waiver form
Work for FLIPnOUT Xtreme

Job Application Henderson

    Personal Information

    Name*



    Address*









    YesNo

    YesNo


    YesNo

    YesNo


    YesNo

    YesNo


    YesNo

    YesNo


    YesNo

    Position and Availability


    AnyMonitorLaser TagFront DeskCafeShift Lead


    YesNo

    YesNo


    YesNo












    YesNo

    YesNo

    YesNo

    Education, Training and Experience




    YesNo





    YesNo





    YesNo




    YesNo

    Employment History

    Provide details about the last three positions you have held. Account for any gaps in employment during that period.


    YesNo

    Current Employment



    Address









    Previous Employment




    Address










    YesNo

    References

    List below three persons who have knowledge of your work performance within the last four years. Please include professional references only. If you have never been previously employed, include personal references.

    Name*










    Name*










    Name*










    I certify that information contained in this application is true and complete. I understand that false information may be grounds for not hiring me or for immediate termination of employment at any point in the future if I am hired. I authorize the verification of any or all information listed above.


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    summerlin Henderson

    Please be advised that all minors must have a waiver signed by their parent or legal guardian.
    Waiver is only good per location

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    Summerlin Henderson
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    Summerlin Henderson