EMPLOYMENT APPLICATION

Personal Information

Upload Resume and Cover Letter

First Name *

Last Name *

Address

Street Address

City

State

Country

Postal Code

Phone *

Email *

How did you hear about the position?

Friend/Employee's Name

Position

Ideal Start Date

Desired Pay

Desired Benefits

Days & Hours Available to Work

Education

Highest Level of Education

If applicable, what is/was your Major and/or field(s) of study?

School, City and State of Highest Level of Education

Years Spent at Highest Level of Education

List any Certificates/Licenses you hold that may help qualify you for employment and/or any job-related professional or technical organizations to which you belong.

Skills

List all spoken languages: *

List any skills that may help you qualify for employment (other than licenses and certificates): *

List any machines or equipment that you have training or experience with:

Employment History

Please enter employment history of your 3 most recent jobs. Be sure to include dates of employment, the company name and address, your position, pay rate, your supervisor's name and email or phone number, and reason for leaving.

Job #1 Company Name

Job #1 Position

Job #1 Start Date

Are you still employed at Job #1?

Yes

Job #2 Company Name

Job #2 Position

Job #2 Start Date

Are you still employed at Job #2?

Yes

Job #3 Company Name

Job #3 Position

Job #3 Start Date

Are you still employed at Job #3?

Yes

Have you ever been discharged from any position? *

If yes, explain:

Problem Solving, Creativity, and Culture Questions

Please answer each of the following questions to the best of your ability.

What was the last live music concert you attended and at what venue? *

You discover a time machine - which historical period do you visit and why? *

What's the most interesting blog/website/podcast you follow? Why does it fascinate you? *

In 3 sentences or less, tell us why you want to work at Chipper's and why we should hire you? *

Is there any additional information you'd like us to know about you when considering your fit on our Team? *

Have you been convicted of any crimes? If so please share the circumstances around the event? *

References

(Please provide three (3) persons not related to you, who have known you at least one year in a working environment).

Reference #1 - Name *

Reference #1 - Phone Number *

Reference #1 - Relationship to You *

Reference #1 - How long have you known them? *

Reference #2 - Name *

Reference #2 - Phone Number *

Reference #2 - Relationship to You *

Reference #2 - How long have you known them? *

Reference #3 - Name *

Reference #3 - Phone Number *

Reference #3 - Relationship to You *

Reference #3 - How long have you known them? *

Disclaimer and Signature

I understand and acknowledge the following: If I am offered employment, I will, as a condition of employment, be required to submit proof of my identity and legal right to work in the United States. I understand that, if I am employed, any false statement, misrepresentation or omission of facts on this application, on any supporting documents, or provided orally, regardless of when discovered to be false, will result in my immediate dismissal. I understand and agree that, if I am offered a position, it will be offered on condition that my employment shall be at will and for no definite period, and that my employment may be terminated at any time with or without cause and with or without prior notice. I understand that no supervisor or manager may alter or amend the above conditions except in writing. I understand that nothing in this application, or in granting of an interview, is intended to create an employment contract between (Employer) and me. In exchange for the Company's considering my application for employment, I authorize investigation of all statements contained in this application and any supporting documents. I authorize Bowl Fort Collins, LLC to secure information about my experience from former employers, educational institutions, government agencies, or any references I have provided, and for those parties to provide information concerning my experience, and I hereby release all parties from any liability arising from such investigation. In exchange for the Company's considering my application for employment, I hereby authorize my former employer to release to Bowl Fort Collins, LLC any personnel information and records, favorable or otherwise, which my employer has kept regarding my employment, including my work performance. I understand that the Company may retain photocopies of my records for its files, whether I am offered employment or not. I hereby release all parties, including my former employer and Cherry Valley Woods, LLC from any liability arising from the release, review and retention of any records pertaining to me. I further certify that I, the undersigned applicant, have personally completed this application.

Please Enter Your Name to Sign: *

Clear

Today's Date: *