Laser One - Application for Employment

Position: Staff Tech (please describe your technical knowledge at the bottom of this application)

Personal Information

First Name	Last Name
Nickname	Birthday if under 18 years old
Email:	Retype email:

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?:

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?

I understand that any offer of employment that I receive as a result of this application will be subject to the following, whether or not expressed to me at the time the employment is offered:
• Any false or misleading information that I have provided in this application, in my interview, or otherwise, may a basis for my immediate termination.
• Laser One's offer of employment may be withdrawn based on the results of my criminal background check or Laser One's later communications with my personal or employment references.
• My employment will be at will and subject to the terms of the Laser One Employment Handbook. I understand that I will have the opportunity to review the Handbook before accepting my job.