EMPLOYMENT
BANNED SKATE SHOP, REDLANDS, CALIFORNIA
We are seeking web interns. Not for a impersonal click farm, but a gratifying experience. keeping banned.com current
Skills needed:
Does NOT need to skate
1200 Arizona St B5 - Redlands CA 92373
Complete form, and email us at sales@banned.com
Application for Employment
If you do not feel you will pass a drug test, please do not bother to apply
Personal Information:
Name_____________________________________________________
Social Security #___________________________CA I.D #______________
Present Address____________________________City________________Zip________
Phone( _ _ _ ) _ _ _-_ _ _ _ Are you 18 years or older ? YES NO D.O.B.___________________________
Employment Desired/ Position___________________
Date you can start _____________________________ Full time_____ Part time_____ Are you employed now? YES_____ NO_____
May we inquire of your present employer? YES____ NO___
Supervisor’s Name____________________________Phone ( _ _ _ ) _ _ _ - _ _ _ _ Education:
High School ___________________ # of years_______ Did you Graduate?______
College_____________________ # of years _______ Did you Graduate?______
Trade School, etc.______________ # of years _______ Did you Graduate?______
Personal References:
(Please list 3 non-relatives whom you have known for at least 2 years).
NAME, PHONE RELATIONSHIP YEARS KNOWN (In case of Emergency):
Address of nearest relative: Name/Address_____________________________________
Phone ( _ _ _ ) _ _ _ - _ _ Cell ( _ _ _ ) _ _ _ - _ _ _ _
Previous Employment:
Please list the past 2 employments:(Most recent first)
Company name/Address_______________________________ Phone_________________________________________ Date Start______________________Date End___________________
Last Position______________________ Pay rate/Start______Pay rate/End________
Reason for Leaving______________________________________
Supervisor’s Name____________ Phone ( _ _ _ ) _ _ __ _ Cell. ( _ _ ) _ _ _ _ _
Duties Required to Perform__________________________________________________
_________________________________________________________
Company name/Address______________________________Phone___________ Date Start_______________ Date End_____________ Last Position___________
Pay rate/Start_________Pay rate/End_________________
Reason for Leaving_________________________________
Supervisor’s Name______________
Phone ( _ _ _ ) _ _ _ - _ _ _ Cell ( _ _ _ ) _ _ - _ _ _
Duties Required to Perform_________________________________________________________________________________________________________________________________________What days or evenings are you available to work?(below) _____________________________________________________________________
What hours are you available to work? (enter below) Are there any activities that would prevent you from working certain days and or hours?
(enter below each DAY the hours you are FREE to work)
MONDAY - TUESDAY - WEDNESDAY - THURSDAY - FRIDAY - SUNDAY
________ - _________ - ___________ - ___________ -________ - _________(AM/PM
You will be Asked to work Weekends
You will be Asked to work Weekends
Why do you feel you would be a good employee at Banned?_________________________________________________
What do you consider to be your outstanding qualities?____________________________________________________
What do you consider to be your worst qualities?__________________________________________________________
What kind of circumstances makes you nervous or tense? __________________________________________________
Will it affect your work behavior?___________________________________________________________________ Would you take a DRUG TEST ?_________
Would you take a Polygraph(Lie detector) Test?_______
Have you ever been convicted of a felony or misdemeanor? YES_______ NO_______ (if YES, explain)_______________________________________________________________________________ List your favorite hobbies/interest: 1.___________________ 2.____________________ 3._________________________ List any special skills:________________________________________________________________________________
Applicant represents that all information given on this application is true and correct. Applicant hereby authorizes verification of all references and facts, including but not limited to current and previous employers, and personal references. Applicant hereby authorizes owner/agent/manager to obtain, Credit Reports, and/or criminal background reports. Applicant understands that incomplete or incorrect information provided in the application may cause a delay in processing which may result in denial of employment. Applicant hereby waives any claim and releases from liability any person providing or obtaining said verification or additional information. I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements of this application shall be grounds for dismissal. _____________________________________________________________
Applicant Signature If minor, parent of guardian Thank you, we appreciate your patronage - please deliver it in person along with a resume
A drug free place. You may be required regular drug tests