FreedomPark Employment Application

Tell us about yourself.

*Full Name:
 
*Street Address:
 
Apartment Number:

*City:
 
*State:
 
*Zip:
 
Home Phone:

Work Phone:

*Cell Phone:
 
*Email Address:
 
*Are you legally qualified to work in the US?
 
*Are you 21 years old or older?
 
*What position are you applying for?
 
Have you applied for a job at FreedomPark in the past?
 
If so, when?
(mm/dd/yyyy)
*How did you hear about the job?
 
If Other, where?
 

Tell us about your education.

High School
*Name of School:
 
*City and State of 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 have 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.