Lazer Legacy Application for Employment Applicant InformationToday's Date* Name* First M.I. Last Home Address* Street Address Apartment/Unit # City State Zip Code Phone*Email Address* Enter Email Confirm Email Date Available* Desired SalaryPosition You Are Applying For*Laser Tag Attendant ILaser Tag Attendant IIAre you at least 18 years of age?* Yes No Do you have a valid work permit? Yes No Please provide the name and telephone number of parent or guardian.Are you a citizen of the United States?* Yes No Are you authorized to work in the U.S.? Yes No Have you ever been convicted of a felony?* Yes No Please explain.AvailabilityIf accepted for employment, are you available to work nights, weekends and holidays as scheduled?* Yes No If needed, would you be able to fill in when available on short notice?* Yes No Are you open to an on-call only position?* Yes No What is the maximum number of hours you can work per week?*Hours You Are Available for Work*Please indicate what hours you are available for work each day of the week.MondayTuesdayWednesdayThursdayFridaySaturdaySunday Do you have reliable transportation to and from work?* Yes No EducationPlease list your education below. Use the "+" symbol to add an additional field to any section.High SchoolAddressFromToDid you graduate?Degree CollegeAddressFromToDid you graduate?Degree OtherAddressFromToDid you graduate?Degree ReferencesPlease list three professional/personal references.*At least one must not be related to you. Use the "+" symbol to add additional references.Full NameRelationshipCompanyPhoneEmail Previous EmploymentPlease list your job experience below.Use the "+" symbol to add additional employers.CompanyPhoneAddressSupervisorJob TitleStarting SalaryEnding SalaryResponsibilitiesDates of EmploymentReason for LeavingMay we contact your previous supervisor for a reference? Military ServiceBranchDates of ServiceRank at DischargeType of DischargeIf other than honorable, please explain More About YouTell Us About Yourself*Upload Your ResumeAccepted file types: pdf, doc, docx.If you would like to upload your resume, please upload above in .pdf, .doc or .docx format.The Legal StuffTerms and ConditionsBy agreeing to our terms, I certify that all of the information contained in this application is true and complete. I understand that any misrepresentations or false information that I provide, either in this employment application or at any other time during the application and hiring process, may result in the disqualification of my application for employment or, if I am hired, in the immediate termination of employment at any point in the future. I understand and agree that this employment application does not guarantee employment on any terms. I further understand and agree that, if I am hired, it will be on a strictly at-will basis, meaning that just as I am free to resign at any time, Lazer Legacy has the right to terminate my employment at any time, with or without cause or prior notice. No implied oral or written agreements contrary to this at-will employment basis are valid unless they are in writing and signed by the President of Lazer Legacy. I understand that Lazer Legacy may seek to verify any or all information listed above or otherwise provided by me during the application and hiring process. I hereby expressly authorize Lazer Legacy to verify that information, without further notice to or consent by me, and I authorize prior employers and others from whom such verification is sought to release relevant information about me. I further authorize Lazer Legacy to investigate all references and secure additional information about me. I hereby release from liability Lazer Legacy and its representatives for seeking such information and all other persons, corporations or organizations for furnishing such information. Lazer Legacy is an Equal Opportunity Employer. Lazer Legacy does not discriminate in employment and no question on this application is used for the purpose of limiting or excusing any applicant’s consideration for employment on a basis prohibited by local, state or federal law.Acceptance* I agree to the Terms and Conditions SignaturePhoneThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.