Employment Application
* First Name

* Last Name

* Street Address

* What is your birth date? Please include day, month & year.

* City

* State

* Zip Code

* What is the best phone number to reach you? Home or cell, please leave the best number to reach you.

* Please indicate the hours your are available to work for each day of the week. If you are not available one day, please write that day and then write "none".

* List any other interestes...

* High School Name and Location

College name and location

Name and location of other school

Dates of current or previous employment

Company name and phone number

Dates of current/previous employment

Company name and phone number

Your job title and superviser

Major duties

* Can you work weekends?

* Do you have reliable transportation to work?

* Why do you want to work at Miracle Skate?

* "I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company for all liability for any damage that may result from utilization of such information. I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative."
Clicking the "agree" box will serve as your electronic signature.

Please be patient, it might take awhile for your inquiry to be submitted. Do not click Submit more than once.