Employment Application Please enable JavaScript in your browser to complete this form.Position apply for: *Skateboard VideographerMedia Internship (College Credit Only)Skateboard Instructor, West Philly locationQuad Skate Instructor West Philly locationAll positions are currently part-time only. Name *FirstLastPhone *Email *Address *Address Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeHow long have you lived there (Years/Months) *Are you 18 years of age or older? *YesNoIf under the age of 18, can you produce the necessary work certificate at the time of employment? YesNoType of employment desired? *Full-timePart-timeSpecify 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.? *YesNoIf not, what steps must be taken for you to begin employment lawfully? Have you previously applied for employment with this company? *YesNoIf yes, when and where di you apply?Have you ever been employed by this company? *YesNoIf 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.? *YesNoIf yes, please explain:High SchoolName and Location (Address, City, State)Graduate? YesNo# of Years CompletedHonors ReceivedCollege School Name and Location (Address, City, State)Course of Study or Major Graduate? YesNo# of Years CompletedHonors ReceivedGraduate/Professional School Name and Location (Address, City, State)Course of Study or MajorGraduate?YesNo# of Years CompletedHonors ReceivedTrade or CorrespondenceSchool Name and Location (Address, City, State)Course of Study or MajorGraduate? YesNo# of Years CompletedHonors Received Work Experience Employer #1 Name and Address Type of Business TelephoneDates Employed (From mm/yy To mm/yy)Job TitleDutiesSupervisor's NameMay we contact?YesNoIf 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 ExperienceEmployer #2 Name and Address Type of Business TelephoneDates Employed (From mm/yy To mm/yy)Job TitleDutiesSupervisor's NameMay we contact?YesNoIf 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?YesNoIf Yes, how many times?Has your employment ever been terminated by mutual agreement? YesNoIf Yes, how many times?Have you ever been given the choice to resign rather than be terminated? YesNoIf Yes, how many times?If you answered Yes to any of the above three questions, please explain the circumstances of each occasion. QualificationsBriefly 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 / CompanyWork Relationship (i.e. supervisor, co-worker)Telephone / EmailWork-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 / CompanyWork Relationship (i.e. supervisor, co-worker)Telephone / EmailPersonal 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 KnownPersonal 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 KnownResume Upload (Optional) Click or drag a file to this area to upload. If applying to be a Skateboard Videographer, please leave links to your previous workNote: This position requires the submission of your previous work for consideration. Please ensure you include links to your prior video content, whether it’s on platforms such as YouTube, Instagram, your personal website, or any other relevant platforms. Please note that your application will not be considered without proof of your previous work.WebsiteSubmit