NAME:

ADDRESS:

2ND ADDRESS: if applicable

CITY:

STATE:        ZIP:

HOME PHONE:

EVENING  PHONE:

DATE OF BIRTH:        AGE:

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SHIFT SUPERVISORS:                     ZAMBONI OPERATORS: 

HIGH SCHOOL SECURITY:              ICE GUARDS/SKATE RENTAL ATTENDANTS: 

CASHIERS:

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HOURS AVAILABLE:

PRESENT EMPLOYER OR SCHOOL:

SKATING EXPERIENCE:

INVOLVED WITH ANY HIGH SCHOOL OR TRAVEL HOCKEY TEAMS: 

 yes    no

IF YES WHICH ONE'S:

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EMPLOYMENT HISTORY: