Last Name

First Name

Middle Initial





Zip Code

Home Phone#:

Cell Phone

If minor, do you have your working papers?

Have you had previous work experience


Length of Time


If No, why?

Are you able to work until Labor Day (9/2/13) Yes/No
 yes no

If No, why?

Why do you want to work at Zoom Flume

How did you hear about Zoom Flume employment

Who do you know that works for Zoom Flume

Do you have any physical condition(s), which
may limit your ability to perform the job applied
for or limit your ability to perform other jobs?

If yes, please explain in detail

In case of emergency, call

Parents or Guardians Name, Address and Phone Number

Please note that if you are under 18 years of age, you must have current, valid working papers to start work. Zoom Flume must be in possession of these papers for the entire duration of your employment. If you are 15 years old and will be turning 16 before Labor Day, you must renew your working papers at the school on/or before your birthday. YOU CANNOT START WORK UNTIL WE ARE IN POSSESSION OF YOUR WORKING PAPERS. If you are 14 or 15 years old you may only work a maximum of 40 hours per workweek.