Become a member of our Staff!

Fill this out, and bring to either store!

 Working for the Imagination Station is both exciting and rewarding-  Apply today, using the application below.

APPLICATION FOR EMPLOYMENT

Last Name_____________________ First Name_______________________ MI____

Address_____________________________City_________________Zip__________

Phone number____________________Best time to contact___________________

List Education you have completed________________________________________

May we contact your current employer? _________ Date available to start_________

Available to work at _____Fenton location  _____Miller Rd location

Are you 18 years or older? _______________

Please list availability

Day

Mon

Tues

Wed

Thurs

Fri

Sat

Sun

Time

Avail

 

 

 

 

 

 

 

Employment History

Dates employed

Company Name

Name and Phone

Phone # of Supervisor

Reason for leaving

Rate of pay
 

 

 

 

Wage Rate

Starting-

Ending-
 

 

 

 

Wage Rate

Starting-

Ending-
 

 

 

 

Wage Rate

Starting-

Ending-

Please use back of form for additional info- 

Personal Reference_______________________Phone number_________________

Personal Reference_______________________Phone number_________________

 I affirm that the information above is true and correct-

X__________________________________________Date____________

(signature)