*indicates required field.
Desired Location: *              -- Select A Location -- Summit Mall, Akron, Ohio Regency Square, Jacksonville, Florida Lakeland Square Mall, Lakeland, Florida West Oaks, Orlando, Florida  
**OUR ONLINE APPLICATION IS ONLY AVAILABLE FOR OUR NEWEST LOCATIONS! Please print off an application or visit the location nearest to you to apply for a position at a location that is already open. Thank you.**

Last Name: *                First Name: *                MI:

Home Address: *             
City: *                 State: *              -- Select a State -- Alabama Alaska Arizona Arkansas California Colorado Connecticut Deleware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisianna Maine Maryland Massachusettes Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming    Zip Code: *             

Main Phone: *   (i.e. 1-234-567-8910)
Other Phone:   (i.e. 1-234-567-8910)

E-mail Address:

Date Available to Start: *   mm/dd/yy
Position(s) applying for:  Manager  Part-time

Availability:

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   How much are you willing to travel?   %

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

Education:
High School Name:
High School Address, City, State, Zip:
Degree Earned/Earning:  --------------- High School Diploma GED Other   Years Attended:
Did you graduate?   Yes   No   Currently Attending

College Name:
College Address, City, State, Zip:
Degree Earned/Earning:  --------------- GED Associates Bachelors Masters Certificate Other   Years Attended:
Did you graduate?   Yes   No   Currently Attending

Graduate School Name:
Graduate School Address, City, State, Zip:
Degree Earned/Earning:  --------------- GED Associates Bachelors Masters Certificate Other   Years Attended:
Did you graduate?   Yes   No   Currently Attending

Other School Name:
Other School Address, City, State, Zip:
Degree Earned/Earning:  --------------- GED Associates Bachelors Masters Certificate Other   Years Attended:
Did you graduate?   Yes   No   Currently Attending

Military Services:
If you are or were in the U.S. Military Services, please fill out the following information:
Branch:
Technical Specialties:
Rank Attained:

Legal Background:
Are you a 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 discraged by any company? *   Yes   No
If you, please give the name(s) of the company(ies):
Reason(s) for discharge:

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:

 

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

Most Recent/Current Employment:
Dates Employed: From:   mm/dd/yy To:   mm/dd/yy
Company Name:
Company Address, City, State, Zip:
Company Phone Number:   (i.e. 1-234-567-8910)
Position Held:   Supervisor:
List Major Duties:


Salary or Wages Earned: Starting:   Final:            
Reason(s) for leaving:

 

Previous Employment:
Dates Employed: From:   mm/dd/yy To:   mm/dd/yy
Company Name:
Company Address, City, State, Zip:
Company Phone Number:   (i.e. 1-234-567-8910)
Position Held:   Supervisor:
List Major Duties:


Salary or Wages Earned: Starting:   Final:            
Reason(s) for leaving:

 

Previous Employment 2:
Dates Employed: From:   mm/dd/yy To:   mm/dd/yy
Company Name:
Company Address, City, State, Zip:
Company Phone Number:   (i.e. 1-234-567-8910)
Position Held:   Supervisor:
List Major Duties:


Salary or Wages Earned: Starting:   Final:            
Reason(s) for leaving:

 

Have you previously worked for Lunar Mini Golf?   Yes   No
If yes, please fill out the following information:
Location: -- Select A Location -- North Grand Mall, Ames, Iowa Lakeline Mall, Austin, Texas College Square Mall, Cedar Falls, Iowa Cincinnati Mills Mall, Cincinnati, Ohio Chapel Hills Mall, Colorado Springs, Colorado Coral Ridge Mall, Coral Springs, Iowa Mall of the Bluffs, Council Bluffs, Iowa Golden Triangle Mall, Denton, Texas Sunland Park Mall, El Paso, Texas Grapevine Mills Mall, Grapevine, Texas Deerbrook Mall, Humble, Texas Independence Center, Independence, Missouri North Park Mall, Joplin, Missouri Katy Mills Mall, Katy, Texas Knoxville Center, Knoxville, Tennessee Markland Mall, Kokomo, Indiana Discover Mills Mall, Lawrenceville, Georgia Vista Ridge Mall, Lewisville, Texas Longview Mall, Longview, Texas Lufkin Mall, Lufkin, Texas Great Mall of the Bay Area, Milpitas, California Beaver Valley Mall, Monaca, Pennsylvania Golf Mill Shopping Center, Niles, Illinois Quail Springs Mall, Oklahoma City, Oklahoma Great Mall of the Great Plains, Olathe, Kansas Oak View Mall, Omaha, Nebraska Peru Mall, Peru, Illinois Collin Creek Mall, Plano, Texas Midway Mall, Sherman, Texas Fort Steuben Mall, Steubenville, Ohio Washington Crown Center, Washington, Pennsylvania Spring Hill Mall, West Dundee, Illinois Century III Mall, West Mifflin, Pennsylvania Towne West Square, Wichita, Kansas
Position Held:
Supervisor:
Dates Employed: From:   mm/dd/yy To:   mm/dd/yy
Reason(s) for leaving:

References: (Do not list relatives)
 

Please Read Carefully:

I understand that, with my authorization, an investigation may be made where by information is obtained regarding my character, previous employment, general reputation, educational background, credit record, and/or criminal history, subject to applicable, state and/or local laws. In the event of employment, I understand that false or misleading information given in my application and/or interview(s) may result in immediate dismissal. I understand, also, that I am required to abide by all rules and regulations of Lunar Mini Golf. I understand and agree that if employed, the employment will be "at will". That is, either I or Lunar Mini Golf may end the employment relationship at any time, for any reason, or for no reason. I understand that receipt of this application by Lunar Mini Golf does not imply employment and that this application and/or any other Lunar Mini Golf documents are not contracts for employment. Please read our privacy policy before clicking submit.

Please check all of your answers before clicking submit or hitting the "Enter" or  the "Return" Key.