500 W 4th Street
Kearney, NE 68845

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Accepting Applications = Bar Servers, Cooks. Ballocity and Miniature Golf Attendants

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 Applicant Information

 
First Name
Last Name
Address
Apt/Unit#
City
State
Zip
E-mail
Phone Number
Desired Hourly Wage
Are you a citizen of the United States?
Positions: Please Choose Job(s) Wanted

If no, are you authorized to work in the U.S?
If yes, when?
Have you ever worked for this company?
Have you ever been convicted of a felony?
If yes,explain:
 Education

 
High School
Address
From:
To:
Did you graduate?
Degree:
College:
Address:
From:
To:
Did you graduate?
Degree
Other:
Address:
From:
To:
Did you Graduate?
Degree:
 Days and Hours Available to Work

 

Please list only days and times you are willing to work.
Example: 4:00 PM until 2:00 AM or Open to Close

 
Friday
Saturday
Sunday
Monday
Tuesday
Wednesday
Thursday
 Previous Employment
Company
Address
Phone
Supervisor
Job Title
Starting Salary
Ending Salary
Responsibilities
From
To
Reason For Leaving
May we contact your previous supervisor for a refrence?

 
Company
Address
Phone
Supervisor
Job Title
Starting Salary
Ending Salary
Responsibilities
From
To
Reason For Leaving
May we contact your previous supervisor for a refrence?
 Military Service
Branch
From
To
Rank of Discharge
Type of Discharge
If other than honorable, explain:
 Disclaimer and Electronic Signature

 

I certify that my answers are true and complete to teh best of my knowlege.

If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release. 
Electronic Signature
Date

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Big Apple Fun Center, 500 W 4th Street, Kearney NE,
 
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