Artestia Lanes Employment Application


Applicant Information
* Indicates required field.
First Name*: Middle Initial*: Last Name*:

Street Address*: Apt#:

City*: State*: Zip*:

Best Contact #*: Your Email*:

Date Available*: Position Applied For*:


Are you over 19 years of age?*: YesNo

Are you currently employed?*: YesNo

Are you willing to work nights and weekends?*:

Are you applying for*: Full-TimePart-Time


Do you have a current Food Handler’s Certificate?* YesNo

Do you have a current Alcohol Server’s Card?* YesNo


Are you a citizen of the United States?*: YesNo

If no, are you authorized to work in the US? YesNo


Have you ever been convicted of a crime*?: YesNo

Please explain:

Will you agree to a background check and drug test prior to be offered a position with Artesia Lanes*? YesNo


Languages (Check all that apply)*: EnglishSpanishFrenchOther


Education
Did or are you currently attending high school? YesNo

High School Name:
Address:
Attended From:: to:
Did You Graduate?: YesNo
Diploma?: YesNo

Did or are you currently attending college? YesNo

College Name:
Address:
Attended From:: to:
Did You Graduate?: YesNo
Degree?: YesNo

Do you have any type of other education? YesNo

Other:
Address:
Attended From:: to:
Did You Graduate?: YesNo
Degree?: YesNo
References
Reference 1:
Full Name*: Relationship*:
Company: Phone*:
Address*:
Reference 2:
Full Name: Relationship:
Company: Phone:
Address:
Reference 3:
Full Name: Relationship:
Company: Phone:
Address:
Previous/Current Employment
Have you been previously employed and/or currently employed*?YesNo

* Indicates required field.
Company Name*: Phone*:
Address*:
Supervisor Name*: Your Position*:
Starting Salary*: $ Ending Salary*:
Responsibilities*:
Worked From*: to:
Reason for leaving?*:
May we contact your previous supervisor for a reference?*: YesNo


Company Name: Phone:
Address:
Supervisor Name: Your Position:
Starting Salary: $ Ending Salary:
Responsibilities:
Worked From: to:
Reason for leaving?:
May we contact your previous supervisor for a reference?: YesNo


Company Name: Phone:
Address:
Supervisor Name: Your Position:
Starting Salary: $ Ending Salary:
Responsibilities:
Worked From: to:
Reason for leaving?:
May we contact your previous supervisor for a reference?: YesNo
Submit Application
Please Complete to Submit Your Application
This application will aid us in obtaining a clear understanding of your qualifications to fill specific job openings. We are an EQUAL OPPORTUNITY EMPLOYER!


All fields must be checked/completed
I understand that a background check/drug test may be performed prior to employment at Artesia Lanes.
I certify that my answers are true and complete to the best of my knowledge.
If this application leads to employment, I understand that false or misleading information in my application or interview may result in my immediate release.

Electronic Signature:

Today's Date.Day: Month: Year: