Epic Lazer Tag

Employment Application Form

Full Name: Home Phone:
Cell phone:
Address: How long have you lived at this
address? years

Are you of legal minimum age to accept employment in Ontario?

When are you available to start?
Are you looking for part-time, full-time or summer work?
How did you hear about Epic Lazer Tag?

Availability: please tell us the hours you are available to work

Mon Tue Wed Thu Fri Sat Sun
From
To
Are you a student?: School:

Employment History: Start with most recent

Company Name: From: To:
Position: Salary: $ /hr
Reason for leaving:
Company Name: From: To:
Position: Salary: $ /hr
Reason for leaving:
Company Name: From: To:
Position: Salary: $ /hr
Reason for leaving:
Can we contact previous employers for references?
In addition to your work history, what other skills, qualifications or experience do you have?

Tell us about your hobbies, interests, volunteer work:

Applicant Signature: Date:

I certify that the information provided on this application form is true and accurate. I understand that a false statement may disqualify me from
employment or cause my dismissal for cause. If offered a position, I authorize the Company to complete a criminal background check. I agree to sign the
Company's confidentiality agreement and abide by its content. I understand the information contained in this application will be used for employment
purposes only and will not be used for any other purpose.