EISENBERGS SKATEPARK
ONLINE APPLICATION FOR EMPLOYMENT
930 E. 15TH STREET, PLANO, TX 75074
P 972-509-7725 F 972-516-9807
GENERAL INFORMATION
NAME
EMAIL ADDRESS
CURRENT ADDRESS
CITY
STATE
ZIP
LENGTH AT CURRENT ADDRESS
months
years
PREVIOUS ADDRESS
CITY
STATE
ZIP
LENGTH AT PREVIOUS ADDRESS
months
years
HOME PHONE
CELL PHONE
EMAIL
ARE YOU 16 OR OVER?
yes
no
ARE YOU 18 OR OVER?
yes
no
POSITION PREFERENCE
(Check all that apply)
Monitor
Concession
Retail
Any
Other - Please specify:
EMERGENCY INFORMATION
IN CASE OF EMERGENCY NOTIFY:
NAME
RELATION
HOME PHONE
CELL PHONE
EMAIL
AVAILABILITY INFORMATION
DAY/DATE YOU CAN START
WHAT TIMES CAN YOU WORK?
(Check all that apply)
Monday
9:45-4
3:30-close
ANY
Tuesday
9:45-4
3:30-close
ANY
Wednesday
9:45-4
3:30-close
ANY
Thursday
9:45-4
3:30-close
ANY
Friday
9:45-5
4:30-close
ANY
Saturday
9:45-5
4:30-close
ANY
Sunday
9:45-4
3:30-close
ANY
Other times:
HOW MANY HOURS PER WEEK WOULD YOU PREFER TO WORK?
EDUCATION
HIGH SCHOOL
CITY/STATE
MAJOR
GRAD DATE
COLLEGE
CITY/STATE
MAJOR
GRAD DATE
GRADUATE SCHOOL
CITY/STATE
MAJOR
GRAD DATE
CERTIFICATIONS/SPECIAL TRAINING
FIRST AID/EMS
Location:
Date Certified:
Date Expires:
CPR
Location:
Date Certified:
Date Expires:
OTHER
Specify:
Location:
Date Certified:
Date Expires:
-- WE DO BACKGROUND CHECKS --
WORK EXPERIENCE
Start with your most recent employer
COMPANY 1
LOCATION
CITY/STATE
POSITION
EMPLOYED FROM
TO
STARTING PAY
ENDING PAY
REASON FOR LEAVING
SUPERVISOR
MAY WE CONTACT
YES
NO
PHONE(S)
BEST TIME TO CALL
SUMMARY OF DUTIES
COMPANY 2
LOCATION
CITY/STATE
POSITION
EMPLOYED FROM
TO
STARTING PAY
ENDING PAY
REASON FOR LEAVING
SUPERVISOR
MAY WE CONTACT
YES
NO
PHONE(S)
BEST TIME TO CALL
SUMMARY OF DUTIES
COMPANY 3
LOCATION
CITY/STATE
POSITION
EMPLOYED FROM
TO
STARTING PAY
ENDING PAY
REASON FOR LEAVING
SUPERVISOR
MAY WE CONTACT
YES
NO
PHONE(S)
BEST TIME TO CALL
SUMMARY OF DUTIES
ADDITIONAL REFERENCES
Not relatives --preferably teachers or others familiar with your character and work
NAME
PHONE
BUSINESS
RELATION TO APPLICANT
BEST TIME TO CALL
NAME
PHONE
BUSINESS
RELATION TO APPLICANT
BEST TIME TO CALL
GENERAL QUESTIONS
1. HOW DID YOU HEAR ABOUT EISENBERGS?
2. WHAT GOALS WOULD YOU SET FOR YOURSELF TO ACCOMPLISH WHILE WORKING HERE?
3. DESCRIBE ANY PERSONAL SKILLS WHICH YOU BELIEVE WOULD BE BENEFICIAL IN YOUR WORK AT EISENBERGS:
-- WE DO BACKGROUND CHECKS --
4. ARE THERE ANY REASONS YOU MAY HAVE DIFFICULTY PERFORMING THE JOB FOR WHICH YOU ARE APPLYING:
5. HAVE YOU EVER BEEN CONVICTED OF A FELONY OR MISDEMEANOR?
YES
NO
IF YES, PLEASE EXPLAIN.
6. HAVE YOU EVER BEEN CONVICTED OF CHILD ABUSE OR SEXUAL ABUSE OFFENSE?
YES
NO
IF YES, PLEASE EXPLAIN.
7. IN YOU OPINION, WHY SHOULD WE HIRE YOU?
ADDITIONAL COMMENTS: