Thanks for your interest in employment at The Track!

	YELLOW = Required Field
	Application for Employment
Name:
Address:
Soc. Sec. #:
Phone:
Birth Date:
Position Desired:	Any Cashier Ride Attendant Bungee or Swing Ride Operator
Referred By:
Dates Available:	through
	Are you available to work weekends during the school year?
	Yes No
	Will you need housing provided?
	Yes No
	If yes, please explain:
	Do you have summer vacation plans?
	List vacation dates below:

	Education & Previous Employment
	Select highest school grade completed:
	7 8 9 10 11 12 13 14 15 16
	School now attending:
	Special training received:
	Last Two Employers
	EMPLOYER #1
1. Company:
Phone:
Job Description:
Dates Employed:
Reason For Leaving:
	EMPLOYER #2
2. Company:
Phone:
Job Description:
Dates Employed:
Reason For Leaving:

	Personal Information
	List two adults, unrelated, whom you have known for more than a year.
1. Name
Phone:
2. Name
Phone:
	Are you legally able to be employed in the United States?
	Yes No
	Have you ever been convicted of, pled guilty to, or pled no contest to a crime? (Excluding traffic violations.)
	Yes No
	If yes, please describe:
General Comments:
	I have answered these questions to the best of my ability. I understand that any information I give may be investigated, as allowed by the law.