Application for Employment - Go 'N Bananas Family Fun Center

Application for Employment General Information Name _________________________________________________ Social Security # ______________________ Address ______________________________________________________________________________________ Phone_____________________________________ Email _____________________________________________ Position applying for __________________________________________________________________________ Are you 18 years or older? Yes_______ No ______ (you must be 16 years or older) Do you have reliable transportation?

Yes _____ No ____ (If yes, List) ____________________________

Have you ever been employed by Go ‘N Bananas? Yes _____ No _______ Do any of your friends or relatives work here? Yes ____ No ___ (if yes, List) ______________________ If accepted for employment, do you agree to work nights, Friday, Saturday and Sunday as scheduled? Yes ______ No ______ Can you present evidence of United States Citizenship or proof of your legal right to live and work in this country? Yes _____ No ______ Have you ever been convicted of a criminal offense (felony or serious misdemeanor)? Yes ______ No ______

If yes, please explain_________________________________________________

__________________________________________________________________________________________ Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Indicate days and hours you are available to work

Date available to start working ________________________________________________________________ How many hours per week can you work? _____________________________________________________ 1

Education

School

Name and Location

Years Attended

Did you Graduate

Degree

High School College Trade or Other School

Additional Comments ________________________________________________________________________ ______________________________________________________________________________________________ Rate Yourself 1=I’m terrible

2=I’m OK

3=I’m pretty good

4=Yeah, that’s me! 5=I’m-the-bomb.com

____________ Hospitality – you are naturally friendly and guest-service oriented ____________ Energy Level – you have a high level of enthusiasm, self-motivation and sense of urgency ____________ Dependability – others can depend on you to be punctual, dependable and selfdisciplined ____________ Communication Skills – you are a great listener and you communicate well with others ____________ Personal Pride – your appearance, hygiene and achievement are impeccable ____________ Teamwork – you work well with others in a team environment Tell us about a time that you personally gave great guest service________________________________ ______________________________________________________________________________________________ ______________________________________________________________________________________________ Why do you want to work for us? ______________________________________________________________ ______________________________________________________________________________________________ ______________________________________________________________________________________________ Why should we hire you? ______________________________________________________________________ ______________________________________________________________________________________________ 2

Employment History

Provide prior employment beginning with your most recent employer

Employer__________________________________________Phone Number ___________________ Address _____________________________________________________________________________ Dates Employed

Start: _________________________End: _______________________

Pay Rate

Start: _________________________End: _______________________

Supervisor

Name: _______________________Title: _______________________

Job Title: ____________________________________________________________________________ Job Duties: __________________________________________________________________________ __________________________________________________________________________________ Reason for Leaving: _________________________________________________________________ __________________________________________________________________________________ Comments: _________________________________________________________________________ __________________________________________________________________________________


Start: _________________________End: _______________________

Pay Rate

Start: _________________________End: _______________________

Supervisor

Name: _______________________Title: _______________________


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Start: _________________________End: _______________________

Pay Rate

Start: _________________________End: _______________________

Supervisor

Name: _______________________Title: _______________________


References

List three references who are not related to you who have knowledge of your qualifications for the position for which you are applying. Name

Title

Address

Phone Number

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Acknowledgment 1.

The information provided in this application for employment is true, correct, and complete. I hereby authorize GO’N BANANAS Family Fun Center to thoroughly investigate my references, work record, education, credit reports and other matters related to my suitability for employment.

2.

I agree to conform to the company’s rules and regulations, and I agree that my employment can be terminated, with or without cause, and with or without notice, at any time, at either my or the company’s option.

3.

I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for the company to hire me.

4.

An integral part of the physical evaluation process is a drug screen, which I hereby voluntarily agree to take. I authorize the Company to conduct this test.

5.

If the results of the drug screening tests prove to be positive, it is agreed that such results shall constitute sufficient cause for revoking the offer of employment with GO’N BANANAS.

6.

All employees must have mandatory clearances required by the State of Pennsylvania. The three clearances required for all employees hired at GO’N BANANAS are as follows: 

Act 34 - Criminal History Record Information obtained by PA State Police



Act 33 - Child Abuse Clearance Obtained through the PA Department of Public Welfare



FBI Clearance Fingerprinting - Federal Criminal History Record Information obtained by submitting a full set of fingerprints to the PA State Police or submission to the FBI.

Website for the above forms: www.dhs.state.pa.us/findaform Click on Clearances under forms. 7.

Employment is contingent upon successful clearance from the above agencies.

8.

It is the policy of GO’N BANANAS not to discriminate against any applicant for employment because of age, race, color, religion, ancestry, sex, national origin, handicap, disability, veteran status, or sexual orientation.

____________________________________________ Signature of Applicant

_________________________ Date

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