] N Degree / diploma earned: College / University: School name: School address: School city, state, zip: Number of years completed: Did you graduate? [ ] Y or [ ] N Degree / diploma earned: Vocational School: Name: Address: City, state, zip: Number of years completed: Did you graduate? [ ] Y or [ ] N Degree / diploma? : Additional Information Do you have any other experience, training, qualifications, or skills which you feel should be brought to our attention, in the case that they make you especially suited for working with us? [ ] Y or [ ] N

3 If yes, please explain The space below is provided for your use in giving us information about yourself, not already covered in the application. (i.e. Career interests, plans, your personal interest in paintball or any other information that you believe we should know in considering your for this position). Are you currently employed? [ ] Y or [ ] N Employment History If you are currently employed, may we contact your current employer? [ ] Y or [ ] N Below, please describe past and present employment positions, dating back five years. (Please list your current employer first.) 1. Name of Employer: Name of Supervisor: Telephone Number: Address: City, state, zip: May we contact this employer for references? [ ] Y or [ ] N 2. Name of Employer: Name of Supervisor: Telephone Number: Address: City, state, zip: May we contact this employer for references? [ ] Y or [ ] N References List below three references, not related to you, that we may contact, who have knowledge of you or your work performance within the last four years.

4 Name - First, Last: Telephone Number: Address: City, state, zip: Number of Years Acquainted: Relationship: 1. Name - First, Last: Telephone Number: Address: City, state, zip: Number of Years Acquainted: Relationship: 2. Name - First, Last: Telephone Number: Address: City, state, zip: Number of Years Acquainted: Relationship: APPLICANT STATEMENT Please Read and Initial Each Paragraph, then Sign Below I certify that I have not purposely withheld any information that might adversely affect my chances for hiring. I attest to the fact that the answers given by me are true & correct to the best of my knowledge and ability. I understand that any omission (including any misstatement) of material fact on this application or on any document used to secure can be grounds for rejection of application or, if I am employed by Synergy Paintball Challenge, LLC, terms for my immediate expulsion from the company. I expressly authorize, without reservation, Synergy Paintball Challenge, LLC, its representatives, employees, or agents to contact and obtain information from all references (personal and professional), employers, public agencies, licensing authorities and educational institutions and to otherwise verify the accuracy of all information provided by me in this application, resume, or job interview. I hereby waive any and all rights and claims I may have regarding the Synergy Paintball Challenge, LLC, its agents, employees or representatives, for seeking, gathering and using such information in the employment process and all other persons, corporations or organizations for furnishing such information about me. Initial:

5 I understand that Synergy Paintball Challenge, LLC does not unlawfully discriminate in employment and no question on this application is used for the purpose of limiting or excusing any applicant from consideration for employment on a basis prohibited by applicable local, state or federal law. Initial: I understand that this application remains current for only 30 days. At the conclusion of that time, if I have not heard from Synergy Paintball Challenge, LLC and still wish to be considered for employment, it will be necessary to reapply and fill out a new application. Initial: APPLICANT STATEMENT CONTINUED If I am hired, I understand that I am free to resign at any time, with or without cause and without prior notice, and Synergy Paintball Challenge, LLC reserves the same right to terminate my employment at any time, with or without cause and without prior notice, except as may be required by law. This application does not constitute an agreement or contract for employment for any specified period or definite duration. I understand that no supervisor or representative of Synergy Paintball Challenge, LLC is authorized to make any assurances to the contrary and that no implied, oral or written agreements contrary to the foregoing language are valid unless they are in writing and signed by both managing partners of Synergy Paintball Challenge, LLC. I understand that if I am hired, I will be required to provide proof of identity and legal authority to work in the United States and that federal immigration laws require me to complete an I-9 Form in this regard. I understand that if I am hired, I will be required to follow all safety rules and guidelines associated with my position. I agree not to create any dangerous conditions that may create injury to customers or others who are on the premises of Synergy Paintball Challenge, LLC. I understand that Synergy Paintball Challenge, LLC has a zero tolerance policy for alcohol and drug useage. DO NOT SIGN BELOW UNTIL YOU HAVE READ AND UNDERSTAND THE ABOVE AP- PLICANT STATEMENT. I certify that I have read, fully understand and accept all terms of the foregoing Applicant Statement. Applicant s Signature: Date:

6 When completed please mail your application to: Synergy Paintball Challenge, LLC Corporate Office P.O. Box 543 North Olmsted, OH Or Drop off at our pro-shop: Synergy Paintball Challenge, LLC Pro-Shop Sprague Road Olmsted Falls, OH 44138