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8101 Ashton Ave NE | Fridley, Minnesota 55432
Phone: (763) 424-6155 | Fax: (763) 424-8984

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EMPLOYMENT APPLICATION

Employment Application

We are currently hiring Front Office/Sales, Driver/Install, & Warehouse Laborers . Some weekend hours & overtime are mandatory. Starting wage is $9.50 per hour for Sales, more with experience. Starting wage is $9.50 per hour for Driver, more with experience. Starting wage is $8.00 per hour for Laborer, more with experience. Up to $1.00 raise after training period. You will be contacted for an interview.

Name*
FirstLast
Phone (best number to call you back on)*
Address*
Street AddressAddress Line 2CityStateZIP Code
How many addresses have you had in the last five years?*
- 1
- 2-3
- 4 or more
How did you find out about this job?*
- Internet
- Newspaper
- Referral
Do you have a valid Drivers License?*
- Yes
- No
Drivers License Number*
Drivers License state of issue.*
License Expiration Date*
If hired, do you have a reliable means of transportation to get to work?*
- Yes
- No
Pay per hour desired.*
Please enter a value between 7 and 18.
Are you a US citizen?*
- Yes
- No
Do you have the legal right to work in the US (ie, green card)?*
- Yes
- No
Are you at least 18 years old?*
- Yes
- No
What position(s) are you applying for?*
- Warehouse/Laborer
- Driver
- Sales Associate/Event Planner
- Other
Are you willing to work overtime? with little to no warning?*
- Yes
- No
Are you willing to work weekends?*
- Yes
- No
Please indicate any shifts/times/days you are not willing/able to work.
EXPERIENCE, SPECIAL SKILLS, OR TRAINING
Are you currently employed?*
- Yes
- No
Are you on layoff and subject to recall?*
- Yes
- No
Date you are able to start*
Have you ever been employed by Broadway Party Rental or Broadway Rental?*
- Yes
- No
Any friends or realtives employed or previously employed by this company?*
- Yes
- No
Name of friend or relative employed by Broadway.*
FirstLast
Name of friend or relative employed by Broadway.
FirstLast
Have you ever been discharged (fired) or asked to resign from any position.*
- Yes
- No
Please describe discharge/resignation*
How many days have you missed from school or work within the last 12 months?*
How many days have you been late to school or work within the last 12 months?*
How many days of work have you missed in the last three years for other than sickness?*
- 0-1
- 2-3
- 4 or more
Please describe why.*
Highest grade/level attained in High School*
- 9th Grade
- 10th Grade
- 11th Grade
- 12th Grade
- Graduated high school or obtained GED
Name and city of High School*
Highest level/years attained in college*
- 1
- 2
- 3
- 4
- None
Name and city of college*
Degree & Major
Are you a Military Veteran?*
- Yes
- No
If yes, give dates of service.*
Special skills or training:*
WORK HISTORY #1
Company Name #1*
Company Address #1*
Street AddressAddress Line 2CityStateZIP Code
Company phone number #1*
Start Date #1*
End Date #1*
Job Title #1*
Specific reason for leaving #1*
Supervisors name and title #1*
Brief description of duties #1*
Starting wage #1*
Ending wage #1*
WORK HISTORY #2
Company Name #2
Company Address #2
Street AddressAddress Line 2CityStateZIP Code
Company phone number #2
Start Date #2
End Date #2
Job Title #2
Specific reason for leaving #2
Supervisors name and title #2
Brief description of duties #2
Starting wage #2
Ending wage #2
Section Break
May we contact the employers listed above?*
- Yes
- No
If no, please tell us which one(s) you do not wish us to contact and why.*
How many jobs have you had in the last ten years not listed above?*
Please enter a value between 0 and 10.
Why are you seeking a new position at this time?*
What is the job that you have enjoyed most and why?*
Please list any outside interests including organizations you are active in that are business related.
Bonding and money handling security policies require that we ask :
Have ever been convicted of a felony?*
- No
- Yes
Are you on parole/probation?*
- No
- Yes
Are you awaiting trial?*
- Yes
- No
Please state nature of the offense and disposition of the case. Include dates and places.*
Felony convictions or the existence of a criminal record does not constitute an automatic bar to employment.
Upload your resume (not required).
By typing your name below, you authorize this company to make an investigation of all information contained in this application for employment and you release from all liability all companies and corporations supplying such information. You understand that any false answers, statements, or implications made by me on this application or other required documents shall be considered sufficient cause for denial of employment or discharge. Upon termination of my employment for whatever reason, you release this company from all liability for supplying any ingormation concerning my employment to any potential employer. You authorize this company, if applicable, to request a copy of my credit report, driving record, and any other investigative report they deem necessary through various third party sources. Upon your formal written request, within a reasonable period of time, I will be notified as to the nature and scope of such investigation. You realize you hereby agree to submit to ANY drug test that may be required of you; whether, prior to my employment or if employed by this company at any time thereafter. If requested, you will take a physical examination post job offer and employment will be conditional upon passing such examination. During such employment, you understand and agree that in the event that you recieve medical treatment for any condition, including a physical, psychological, emotional, or psychiatric condition that is job related, you hereby authorize the limited release and exchange of such medical information relating to your condition between the treatment providor and a company designated physician. You further understand that this is an application for employment and that no employment contract is being offered. You understand that if you are employed, such employment is for an indefinite period of time and that the company may change wages, benefits, and conditions at any time. You employment is at will. You have read and understand the above.
Type your name and date to acknowledge you agree with above statement*
FirstLast
Date*

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EMPLOYMENT APPLICATION

Employment Application

WORK HISTORY #1

WORK HISTORY #2

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Bonding and money handling security policies require that we ask :

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