Job Application

Name

Address

Primary Phone Number

Did your graduate high school?

Yes No

Years high school completed?

Did your graduate college?

Yes No

Years college completed?

If yes, which branch or occupation and how many years

Do you have a valid driver's license?

Yes No

Do you have reliable transportation to/from work?

Yes No

How many hours a week would you like to work?

Are you a US citizen?

Yes No

Have you been convicted of a crime?

Yes No

Can you provide references?

Yes No

Will you agree to a background check?

Yes No

Please describe your qualifications to work for Climbing Café:

Use this space to expand or explain previous answers:

Job Application Form