Lazer Zone Application for Employment

Your Quality of Work for LazerZone Begins Here
Personal
	Name:							Date:
			Last			First	M.I.
	Address:
			Street			City		State	Zip
	Phone:		(   )			Age if Under 18:
	When are you able to start?					May we contact your present employer?
Education			Name and Location			Grade   Level	Date Graduated	Subjects Studied
	High School
	College
Activities			Please list activities, clubs or groups in which you participate.
Availability			For closing shifts, you may work approximately two hours past closing time.
	Store Hours:		10am-10pm				10am-12mid		10am-9pm
			Mon	Tues	Weds	Thurs	Fri	Sat	Sun
	Number of days and hours per week you would like to work:
Employment History				Please list your last two employers, starting with the most recent.
	Dates			Company and Phone Number			Position	Reasons for Leaving
	From
	To
	From
	To
Personal References				Please list two personal references you have known for more than one year.			known for more than one year.
	Name			Relationship		Phone Number		Years Known
By signing this application, I certify that all information is herein is true, correct, and complete.
If employed, misstatement or omission of fact on this application may result in my dismissal.
Signature:							Date:
Please give a brief description of why you would like to work at LazerZone: