Extreme Jump, LLC - bounce house rentals and slides for parties in Florence

General

How were you referred to us? *

Extreme Jump Employee Website Facebook Google Friend or Family Other

What position are you applying for? *

Delivery Crew Warehouse Cleaning Crew Delivery & Cleaning Crew Driver/ Crew Leader (18+)

What type of employment are you seeking? *

As many hours as possible (Weekdays & Weekends) Weekends Only (Saturday & Sunday) Extra Job (When I am off from my other job) Student Job (Something that works with my school schedule) Summer Job

Select all available work days (Saturday's & Sunday's required for Driver and Delivery Crew positions) *

Monday Tuesday Wednesday Thursday Friday Saturday Sunday

Soonest available start date: *

Job Qualifications

Are you available to work weekends & holidays? *

Yes No

Are you able to lift 75 pounds? *

Yes No

Are you physically able to work outside in all weather conditions, to include extreme heat? *

Yes No

Do you currently possess a valid drivers license? *

Yes No

Do you have a reliable form of transportation to and from work? *

Yes No

Do you have any experience pulling/ backing trailers? *

Yes No

Are you a citizen of the U.S., or do you have a legal right to work in the U.S.? *

Yes No

Personal Information

Name: *

First Name Middle Name Last Name

Birth Date: *

Phone Number: *

Email Address: *

Current Address: *

Street Address

Street Address Line 2

City State

Zip Code

Are you 18 years or older? *

Yes No

Name of Parent or Legal Guardian: *

First Name Last Name

Parent or Legal Guardian's Phone Number: *

Education

Are you currently a student enrolled in school? *

Yes - High School Yes - College No

Name of attending High School: *

Name of attending College: *

Highest level of education: *

Less than a High School Diploma High School Diploma GED Some College College Degree

Current status: *

Freshman Sophmore Junior Senior

List your current major: *

List any college degrees (If Applicable):

List all degrees: *

Military Service

Have you ever served in the Armed Forces? *

Yes No

What Branch? *

Army Air Force Navy Marines National Guard Coast Guard

What is your current military status? *

Currently Serving Retired Discharged - Honorable Discharged - Other than Honorable

Please explain *

Employment History

Are you currently employed? *

Yes No

Have you ever been employed? *

Yes No

Name of employer: *

Name of most recent employer: *

Years employed: *

Reason for leaving: *

Name of immediate supervisor: *

May we contact them? *

Yes No

Please list any other previous employers or work experience:

Job Skills & Training

List any special Skills or Hobbies:

List any special Training or Certifications:

Criminal History

Due to the sensitive nature of our business, and with working closely around children, all applicants are subject to a criminal background check and drug screening prior to employment with Extreme Jump, LLC.

Please answer the following questions truthfully and to the best of your knowledge.

Excluding minor traffic violations, have you ever been convicted of any crime (misdemeanor or felony) in any state, municipality, territory or country? *

Yes No

Please explain: *

Have you ever received deferred prosecution or adjudication for any crime (misdemeanor or felony) in any state, municipality, territory or country? *

Yes No

Please explain: *

Have you ever been convicted of driving under the influence (DUI)? *

Yes No

Please explain: *

Have you ever been imprisoned or jailed in a criminal proceeding? *

Yes No

Please explain: *

Are there any criminal charges currently pending against you? *

Yes No

Please explain: *

If selected for employment, are you willing to consent to a criminal background check? *

Yes No

If selected for employment, are you willing to submit to a pre-employment drug screening test? *

Yes No

References

Please list (2) non-family member references.

Reference 1

Name: *

First Name Last Name

How do you know this person? *

Friend Pastor Teacher/ Coach Current/ Former Employer Other

Years Known: *

Phone Number *

Address *

Street Address

Street Address Line 2

City State

Zip Code

Reference 2

Name: *

First Name Last Name

How do you know this person? *

Friend Pastor Teacher/ Coach Current/ Former Employer Other

Years Known: *

Phone Number *

Address *

Street Address

Street Address Line 2

City State

Zip Code

Upload Resume (Optional):

I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release. *

Signature *

Clear

*