Today's Date

Name

First Last

Phone*

Email*

Address*

Street Address Address Line 2 City State ZIP Code

Available Start Date

Desired Salary

Do you have reliable transportation?

Yes
No

Are you a U.S. Citizen or do you have a legal right & documentation to work in the U.S?*

Identity and employment eligibility of all new hires will be verified as required by law.

Yes
No

If no, are you authorized to work in the US?

Yes
No

Are you at least 18 years old?*

Yes
No

If not, can you provide a valid work permit, high school diploma, or equivalent?

Yes
No

Have you ever been convicted of a felony?*

Yes
No

If yes, explain

If hired, do you provide permission to Jak's Warehouse to run a background check on you?

Yes
No

How did you hear about us?

If someone referred you, please provide their name.

POSITIONS APPLYING FOR: Please rank the top three departments you prefer to work from the list below. (Choose 3)

Attractions, Maintenance, Sky Trail w/ Zip Line (MUST NOT HAVE FEAR OF HEIGHTS), Bartender, Redemption, Kitchen, Guest Relations/Cashier, Reservation Specialist, Game Tech, Party Host, Management

Are you willing to work weekends and holidays?*

Yes
No

AVAILABILITY: Please write the times you are available to work for each day of the week. If you are not available to work at all on a specific day, please write an X next to that day.*

Employment

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