Laser One - Application for Employment

Personal Information

Referred By

Street Address
City	State	Zip

Cell Phone

Home Phone

Education

Where do you go to school?	Class of
What is your area of study?
If you are considering college, would you be commuting?

Are you a member of an honorary club (ex. NHS)?

Are you seeking year-round employment?

All of the positions that we offer will require you to clean everything in the facility including bathrooms. Is this acceptable to you?

If you are in school, what is your grade point average?

How will you get to work

Employment History

From

Employer

Position

Reason for Leaving

From

Employer

Position

Reason for Leaving

Availability (please indicate when you are AVAILABLE)

Monday	Tuesday	Wednesday
Thursday	Friday	Saturday	Sunday

List after school activities:

List any accomplishments you have made:

2-3 sentences, or longer if you need

What 2-3 things have you always wanted to learn about but never had the opportunity to?

What are 2-3 of life's biggest challenges (problems) you are facing at this point in time?:

If you could make one wish for anything you want, what would it be?:

Where do you see yourself in five years?:

Position: Staff Tech (please use the below field to describe your technical knowledge)

Please use this space if there is anything you would like us to know:

Would you like to be added to our email list for coupons and upcoming events?