Scootie Gootz – Kids That Play Together, Stay Together

If you have worked for our company before, state where, when, final position and reason for leaving.

Have you ever applied to our company before? If yes, when?

Are you at least 18 years old?

Please indicate the hours you are available to work during both day and evening shifts for each day:

In order to permit a check of your work and education, have you ever used another name, nickname or alias?

If yes, identify name(s) and relevant date(s)

Work Experience

List your previous experience beginning with your most recent position.
(Please include all fields.)

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Other References

Education And Training

Additional Employment History Inquiries

Have you ever been dismissed or forced to resign from any employment?

If yes, please explain:

Except for authorized leaves of absence, vacations and holidays, how many days were you absent during the past twelve months?

Comments:

In answering these questions, do not include minor traffic infractions or convictions for which the record has been sealed or expunged, or misdemeanors that have been judicially dismissed in which probation has been successfully completed.

Have you ever plead 'guilty' or 'no contest' to, or been convicted of, a misdemeanor or felony?

Are you currently awaiting trial for any criminal offense?

Have you ever initiated an act of violence in the workplace?

If yes to any of these questions, please explain:

Emergency Notification Designation

Give the name of a person to contact in case of accident or emergency:

Referral Source

How did you hear of this position?

Career Objective

Why are you interested in working for our company, and what are your career objectives?

What are some things you didn't like about jobs you've had?