OMG Employment Application

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Employment Application

Applicant Information

Full Name: Date:


Last First M.I.

Address:
Street Address Apartment/Unit #

City State ZIP Code

Phone: Email

Date Available: Social Security No.:

Full Part Week- Evening


Time Time Ends Hours YES NO
Preferred Work
Scheduler: Are you under 18 years of age?

YES NO YES NO
Are you a citizen of the United States? If no, are you authorized to work in the U.S.?

YES NO
Have you ever been convicted of a felony?

If yes, explain:

Education
High School: Address:

YES NO
From: To: Did you graduate? Diploma:

College: Address:

YES NO
From: To: Did you graduate? Degree:

Other: Address:

YES NO
From: To: Did you graduate? Degree:

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References
Please list three references.

Full Name: Relationship:


Company: Phone:
Address:

Full Name: Relationship:


Company: Phone:
Address:

Full Name: Relationship:


Company: Phone:
Address:

Previous Employment
Company: Phone:
Address: Supervisor:

Job Title:

Responsibilities:

From: To: Reason for Leaving:

Company: Phone:
Address: Supervisor:

Job Title:

Responsibilities:

From: To: Reason for Leaving:

Company: Phone:
Address: Supervisor:

Job Title:

Responsibilities:

From: To: Reason for Leaving:

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IMPORTANT – PLEASE READ AND SIGN THE FOLLOWING
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 release.
I hereby authorize my former employers to release information, for the purposes of my prospective employment
with Outrageous Mini Golf, pertaining to my employment record and work performance. I also release from all
liability or damage, those individuals or corporations who provide information relating to my prior employment or
character.
Should I become an employee of Outrageous Mini Golf, I understand that my employment will be for no definite
term, such that I enjoy the right to terminate my employment at any time, at my convenience, with or without
cause or reasons, subject only to the requirements of the applicable employment standards legislation. I further
understand Outrageous Mini Golf will have the same rights subject only to the applicable employment standards
legislation.

Signature: Date:

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