Employment

Job Application

Name

First

Last

Phone

Address

Address Line 1

Address Line 2

City

State

Zip Code

How long have you lived at your current address?

Are you a smoker?

Are you at least 18 years of age or older?

Position Applying For

Which days and hours are you available to work? BrightSpin is open 7 days a week from 6am to 10pm.

If hired, can you submit documents to prove your legal right to work in the United States?

Have you been convicted of a crime in the past 10 years, excluding misdemeanors and summary offenses, which has not been annulled, expunged or sealed by a court? (A conviction record will not necessarily disqualify you from the job you're applying for)

If answered "Yes" to the previous question, please describe in detail.

Are you willing to undergo a criminal background check?

Do you rely on others for your transportation to and from work?

Employment History (List Up to 3)

Employment #1

Position

Company Name

Employed Dates

Job Responsibilities

Employment #2

Position

Company Name

Employed Dates

Job Responsibilities

Employment #3

Position

Company Name

Employed Dates

Job Responsibilities

Employment

Employment History (List Up to 3)

Company

Services

Contact Info