PB Sports Job Application Form

PB Sports Application For Employment

4721 Lima Road, Fort Wayne, IN 46808

We are an Equal Opportunity Employer and are committed to excellence through diversity. Please complete each section fully.

Personal Information

Full Name *

Address *

City *

State *

Zip Code *

Phone Number

Mobile Number *

Email Address *

Are you a U.S. Citizen? Yes No

If no, are you authorized to work in the U.S.? Yes No

If selected for employment, are you willing to submit to a pre-employment drug screening test? Yes No

Are you under the age of 18? Yes No

If “yes”, can you, after employment, show proof of age? Yes No

Have you ever been convicted of a felony, a crime involving dishonesty, or a crime involving violence to another person? Yes No

If “yes”, please describe, including dates charged, penalties, and current disposition:

Position / Availability

Do you have reliable transportation to get to work? Yes No

Available Start Date

Desired Number of Hours Per Week

Do you anticipate any changes to your availability in the near future? Yes No

Availability Schedule (From / To Times per Day):

Day	Mon	Tues	Wed	Thur	Fri	Sat	Sun
From
To

Education

Schools Attended (School Name, Location, Years Attended, Degree Received, Major):

References

Professional References (Name, Title, Company, Phone):

Employment History (Last 5 Employers)

Please list your employment history, starting with the most recent (Employer, Job Title, Dates Employed, Work Phone, Duties, Reason for Leaving, Address):

Employment Test

A. A customer complains that he was short changed by you, receiving only 14 cents change from his $20.00 instead of 41 cents. What do you do?

B. What do you feel is the most important qualification of a PB Sports employee?

C. You are working alone and your shift is due to be over at 4:00 pm. The individual who is scheduled to begin working at 4:00pm does not show up. What do you do?

D. A customer calls and states that the order they received via the US mail was not correct. The total original order was $556.77. They state that they were short one item, with a retail cost of $2.50. What do you do?

Signature Disclaimer

I certify that my answers are true and complete to the best of my knowledge.
If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

Name (Please Print) *

Electronic Signature (Type Full Name) *

Date *