Volage Video Games Employment Application Application version 1.1 (April 2012) *Voltage Video Games is an equal opportunity employer I. BASICS First Name: ______________________ Last Name: _________________________________ Address: ____________________________ _________ Street Phone: (_ _ _) _ _ _ -_ _ _ _ ____________ _____ ________ Apt. City State Zipcode Email: _________________________________________ . Is there any time you’d prefer not to be contacted? ___________________________________ Are you a US citizen (or do you have the legal right to work in the U.S.)? ☐ Yes Select one: ☐ I’m 18 or older -OR- ☐ No ☐ I’m 16 or 17 and I have working papers Have you ever been convicted of a felony or misdemeanor? ☐ Yes ☐ No If so, briefly explain: _____________________________________________________________ ______________________________________________________________________________ May we have your permission to run a routine background check on your criminal, educational and work background(s)? Yes, you may, (Initial here): _____. No, you may not, (Initial here): _____. What Role(s) are you interested in applying for (check all that apply)? ☐ Sales Associate (customer service) Cleaning Games/Systems . ☐ Inventory and Item Processing ☐ Online Sales (Amazon/ebay) ☐ Please indicate the times you would be available to work: Earliest You Can Work: Latest You Can Work: Notes: Monday: ________________ __________________ ______________________ Tuesday: ________________ __________________ ______________________ Wednesday: ________________ __________________ ______________________ Thursday: ________________ __________________ ______________________ Friday: ________________ __________________ ______________________ Saturday: ________________ __________________ ______________________ Sunday: ________________ __________________ ______________________ Desired hours per week: _____________ Your Maximum:____________ Your Minimum:____________ . Desired Salary: $ __ __ . __ __ /hr . Minimum Acceptable Salary: $ __ __ . __ __ /hr Date available to start: ☐ Immediately ☐ Future Date: _ _ / _ _ / _ _ _ _ II. EDUCATION Please circle the highest level of education you have obtained: . 10th Grade 11th Grade GED HS Diploma 1yr College 2yrs College Are you currently attending a school? ☐ Yes Associates Degree 3-4yrs College Bachelors+ ☐ No If so, where? _______________________________ Expected Graduation Date? ____________ III. WORK EXPERIENCE How much total work Experience do you have (circle one): None 6mo 1yr 2yrs 3yrs 4yrs 5yrs+ 10yrs+ Years of Customer Service Experience: None 6mo 1yr 2yrs 3yrs 4yrs 5yrs+ 10yrs+ Years of Sales Experience: None 6mo 1yr 2yrs 3yrs 4yrs 5yrs+ 10yrs+ Years of Video Game/Electronics Experience: None 6mo 1yr 2yrs 3yrs 4yrs 5yrs+ 10yrs+ Please check if you have experience with: ☐ Photoshop ☐ Twitter ☐ Illustrator ☐ Facebook ☐ Event Promotion ☐ Console Repair ☐ CSS or PHP ☐ Blogging ☐ Video Casting ☐ Game Reviewing Please list your most recent relevant work experience (from most recent to least): 1.________________________ _________________________ From____/______ To ___/_____ Employer Your Position Dates worked Manager’s Name: _________________________ Salary: _ _ . _ _ /hr If former, Reason for leaving : ________________________________Phone:_________________ May we contact your present employer (if you are currently employed)? ☐ Yes ☐ No *We reserve the right to contact any past employers unless you indicate that we should not. 2.________________________ _________________________ From____/______ To ___/_____ Employer Your Position Dates worked Reason for leaving: ________________________________________Phone:__________________ 3.________________________ _________________________ From____/______ To ___/_____ Employer Your Position Dates worked Reason for leaving: ________________________________________Phone:__________________ IV. VIDEO GAME KNOWLEDGE *Note: We do not expect you to know every console or genre-- this is just to get a feel for your strengths. None Little Fair Good Great NES Games SNES Games N64 Games Gamecube Games Wii Games ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ PS1 Games PS2 Games PS3 Games ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ Xbox Games Xbox 360 Games ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ None Little Fair Good Great ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ Little Fair Good Great ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ HANDHELDS Sony PSP Games ☐ Nintendo DS Games ☐ Retro Handhelds ☐ KNOWLEDGE OF SPECIFIC GENRES: None RPG’s Action/Adventure FPS’s Strategy/Puzzle Sports / Racing Other:_________ ☐ ☐ ☐ ☐ ☐ ☐ V. PERSONAL STATEMENTS What are your all time favorite three game titles? 1. 2. 3. What about your least favorite game, and why? All time favorite game character and/or game boss? Why do you want this position / Why should we hire you? Favorite color, and why? Most unique thing about you / Anything else we should know? Finally, How did you first hear about Voltage Video Games? ☐Saw the store ☐Word of mouth ☐Fliers ☐Internet Ad ☐Our Website ☐Facebook ☐Other: ______________ By signing this application I certify that all information on this application is truthful and accurate to the best of my knowledge. _______________________________ ______________________ _____________ Name (Print) Signature Date Thank you for your interest in joining Voltage Video Games! We will contact you should your qualifications match our staffing needs. Questions? Email: [email protected] Please drop off this application to the store at 212 East Jefferson St, Syracuse NY 13202.
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