Application for employment at PrePlayed in Green Bay

Application for Employment at PrePlayed

Contact Information

First Name *
Middle Initial *
Last Name *
Telephone *
Email *
Present Address
City
State
Zip

Job Details

Referred by
Are you legally eligible for employment in the U.S.A.?

Yes No

Date of Birth *
Position applying for
Salary expected
Are you available to work

Full-Time Part-Time

Scheduling

Specify schedule limitations NOT AVAILABLE TO WORK AT PREPLAYED
(ex: school schedule, first/other job schedule)

Monday

Available Anytime

Tuesday

Available Anytime

Wednesday

Available Anytime

Thursday

Available Anytime

Friday

Available Anytime

Saturday

Available Anytime

Sunday

Available Anytime

Date available for work
List friends or relatives in our employ

Previous Employment With Us

Were you previously employed by us

Yes No

If yes, when
Other name(s) used while attending schools or places of employment indicated on this form

Background

Can you perform the functions of this job with or without reasonable accommodations

Yes No

If No, please explain
Have you ever been convicted of a felony

Yes No

If yes, please explain (A conviction alone will not automatically bar you from employment)

Education

High School

Name and Location
Course of Study
Scholastic Average
Currently Enrolled

Yes No

What year did you / do you plan to graduate

College

Name and Location
Course of Study
Scholastic Average
Currently Enrolled

Yes No

What year did you / do you plan to graduate
Degree

Vocational

Name and Location
Course of Study
Scholastic Average
Currently Enrolled

Yes No

What year did you / do you plan to graduate
Degree

Other

Name and Location
Course of Study
Scholastic Average
Currently Enrolled

Yes No

What year did you / do you plan to graduate
Degree

Military

Military Service

Yes No

Brach of service and rank
Dates of Service
Special Training

Skills

Cash Register

Yes No

If yes, at which job
10-Key

Yes No

Other Skills
What entertainment systems do you own
Do you own

DVD Blu-Ray VHS None

Employment (List present or most recent employer first)

Name of Company
Address
Supervisor
Salary
Phone
Job Title
Date Started
Date Left
Job Description
Reason for Leaving
Explain

References

Name
Relationship to Reference
Occupation
Address
Phone

Please summarize any additional information necessary to fully describe your qualifications.

* * * PLEASE READ * * *
All information written on this application is complete and accurate to the best of my knowledge. I understand that any misrepresentation of facts in this application disqualifies me from further consideration - or if employed - is grounds for dismissal. I understand that any employment offer is contingent upon satisfactory references and I authorize PRE PLAYED® to investigate past employment and education history, as well as references given on application.

I understand that if employed such employment may be terminated for just cause, or no cause, by PRE PLAYED® or myself at any time. I also understand and agree that the terms and conditions of my employment may be changed, with or without cause, and with or without notice, at any time by the company. I understand that no company representative, other than its Owner, and then only when in writing and signed by the Owner, has any authority to enter into any agreement for employment for any specific period of time, or to make any agreement contrary to the foregoing.

I fully understand and agree to all statements above.