Premier Lanes Employment Form

• Please complete as much information as applicable.
• If an item does not apply, type "NA" (Not Applicable).
• Incomplete applications may not receive consideration.

PERSONAL INFORMATION

First Name:
Last Name:
Address:
City:
State: Zip:
Email:
Phone 1:
Phone 2:
Are you over 16?
Yes No 		Are you over 18?
Yes No
Birthdate (*Required)
mmddyyyy

EDUCATION

Name of SchoolDegreeNo. Years AttendedGraduated
High School Yes No
College/Trade School Yes No
Other Yes No

POSITION DESIRED

What Malco Location do you prefer to work at?
Select any positions you are interested in:
Bartender Cafe Staff Party Host Kitchen
Bookkeeper Sales Janitorial Game Room Attendant
Games Technician Bowling Machine Mechanic
Customer Service
Check fields of experience you have:
Cash Handling
Maintenance 		Computers
Office 		Food Service
Janitorial

EMPLOYMENT HISTORY

Most Recent Employment
Employer:
Name of Supervisor:
Phone:
Your Job Title:
Dates of Employment:
TO
mmyyyymmyyyy
Wages/Salary:
Starting PayFinal Pay
Describe your duties.
 Reason for leaving.
Next to Last Employment
Employer:
Name of Supervisor:
Phone:
Your Job Title:
Dates of Employment:
TO
mmyyyymmyyyy
Wages/Salary:
Starting PayFinal Pay
Describe your duties.
 Reason for leaving.

AVAILABILITY

Can you work past 10pm?Do you have transportation?
Yes
No
 Yes
No
Due to the nature of this business, most employees will be expected to work nights and weekends.
Do you have any objections to working nights and weekends? Please explain:

Are there any outside activities that may affect your availability?
This could include school, family, other employment, etc. Please explain.
How many hours per week do you want to work?
Less than 20 Hours
20-29 Hours
30-39 Hours
40/40+ Hours 		Days & Nights
Nights Only
Weekend Only
Seasonal (Holidays/Summer)
Indicate what hours you are willing to work each day:
FROMTO
Friday
Saturday
Sunday
Monday
Tuesday
Wednesday
Thursday

REFERENCES

Please give name, relation and phone:
Reference 1: Reference 1 Phone:
Reference 2: Reference 2 Phone:
Reference 3: Reference 3 Phone:

If you were referred by a Premier Lanes (or Malco Theatres) employee, please give us his/her name.
If you have worked for Premier Lanes (or Malco Theatres) before, please tell us locations and dates.
Why do you want to work for Premier Lanes (or Malco Theatres)? (Please be brief.)
Are you a U.S. citizen or do you have legal rights to work in the United States?
Yes
No
Have you ever been convicted of a crime other than a minor traffic violation?
Yes
No
The existence of a criminal record will not automatically disqualify you from the job for which you are applying.
(Note: You are not obligated to discuss sealed or expunged records of convictions or arrest, nor will such information be asked of you or considered in employment decisions).
If you answered Yes please explain offenses and final disposition