Employment Application – Skate The Foundry

Position apply for: *

Assistant Store Manager (Elkins Park)
Sales Associate (Elkins Park)
Skateboard Instructor (Elkins Park & West Philadelphia)
Sales / Marketing (Elkins Park & West Philadelphia)
Media Internship (College Credit Only)

Name *

First

Last

Phone *

Email *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

How long have you lived there (Years/Months) *

Are you 18 years of age or older? *

Yes
No

If under the age of 18, can you produce the necessary work certificate at the time of employment?

Yes
No

Type of employment desired? *

Full-time
Part-time

Specify Weekly Hours *

Date on which you can start work, if hired: *

If hired, can you provide proof that you are legally eligible for employment in the U.S.? *

Yes
No

If not, what steps must be taken for you to begin employment lawfully?

Have you previously applied for employment with this company? *

Yes
No

If yes, when and where di you apply?

Have you ever been employed by this company? *

Yes
No

If yes, provide dates of employment, location, and reason for separation from employment.

If applicable, below list any other names by which you have been known which may be necessary to allow us to confirm your work and educational record. For example, change of name, use of an assumed name, nickname, etc.

Do you have any commitments to any other employer which could affect your employment with this Company if hired (for example, an employment agreement, a non-competition or non-solicitation agreement, etc.? *

Yes
No

If yes, please explain:

High School

Name and Location (Address, City, State)

Graduate?

Yes
No

# of Years Completed

Honors Received

College

School Name and Location (Address, City, State)

Course of Study or Major

Graduate?

Yes
No

# of Years Completed

Honors Received

Graduate/Professional

School Name and Location (Address, City, State)

Course of Study or Major

Graduate?

Yes
No

# of Years Completed

Honors Received

Trade or Correspondence

School Name and Location (Address, City, State)

Course of Study or Major

Graduate?

Yes
No

# of Years Completed

Honors Received

Work Experience

Employer #1 Name and Address

Type of Business

Telephone

Dates Employed (From mm/yy To mm/yy)

Job Title

Duties

Supervisor's Name

May we contact?

Yes
No

If no, why not?

Reason for Leaving?

What will this employer say was the reason your employment terminated?

Were you ever disciplined? If so, for what?

How much notice did you give when resigning? If none, explain.

Work Experience

Employer #2 Name and Address

Type of Business

Telephone

Dates Employed (From mm/yy To mm/yy)

Job Title

Duties

Supervisor's Name

May we contact?

Yes
No

If no, why not?

Reason for Leaving?

What will this employer say was the reason your employment terminated?

Were you ever disciplined? If so, for what?

How much notice did you give when resigning? If none, explain.

Work Experience Cont'd.

Have you ever been terminated or asked to resign from any job?

Yes
No

If Yes, how many times?

Has your employment ever been terminated by mutual agreement?

Yes
No

If Yes, how many times?

Have you ever been given the choice to resign rather than be terminated?

Yes
No

If Yes, how many times?

If you answered Yes to any of the above three questions, please explain the circumstances of each occasion.

Qualifications

Briefly describe your qualifications for this position and any special skills or experience you possess which will be of special benefit in the position for which you are applying:

List any professional or occupational registration, licensure or certification you currently hold which may be applicable to the position for which you are applying and/or indicate whether you have ever had any related professional registration, license, or certification suspended, revoked or terminated:

Work-Related References #1 (Optional)

Please list the names of additional work-related references we may contact who have worked with you in the past. Individuals with no prior work experience may list school or volunteer -related references.

Name / Position / Company

Work Relationship (i.e. supervisor, co-worker)

Telephone / Email

Work-Related References #2 (Optional)

Please list the names of additional work-related references we may contact who have worked with you in the past. Individuals with no prior work experience may list school or volunteer -related references.

Name / Position / Company

Work Relationship (i.e. supervisor, co-worker)

Telephone / Email

Personal References #1 (Optional)

Please list the names of personal references (not previous employers or relatives) who you know that we may contact.

Name / Occupation / Relationship / Telephone / Number of Years Known

Personal References #2 (Optional)

Please list the names of personal references (not previous employers or relatives) who you know that we may contact.

Name / Occupation / Relationship / Telephone / Number of Years Known

Resume Upload (Optional)