FreedomPark Employment Application

Tell us a about yourself.
  Full Name
  Street Address
  Apartment Number
  City
  State
  Zip Code
  Home Phone
  Work Phone
  Cell Phone
  Email Address
  Are you legally qualified to work in the US?
  Are 21 years old or older?
  What position are you applying for?
     

Tell us about your education.
  High School  
  Name of High School
  City and State of High School
  Number of years attended
  Did you graduate?
  College or Other Education  
  Name of school
  City and State of school
  Number of years attended
  Did you graduate?
  Degree
 

Tell us about the most recent jobs you've held.
  Current or most recent job  
  Job title
  Employer
  City and State
  Month and year you started
  Month and year you ended
  Supervisor
  Phone number
  Reason for leaving
  Prior Job  
  Job title
  Employer
  City and State
  Month and year you started
  Month and year you ended
  Supervisor
  Phone number
  Reason for leaving
  Prior Job  
  Job title
  Employer
  City and State
  Month and year you started
  Month and year you ended
  Supervisor
  Phone number
  Reason for leaving
  Prior Job  
  Job title
  Employer
  City and State
  Month and year you started
  Month and year you ended
  Supervisor
  Phone number
  Reason for leaving
  Tell us about your driving record.
  Our insurance policy excludes anyone with more than two moving violations on their driving record for the past 3 years. If you are applying for a position that will require you to drive, please list here all moving violations in the past 3 years
  Violation   Month   Year
 
 
 
  Our insurance policy also excludes anyone with more than one at-fault accident in the past 3 years. If you are applying for a position that will require you to drive, please list here all at-fault accidents in the past three years.
  Description    Month    Year
 
 
 
     
  Have you ever been convicted of a DWI?
 

Whom can we call for more information about you?
  Please list 2 people who have observed you on the job and whom we can contact for a reference
  Reference Name Phone Number
 
 
  Please list one person who knows you personally and whom we
can contact for a reference.
  Reference Name  Phone Number
 
 

 

 Describe your employment goals and your current career circumstances (example: "student looking for part-time evenings" or "recently laid off looking for full-time day shift work", etc.) 

  By clicking the SUBMIT button I affirm that my answers are true and complete.  I understand that if I am hired, any false or incomplete statements on this application will be grounds for immediate discharge.