Mackinac Bike Barn / Wheels Employment Form | The Black & White Standard LLC

Personal Information

First Name *

Last Name *

Street Address *

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Phone *

Email Address *

Job Information

Are you 18 years or older? *YesNo

Position Applying For *

Sales / Rental ClerMechanic

Date You Can Start *

Last Date You Can Work This Season *

Wages Desired *

Are You Employed Now? *YesNo

Citizen of the United States? *YesNo

Authorized to work in the United States? *YesNo

Have you applied here before? *YesNo

If Yes, When Did You Apply Here Before?

Any particular dates you may need off this summers (for weddings, family reunions, school events, etc)?

Need us to provide housing? *YesNo

If so, are you a smoker? *YesNo

Have you ever been convicted of a felony? *YesNo

If yes, please explain.

Have you ever spent a summer away from home? *YesNo

Ever worked with the public before? *YesNo

Explain your work with the public.

Additional Information (Optional)

Are you attending college this fall? *YesNo

If so, which college?

Have you ever worked on Mackinac BeforeYesNo

If so, please explain where and when.

What qualities or skills do you feel you have that qualify you for this position?

Name of present employer

Phone # of present employer

Education

High School: Name and Location

Number of years in high school

Graduate from High School? *YesNo

Colleges Attended: Name and Location

Number of years in college

Did you graduate from college?YesNo

What was your college major?

Employment

Employer 1 (Most Recent)

Supervisor at Employer 1

Job Title at Employer 1

Street Address

City

State/Province

ZIP / Postal Code

Phone at Employer 1

Work Performed at Employer 1

Starting Salary/Hourly Rate at Employer 1

Ending Salary/Hourly Rate at Employer 1

Reason for Leaving Employer 1

Date Started at Employer 1

Date Ended at Employer 1

What did you like the most about this job?

If you do NOT want us to contact this employer, please indicate the reason why not:

Employer 2

Supervisor at Employer 2

Job Title at Employer 2

Street Address

City

State/Province

ZIP / Postal Code

Phone at Employer 2

Work Performed at Employer 2

Starting Salary/Hourly Rate at Employer 2

Ending Salary/Hourly Rate at Employer 2

Reason for Leaving Employer 2

Date Started at Employer 2

Date Ended at Employer 2

What did you like the most about this job?

If you do NOT want us to contact this employer, please indicate the reason why not:

Employer 3

Supervisor at Employer 3

Job Title at Employer 3

Street Address

City

State/Province

ZIP / Postal Code

Phone at Employer 3

Work Performed at Employer 3

Starting Salary/Hourly Rate at Employer 3

Final Salary/Hourly Rate at Employer 3

Reason for Leaving Employer 3

Date Started at Employer 3

Date Ended at Employer 3

What did you like the most about this job?

If you do NOT want us to contact this employer, please indicate the reason why not:

I authorize investigation of all statements contained in this application. I release from all liability all persons, companies and corporations supplying such information and I indemnify this employer against any liablity that might result from making such investigation. I understand that misrepresentation or omission of facts called for is cause for dismissal. If employed by this employer, I agree to conform to all rules and regulations. I agree that my employment and compensation is for no definite period, and can be terminated with or without cause and with or without notice, at any time at the option of either this employer or myself. I also understand and agree that this employer may change the terms and conditions of my employment, with or without cause, and with or without notice, at any time.

By submitting this form, you agree to the terms and conditions stated above.

Do you consent to the above? *YesNo