Employment | BC Lanes

Applicant Information

First Name*

Last Name*

Street Address*

City, State, Zip*

Phone Number*

Email address*

Are you at least 18 years of age?*

Yes, I am

No, not at this time

Are you legally eligible for employment in the U.S?*

Yes, I am

No, not at this time

Have you been convicted of a crime?*

Employment Information

What type of work are you currently looking for:

Are you currently employed?*

No, not at this time

Yes, I am

Have you ever been discharged or asked to resign from any position?

Yes, I have

No, I have not

If hired, when could you start?

If yes, please explain:

Education

Elementary

Years Completed

Name of School

Location of School

Secondary

Years Completed

Name of School

Location of School

College

Years Completed

Name of School

Location of School

Work History

Company 1

Company Name

Phone Number

Beginning Date of Employment

Ending Date of Employment

Salary

Beginning

Ending

Describe duties briefly

Specific reason for leaving

Company 2

Company Name

Phone Number

Beginning Date of Employment

Ending Date of Employment

Salary

Beginning

Ending

Describe duties briefly

Specific reason for leaving

Company 3

Company Name

Company Phone Number

Beginning Date of Employment

Ending Date of Employment

Salary

Beginning

Ending

Describe duties briefly

Specific reason for leaving

Are you human?*