On-Line Employment Application

Location Information:

Please Select which store you are applying at Location List Laurel MD Location Baltimore - Owings Mills Location

Position Information:

Position applying for 1st Choice Front Counter Party Coach Arena Referee Reservation Specialist 2nd Choice Front Counter Party Coach Arena Referee Reservation Specialist

General Information:

First Name: Last Name: E-Mail:

Address: City: State: Zipcode:

Home Phone: Cell Phone: Are you at least 18 years of age? No Yes

Male Female When are you able to start? Hourly wage expected?

How were you referred? Please Select Walk In Job Fair Team Member Internet Other Other

When are you available to work? (If yes at what time i.e. 5pm to 9pm)

Monday: No Yes Tuesday: No Yes

Wednesday No Yes Thursday: No Yes

Friday: No Yes Saturday: No Yes

Sunday: No Yes Holidays: No Yes

Please Rate Yourself:

1= I'm terrible / 2= I'm OK / 3= I'm pretty good / 4= Yeah, that's me! / 5= I'm the bomb.com

Hospitality (You're naturally friendly and guest-service oriented.) 1 2 3 4 5

Energy Level (You have a high level of enthusiasm, self-motivation, and sense of urgency.) 1 2 3 4 5

Dependability (Others can depend on you to be punctual, dependable, and self-disciplined.) 1 2 3 4 5

Communication Skills (You are a great listener, and you communicate well with others.) 1 2 3 4 5

Personal Pride (Your appearance, hygiene, and achievement are impeccable.) 1 2 3 4 5

Teamwork (You work well with others in a team environment.) 1 2 3 4 5

Employment History:

Please list your last three employers, starting with your most recent.

---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

Employer's Name: Phone: Address:

Dates of Employment: (To and From) Job Title:

Supervisor: Duties: Starting Salary:

Ending Salary: Reason for Leaving:

---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

Employer's Name: Phone: Address:

Dates of Employment: (To and From) Job Title:

Supervisor: Duties: Starting Salary:

Ending Salary: Reason for Leaving:

---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

Employer's Name: Phone: Address:

Dates of Employment: (To and From) Job Title:

Supervisor: Duties: Starting Salary:

Ending Salary: Reason for Leaving:

---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

Educational History:

Name and Location / Select the Highest Grade Completed / Type of Degree or Certificate Received

High School: / None 9th Grade 10th Grade 11th Grade 12th Grade /

Trade: / None 1 Year 2 Years 3 Years 4 Years /

College: / None 1st Year 2nd Year 3rd Year 4th Year /

Post Graduate: / None 1st Year 2nd Year 3rd Year 4th Year /

Other Skills:

Personal Interests:

Hobbies, Interests, or Special Skills (include speech or drama training):

Extra-Curricular Activities (scholastic or athletic):

Honors, Awards, or Leadership Positions Held:

Personal Data:

In accordance with the Immigration Reform Act of 1986, any offer of employment is conditioned upon satisfactory proof of applicant's identity and legal ability to work in the United States. Can you submit verification of your legal right to work in the United States? Please Select No Yes

Have you ever had a conviction of, plea of no contest to, plea of guilty to, or acceptance of any pre-trial diversion in lieu of charge of, any morals charge, felony or misdemeanor? Please Select Yes No

If yes, where and disposition:

I CERTIFY THAT ALL STATEMENTS GIVEN ON THIS APPLICATION ARE CORRECT. I REALIZE THAT FALSIFICATION OR MISREPRESENTATION, INCLUDING OMISSION, OF THIS OR ANY OTHER PERSONNEL RECORD MAY RESULT IN MY DISCHARGE REGARDLESS OF WHEN SUCH FALSIFICATION OR MISREPRESENTATION OR OMISSION IS DISCOVERED.

I authorize XP Laser Sport to make such investigations and inquires of information provided herein and other matters related thereto as may be necessary. I release XP Laser Sport and its officers and employees from all liability in connection with these actions. I hereby release XP Laser Sport's officers, employees, and representatives, franchisees and licensees, employers, schools and other persons, institutions, or businesses responding to investigations or inquiries from all liability and responding to inquiries in connection with my application for employment.

In the event of employment, I agree to abide by all present and subsequently issued rules of the company, and recognize that my employment is AT WILL and can be terminated at any time by myself or by the company with or without cause, other than for a reason which is prohibited by law. I understand that (except for a written employment agreement for a fixed term) no representative of the company has authority to enter into any agreement with me for a specified period of time, or that is not terminable AT WILL by myself or the company, or to make representations contrary to the foregoing.

Also, in the event of employment, and in consideration thereof, the Company and any person or concern it may authorize, shall be entitled, without further consent to copyright, sell or use in any manner, any picture or photograph of me (including still, video, or motion picture), or recording of my voice.

I HAVE CAREFULLY READ AND AGREED TO THE ABOVE AND HAVE ENTERED MY INITIALS AS AN ELECTRONIC SIGNATURE:

Please enter your initials in this box and then click on the submit button to finish your application.

(Please note: It may take a moment for your application to process. Please do not close this window until you see the thank you message.)