Employment Application

Employer: Skidaddles, Inc.
Address: 8660 Bankers Street
City/State/Zip: Florence, Kentucky 41042
Telephone: (859) 647-7529

Employer: Skidaddles of Mason, Inc.
Address: 5939 Deerfield Blvd., Suite 104
City/State/Zip: Mason, Ohio 45040
Telephone: (513) 204-3482

It is the policy of Skidaddles, Inc. and Skidaddles of Mason, Inc. to provide equal employment opportunities to all applicants and employees without regard to any legally protected status such as race, color, religion, gender, national origin, age, disability or veteran status.

Employment Application

Step 1 of 5

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Which location are you applying for?
- Florence
- Mason
About You:
Applicant Name:
Email
Address
Street Address Address Line 2 City State ZIP Code
Number of years at this address:
Daytime Phone:
Evening Phone:

More Info:
Job Position Applied For:*
Salary Desired:
Who referred you to our company?
Have you applied to our company previously?
When?
Date Format: DD slash MM slash YYYY
Are you at least 18 years old?
Are you willing to work any shift, including nights and weekends?
Please explain any limitations you may have:
Are you looking for
If you are offered employment, when would you be available to begin work?
Date Format: DD slash MM slash YYYY
Please list your available days and times to work
Are you legally eligible for employment in the United States?
Are you able to perform the essential functions of the job position with or without reasonable accommodation?
What reasonable accommodation(s), if any, would you require?
Have you ever been convicted of any crime, including traffic violations?
Please describe your violation:
CONVICTION WILL NOT SERVE AS AN AUTOMATIC BAR TO HIRING. CIRCUMSTANCES OF CONVICTION WILL BE CONSIDERED.

Applicant Employment History: List your current or most recent employment first.
1.
Employer Name:
Address
Street Address Address Line 2 City State ZIP Code
Job Duties
Reason for Leaving:
- Add another employer?
2.
Employer Name:
Address
Street Address Address Line 2 City State ZIP Code
Job Duties
Reason for Leaving:
- Add another employer?
3.
Employer Name:
Address
Street Address Address Line 2 City State ZIP Code
Job Duties
Reason for Leaving:

Applicant's Education and Training:
High School Name and Address:
Last Grade Completed:
Diploma?
College Name and Address:
Did you receive a degree?
Degree Received:
Other Training (graduate, technical, vocational):
Awards, Honors, Special Achievements:

References: List any two people who would be willing to provide a reference for you.
Reference 1
Name
Address
Street Address Address Line 2 City State ZIP Code
Phone:
Relationship:
-
- Add another reference?
Reference 2
Name
Address
Street Address Address Line 2 City State ZIP Code
Phone:
Relationship:
Please provide any other information that you believe should be considered:
Certification:
I certify that the information provided on this Application is truthful and accurate. I understand that providing false or misleading information will be the basis for rejection of my Application, or if employment commences, immediate termination. I authorize Skidaddles, Inc. and Skidaddles of Mason, Inc. to contact former employers and educational organizations regarding my employment and education. I authorize my former employers and educational organizations to fully and freely communicate information regarding my previous employment, attendance, and grades. I authorize those persons designated as references to fully and freely communicate information regarding my previous employment and education. If an employment relationship is created, I understand that unless I am offered a specific written contract of employment signed on behalf of the organization by its President, the employment relationship will be entirely voluntary in nature. In other words, with appropriate notice, I will have the full and complete discretion to end the employment relationship when I choose and for reasons of my choice. Similarly, my employer would have the same right. Moreover, no agent, representative, or employee of Skidaddles, Inc. or Skidaddles of Mason, Inc., except in a specific written contract of employment signed on behalf of the organization by its President, has the power to alter or vary the voluntary nature of the employment relationship.
I HAVE CAREFULLY READ THE ABOVE CERTIFICATION. I UNDERSTAND AND AGREE TO ITS TERMS.
Type in your Full Name below. This will be used as your electronic signature.
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Skidaddles

Employment Application

Employment Application

Step 1 of 5

About You:

More Info:

Applicant Employment History: List your current or most recent employment first.

1.

2.

3.

Applicant's Education and Training:

References: List any two people who would be willing to provide a reference for you.

Reference 1

Reference 2

Certification:

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