Employment Application Name* First Last Address* Street Address City State / Province / Region ZIP / Postal Code Phone*Email* Enter Email Confirm Email Are you 18 years or older?* Yes No If employed and less than 18 years of age, can you furnish a work permit? Yes No Are you prevented from lawfully becoming employed in this country?*(Proof of citizenship or immigration status will be required upon employment.) Yes No Have you ever been employed by Pitt Race or BeaveRun Motorsports Complex?* Yes No If Yes, Dates Employed:Position(s) held:Have you been convicted of a felony within the last 7 years?*(A conviction will not necessarily disqualify an applicant from employment.) Yes No If yes, please explain:EMPLOYMENT HISTORYStart with your present or most recent job. Include military service assignments or volunteer activities. (You may exclude organization names that would reveal sex, race, religion, national origin, age, disability, or other protected status.)May we contact past employers for references?*YesNoEmployment #1: Employer Phone Number Supervisor Your Job Title Dates Employed:Duties and Responsibilities:Reason for leaving:Employment #2: Employer Phone Number Supervisor Your Job Title Dates Employed:Duties and Responsibilities:Reason for leaving:Employment #3: Employer Phone Number Supervisor Your Job Title Dates Employed:Duties and Responsibilities:Reason for leaving:EDUCATIONStart with your present or most recent education. Leave non-applicable sections blank.Education #1 School Name: Diploma/Degree: Area of Study: Type of Education: High School Vocational Training College / University Graduate / Professional Education #2 School Name: Diploma/Degree: Area of Study: Type of Education: High School Vocational Training College / University Graduate / Professional Education #3 School Name: Diploma/Degree: Area of Study: Type of Education: High School Vocational Training College / University Graduate / Professional Additional Education Information (Specialized training, apprenticeships, extracurricular, skills, or honors):AvailabilityWhat date would you be able to start?How many hours per week would you prefer?If in school, will your availability change for summer? Yes No Not Applicable Please Indicate Your Daily Availability:(Can select multiple times)Sunday 7am - 12pm 12pm - 5pm 5pm - 9pm Monday 7am - 12pm 12pm - 5pm 5pm - 9pm Tuesday 7am - 12pm 12pm - 5pm 5pm - 9pm Wednesday 7am - 12pm 12pm - 5pm 5pm - 9pm Thursday 7am - 12pm 12pm - 5pm 5pm - 9pm Friday 7am - 12pm 12pm - 5pm 5pm - 9pm Saturday 7am - 12pm 12pm - 5pm 5pm - 9pm What position(s) are you interested in?(Please check all that apply.) Corner Worker Maintenance Karting Retail Gate Housekeeping Fire / Rescue Mechanic Where did you hear about this employment opportunity?(Please check all that apply.) Social Media Friend PittRace Employee Newspaper Ad Flyer Other If 'Other' please explain here:APPLICANT'S STATEMENTI certify that answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application as may be necessary in arriving at an employment decision. This application shall be considered active for a period of time not to exceed 180 days. If I wish to be considered for employment beyond this time period, I understand that I need to inquire as to whether or not applications are being accepted at that time. I understand that neither this document nor any offer of employment from the employer constitutes an employment contract unless a specific document to that effect is executed between the employer and I in writing. In the event of employment, I understand that false or misleading information given on my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the employer.Digital Signature:*(Type your Full Name)Date* Date Format: MM slash DD slash YYYY CAPTCHA This iframe contains the logic required to handle Ajax powered Gravity Forms.
