EMPLOYMENT APPLICATION

Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

####

Are you at least 18 years old? *

Yes

No

If under 18, do you have a work permit?

Yes

No

Positions Applied For: (check all that apply) *

SteamPunk Balloon

Waterfront Zipline

Highest Grade Completed

9

10

11

12

Years Completed

1

2

3

4

Start Date

MM

DD

YYYY

End Date

MM

DD

YYYY

Start Date

MM

DD

YYYY

End Date

MM

DD

YYYY

Start Date

MM

DD

YYYY

End Date

MM

DD

YYYY

May we contact your current employer for references? *

Yes

No

If hired, will you be able to work overtime? *

Yes

No

Will you be able to perform the essential job functions for the position you are applying for with or without reasonable accommodation? *

Yes

No

Have you ever been convicted of a crime, excluding misdemeanors and summary offenses, which has not been annulled, expunged or sealed by court? (A 'yes' response does not automatically disqualify your application.) *

Yes

no

Date *

MM

DD

YYYY