USE YOUR TAB BUTTON TO GO TO THE NEXT FIELD!
* Required Information
PERSONAL INFORMATION
*First Name: *Last Name:
Address:
City: State: Zip Code:
*Phone Number: *E-mail:

*Are you under 18 years of age? Yes No ___
Date of Birth if Under 18? (Month/Day/Year)

EDUCATION & EXTRACURRICULAR ACTIVITIES
School/College Attending: Grade/Year:
Subjects Studied:

Please List Any Activities, Clubs, or Sports You Are Involved In:

Prior Obligations for the Summer:

PREVIOUS EMPLOYMENT & REFERENCES
Company: Contact & Phone:
Job Duties:
Company: Contact & Phone:
Job Duties:

Please List 2 Personal References with a Phone Number:
Personal Reference 1:
Personal Reference 2:
AVAILABILTY
What days are you available to work?
Sunday Monday Tuesday Wednesday Thursday Friday Saturday
Do You Have Reliable Transportation? Yes No

Do you have any conditions that would prevent you from performing the duties required by the position you are applying for?

ADDITIONAL COMMENTS REGARDING YOUR SKILLS, TALENTS, SUPER POWERS, ETC.