Employment Application Personal First Name * Last Name * Phone * Email * Address * City * Zip Code * Position Applying For: * Crew Member Hospitality Member Office Staff Pilot Referred By Salary Desired * Are you at least 18 years old? * Yes No Have you ever interviewed with Balloons Above the Valley before? * Yes No If yes, list date(s) & job title(s) Have you ever been employed with Balloons Above the Valley before? * Yes No If yes, list date(s) & job title(s) Do you have any relatives and/or friends employed by Balloons Above the Valley? * Yes No If yes, list date(s) & job title(s) Employment History List all employment for the past 10 years, starting with the most recent position. All information must be completed. You may attach a resume, but not in place of completing the required information. Employed From Employed Until Employer Name Supervisor Name Supervisor Phone # Starting Salary Ending Salary Job Title Reason for Leaving Duties & Responsibilities Employed From Employed Until Employer Name Supervisor Name Supervisor Phone # Starting Salary Ending Salary Job Title Reason for Leaving Duties & Responsibilities Employed From Employed Until Employer Name Supervisor Name Supervisor Phone # Starting Salary Ending Salary Job Title Reason for Leaving Duties & Responsibilities References Give the name of three persons not related to you, whom you have known at least one year. Name * Address and Phone # * Business/Position * # of Years Acquainted * Name Address and Phone # Business/Position # of Years Acquainted Name Address and Phone # Business/Position # of Years Acquainted General May we contact your current employer for references? * Yes No Do you have a valid CA driver's license? * Yes No Have you ever been convicted of a crime, excluding misdemeanors and summary offenses, which have not been annulled, expunged or seals by court? (A yes response does not automatically disqualify your application) * Yes No Certification & Authorization * I hereby acknowledge that I have read and agree to the below statements. The above information is true and correct. I understand that, in the event of my employment by Balloons Above The Valley, I shall be subject to dismissal if any information that I have given in this application is false or misleading or if I have failed to give any information herein requested, regardless of the time elapsed after discovery. I authorize the Balloons Above The Valley to inquire into my educational, professional and past employment history references as needed to research my qualifications for this position. I hereby give my consent to any former employer to provide employment-related information about me to Balloons Above The Valley and will hold Balloons Above The Valley and my former employer harmless from any claim made on the basis that such information about me was provided or that any employment decision was made on the basis of such information. I further authorize Balloons Above The Valley to obtain any credit and consumer check. I understand that nothing in this employment application, the granting of an interview or my subsequent employment with Balloons Above The Valley is intended to create an employment contract between myself and Balloons Above The Valley under which my employment could be terminated only for cause. On the contrary I understand and agree that, if hired; my employment will be terminable at will and may be terminated by me or Balloons Above The Valley at any time and for any reason. I understand that no person has any authority to enter into any agreement contrary to the foregoing. If employed, I will be required to provide original documents which verify my identity and right to work in the United States under the Immigration Reform and Control Act (IRCA) of 1986. The document(s) provided will be used for completion of Form I-9. Signature * Clear Date * Submit
