Read Carefully before you continue:
*Please fill out all questions completely and honestly.  Do not hit the "Enter" or "Return" key unless you are 100% finished.  You must be at least 16 to submit an application with our company.  Do not submit more than one application.  You may re-apply after 6 months.*

Desired location:  

Last Name:  First Name:  MI: 

Home Address:
City:  State:    Zip Code: 

Main Phone:  (example 1-234-567-8910)
Main Ext: 
Other Phone (cell phone, work phone, etc.):  (example 1-234-567-8910)
Other Phone Ext: 

Email Address:
                            (example johnsmith@glowminigolf.com)

Date Available to Start: mm/dd/yy
Are you interested in? (Check all that apply.) Manager  Part-time
Days and Hours you will be available to work:

Day: Monday Tuesday Wednesday Thursday Friday Saturday Sunday
From:              
To:              

Are you willing to relocate? Yes  No
If you are under the age of 18, please state your date of birth: mm/dd/yy
Are you willing to travel?  Yes  No  Percentage available for traveling?  %

How were you referred to Lunar Mini Golf? (Check all that apply.)
 Internet  Walk-in  Friend or Family 
Employee: Name:   Other

Education Information:

Type Of School Name and Location Degree Earned/Earning Years Attended Did you Graduate?
High School Name:  
Address:  
City:  
State:  
Zip:  		     yrs.

Yes
No
Currently Attending
College Name:  
Address:  
City:  
State:  
Zip:  		     yrs. Yes
No
Currently Attending
Graduate School Name:  
Address:  
City:  
State:  
Zip:  		     yrs. Yes
No
Currently Attending
Other Name:  
Address:  
City:  
State:  
Zip:  		     yrs.  Yes
No
Currently Attending

Military Services:

If you are or were in any of the U.S. Military Services, please fill out the following information:

Branch Technical Specialties Rank Attained

Legal Background:
 Are you an U.S. citizen or do you have a legal right or necessary documents to work in the U.S.?  Yes  No
 (Identity and employment eligibility of all new hires will be verified as required by the Immigration Reform and Control Act of 1986.)

Have you ever been discharged by any company?  Yes  No
If yes, please give the name(s) of the company(ies): 
Reason(s) for discharge: (200 Character Max)
 

Have you ever been convicted of a crime other then a minor traffic violation?
Yes  No
 (Note: You are not obligated to discuss sealed or expunged records of convictions or arrests nor will such information be asked of you or considered in employment discussions. The existence of a criminal record will not automatically disqualify you from the job for which you are applying.)

If yes, please explain offense and final disposition: (200 Character Max)
  

Employment History:

List employment starting from the most recent position. Account for anytime during this period that you were unemployed by stating the nature of your activities. Please indicate if you were employed under a different name.

May we contact your present employer(s)?       Yes  No
May we contact your previous employer(s)?       Yes  No

Dates Employed Name, Address, and Phone Position Held
and Supervisor		 List Major Duties Salary or Wages Reason(s) for Leaving
From:
         mm/yy
To: 
      mm/yy		 Name:
Address:
City:
State: 
Phone:  

Position Held:
Supervisor: