Route 66 Roller Dome Job Application Form
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1
29661 New Sapulpa Road
Sapulpa, OK 74066
918-720-3466
Route 66 Roller Dome Job Application
1. Position Applied For:
2.
Agency
2. Full Name:
Last Name
First
Middle
(
)
3. Home Phone:
(
)
Cell Phone
4. Street Address:
6. E-mail
Address:
Zip
City
State
5. Education:
5a. Highest school grade completed:
1
2
3
4
5
6
7
8
9
10
11
12
5b. Do you have a high school equivalency diploma:
Yes
No
5c. Number of years of post high school education:
1
2
3
4
6. Name and Location of Educational Institution:
Degree Received
Major / Specialty
Dates Attended
6a.
6b.
8c.
7. Are you attending school now? Yes ❏
❏
No
8. Do you have experience roller skating? Yes ❏
No ❏
9. Work Experience: Start with the most recent work experience. Describe all traditional, military and voluntary work experience. Describe
your knowledge, skills and abilities that demonstrate your qualifications for the position for which you are applying.
10. Job Title
Employer Name
Employer Address
Job Duties:
Phone
Supervisor / Manager
Title
Final Salary
Dates (Month/ Year)
To
Reason for leaving
Hours/week
10a. Job Title
Employer Name
Employer Address
Job Duties:
Phone
Supervisor / Manager
Title
Final Salary
Dates (Month/ Year)
To
Reason for leaving
Hours / Week
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Parent category: Business