Old World Balloonery
Application for Employment

Thank you for your interest in Old World Balloonery. The following information is needed in order to complete your personal file: 1) completed application, 2) copy of valid driver's license. Upon completion of the above, all files will be reviewed and based on current needs, interviews will be scheduled with selected candidates.

Please Print out the following application and send it back to:

Jason Jones
Old World Balloonery
11640 Cody Street
Overland Park, Kansas 66210

or call us at 913.338.2628

Personal Data

Name (First)

 

(Middle) (Last)

Social Security Number

 

Driver's License Number

 

Current Address

 

City State Zip Code

Permanent Address (if different from current)

 

City State Zip Code

Home Phone Number

 

Work or Alternate Phone Number

 

Birthdate

 

Former Names

 

Highest Degree Received

 

Name of School

 

Have you ever been convicted of a felony?

Yes No

If Yes, Charges

 

Position Applied For

 

Previous Employment

Dates
From/To

Name of Employer Address Position Salary Manager's Name
 
 
 
 
 

References

Give three references who have first-hand knowledge of your character, personality, and work ethic.
Name Address and Phone Number Position/Relationship to You
 
 
 

I hereby certify that the information presented in this application is, to the best of my knowledge, true,
accurate and complete. Any falsification of this record will be sufficient cause for disqualification or
termination.

Signature

 

Date

 

It is the policy of Old World Balloonery not to discriminate on the basis of race, color, creed, gender, or diabilities in our
employment practices.