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Job Application Form
 
 

You must select your First Choice, Second Choice and Third Choice as to which department you'd like to be considered for. Please don't skip that question below. Thank you!


* Application Type
* Age Category
* First Name  
MI
* Last Name  
* Street Address  
Mailing Address
City:
State:
Zip:
Cell Phone:
Alternate Phone
* E-Mail:  
* First Choice  
* Second Choice  
* Third Choice  
Have you ever been employed by Pats Peak?
If you have worked for Pats Peak before what was the last department you worked for?
* On what date are you available to begin work?
 
 
You are looking for
What hours available on weekdays
What hours available on weekends
What hours available on holidays
Are you a full time student?
If yes explain:
* Education: Highest completed or currently attending
Name any friends or relatives who have worked at Pats Peak:
Tell us your best skill or quality:
Tell us a skill you would like to improve:
Do you have the legal right to accept employment in the United States?
Prior Conviction:
Have you ever been convicted of a crime that has not been annulled by a court?
If yes, please explain nature and location of crime
* I hereby grant to Pats Peak and its legal representatives and assigns, the irrevocable and unrestricted right to use and publish any photographs of me, for editorial, trade, advertising, and any other medium for the promotion of Pats Peak I release the photographer and his/her legal representatives and assigns from all claims and liability relating to said photographs.
Previous Work Experience:
Previous Employer 1
Previous Employer 1 Address
Previous Employer 1 Phone
Previous Employer 1 Job Title
Previous Employer 1 MM/YY Dates of Employment from
 
Previous Employer 1 MM/YY Dates of Employment to
 
Previous Employer 1 Supervisors name and title
Previous Employer 1 May we contact?
Previous Employer 1 Hours worked per week:
Previous Employer 1 Position Responsibilities
Previous Employer 1 How many employees did you supervise?
Previous Employer 1 Did you assign work?
Previous Employer 1 Did you reject unsatisfactory work?
Previous Employer 1 Did you have authority to hire/fire?
Previous Employer 1 Reason for leaving?
Previous Employer 1 How would they describe you?
Previous Employer 2
Previous Employer 2 Address
Previous Employer 2 Phone
Previous Employer 2 Job Title
Previous Employer 2 MM/YY Dates of Employment from
 
Previous Employer 2 MM/YY Dates of Employment to
 
Previous Employer 2 Supervisors name and title
Previous Employer 2 May we contact?
Previous Employer 2 Hours worked per week:
Previous Employer 2 Position Responsibilities
Previous Employer 2 How many employees did you supervise?
Previous Employer 2 Did you assign work?
Previous Employer 2 Did you reject unsatisfactory work?
Previous Employer 2 Did you have authority to hire/fire?
Previous Employer 2 Reason for leaving?
Previous Employer 2 How would they describe you?
Previous Employer 3
Previous Employer 3 Address
Previous Employer 3 Phone
Previous Employer 3 Job Title
Previous Employer 3 MM/YY Dates of Employment from
 
Previous Employer 3 MM/YY Dates of Employment to
 
Previous Employer 3 Supervisors name and title
Previous Employer 3 May we contact?
Previous Employer 3 Hours worked per week:
Previous Employer 3 Position Responsibilities
Previous Employer 3 How many employees did you supervise?
Previous Employer 3 Did you assign work?
Previous Employer 3 Did you reject unsatisfactory work?
Previous Employer 3 Did you have authority to hire/fire?
Previous Employer 3 Reason for leaving?
Previous Employer 3 How would they describe you?
I have read and understand the information on this page. All the information i have provided is true and complete. I authorize investigation of all statements contained in this application. I understand that misrepresentation or ommission of the facts requested is cause for dismissal. Further, I understand and agree that my employment is for no definite period and may, regardless of the date of payment of my wages and salary, be terminated at any time without prior notice.
* Signature  
* Application Date