Your Name
Address
Street/Number/City/State/Zip Code
Phone:
Are you at least 16 years of age?
No
Yes
Position
Desired
Social Security Number
Are you authorized to work in the United States?
Yes
No
Date you can start
School Name                                                    City/State                                       Diploma/Degree
High School
School Name                                                    City/State                                       Diploma/Degree
College/Technical
School
Major/Minor/Graduate Studies
Yes
Have you ever been convicted of a Felony?
No
If so please explain
Other language fluently spoken
Have you ever applied to Columbia's Finest or
Curiosity Castle before?
Yes
No
Special qualifications, Skills and Training which in your opinion would qualify you for the position.
Employer                                                                                                      Supervisor and Title
Address                                                                                                                  Job title
From(Month/Year) to (Month/Year)                                                                            Final Salary
Reason For Leaving
May we contact
this employer?
Yes
No
Duties
_____________________________________________________________________________
Employer                                                                                                      Supervisor and Title
Address                                                                                                                  Job title
From(Month/Year) to (Month/Year)                                                                            Final Salary
Reason For Leaving
May we contact
this employer?
Yes
No
Duties
Please provide three references with their name,address,phone number,occupation and years acquainted
By signing and submitting this application I certify that there are no willful misrepresentations, omissions, or
falsifications in the foregoing statements and answers to questions. I am aware that should an investigation
disclose any misrepresentations, omissions, or falsification, my application may be rejected.
Electronic Signature
(Type Name)
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