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Bailey's Bubble Application for Employment

Please fill out the applicable questions on this form, and submit to us, either online or if you choose,
you may print a copy and forward it by postal mail.

Please provide the following contact information:

Date of Application -- mm/dd/yy

Name

SS Number

Date of Birth -- mm/dd/yy

Street Address

Tow/City

State

Zip Code

Your E-Mail Address

If you are a student, please enter:

School Address

School Phone

Summer Address

Summer Phone

Where do attend school now?

School Now Attending

Class of

Where will you go to school next fall?

School Attending in Fall

Opening Date -- mm/dd/yy

What have you done during the past two summers?

(1)

(2)

Please provide us with two references:

Reference 1

Address

Telephone No.

Reference 2

Address

Telephone No.

	If you are hired, when could you start work?.. :

Start Date

	What date would you plan to leave?

End Date
	Please Note: preference will be given to applicants who can stay through Columbus Day.


If you are under 18, do you have Working Papers?	Yes. No

Applicants Signature (If via USPS)	_________________________________________

Please add any comments or information you feel is helpful to us.