Simple Job Application Form

GI Fun Center Job Application

Please complete the form below to apply for a position with us.
Full Name *

First Name Middle Name Last Name
Current Address

Street Address

Street Address Line 2

City State

Zip Code
Email Address *
Phone Number

Area Code Phone Number
Applying for Position *
Are you 18 or older?

Yes No
Are you a Citizen of the United States?

Yes No
If no, are you authorized to work in the United States?

Yes No
Have you ever worked for Grand Island Fun Center before?

Yes No
If yes, when?
00-00-0000 to 00-00-0000

Professional Reference 1
Reference 1 Name

First Name Last Name
Reference 1 Relation
i.e. Former Employer, Co-Worker, Teacher
Reference 1 Company
Reference 1 Phone Number

Area Code Phone Number

Professional Reference 2
Reference 2 Name

First Name Last Name
Reference 2 Relation
i.e. Former Employer, Co-Worker, Teacher
Reference 2 Company
Reference 2 Phone Number

Area Code Phone Number

Professional Reference 3
Reference 3 Name

First Name Last Name
Reference 3 Relation
i.e. Former Employer, Co-Worker, Teacher
Reference 3 Company
Reference 3 Phone Number

Area Code Phone Number

Previous Employment 1 (Optional)
Company
Job Title
Description of job duties and responsibilities
Supervisor
Supervisor Phone Number

Area Code Phone Number
Start Date

Month Day Year
Date
End Date

Month Day Year
Date
Reason for leaving

Previous Employment 2 (Optional)
Company
Job Title
Description of job duties and responsibilities
Supervisor
Supervisor Phone Number

Area Code Phone Number
Start Date

Month Day Year
Date
End Date

Month Day Year
Date
Reason for leaving

Previous Employment 3 (Optional)
Company
Job Title
Description of job duties and responsibilities
Supervisor
Supervisor Phone Number

Area Code Phone Number
Start Date

Month Day Year
Date
End Date

Month Day Year
Date
Reason for leaving

Upload Resume & Cover Letter
Upload Resume & Cover Letter (Optional)

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