Facility Technician - Bellevue Indoor Range Employment Application

 
FULL LEGAL NAME (including suffix: Sr., JR., II, III)
Please provide us with your Full Legal Name including any suffix
First Name *
Middle Name *
Last Name *
Suffix (e.g. Sr, Jr, II) *
Date of Birth *
Social Security Number *
Phone Number *
Email Address *
LICENSE INFORMATION
Valid Government Issue Photo Identification:
Please provide us with your government issued ID information. Examples are Drivers License, Passport or State issued ID card.
Issuing Agency *
Document Tile *
Document Number *
Expiration Date (if any) *
Washington State Concealed Pistol License -or- Equivalent
Issuing Agency *
Document Title *
Document Number *
Expiration Date (if any) *
YOUR ADDRESS INFORMATION
Your Current Address
Please provide the address of your current residence
Street Address *
City *
Select a State *
Zip *
Length of Residency *
Your Previous Address
Please provide the address of the residence you occupied immediatley before your current residence
Previous Street Address *
Previous Address City *
Previous Address State *
Previous Address Zip *
Length of Residency *
EMERGENCY CONTACT INFORMATION
Please let us know who we can contact in case of an emergency
Primary Emergency Contact: First & Last Name *
Primary Emergency Contact: Street Address *
Primary Emergency Contact: Address City *
Primary Emergency Contact: Address State *
Primary Emergency Contact: Zip *
Primary Emergency Contact: Phone Number *
Primary Emergency Contact: Email Address *
Primary Emergency Contact: Type of Relationship *
Secondary Emergency Contact: First & Last Name *
Secondary Emergency Contact: Street Address *
Secondary Emergency Contact: Address City *
Secondary Emergency Contact: Address State *
Secondary Emergency Contact: Address Zip *
Secondary Emergency Contact: Phone Number *
Secondary Emergency Contact: Email Address *
POSTIION INFORMATION
EQUAL OPPORTUNITY EMPLOYMENT
Bellevue Indoor Range does not discriminate in employment on the basis of race, color, religion, sex (including pregnancy and gender identity), national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an employee organization, retaliation, parental status, military service, or other non-merit factor
Check all that you are able and willing to work. Actual available positions may vary. Certain positions may require specific qualifications and/or certifications. *
Availability - Check any/all shifts you are available/willing to work *
Have you ever worked for Bellevue Indoor Range? *
If yes, when: *
Have you ever worked for Wade's Eastside Guns? *
If yes, when: *
Have you ever worked in the Firearms Industry *
If yes, when: *
RELEVANT TRAINING & CERTIFICATIONS
Tell us of any Certifications or Training you have that is relevant to your desired position(s)
Training or Certification #1
Date of Training or Certification #1 *
Description or Training or Certification #1 *
Training or Certification #2
Date of Training or Certification #2 *
Description or Training or Certification #2 *
Training or Certification #3
Date of Training or Certification #3 *
Description or Training or Certification #3 *
Training or Certification #4
Date of Training or Certification #4 *
Description or Training or Certification #3 *
RELEVANT FIREARMS EXPERIENCE
Tell us of any Firearms Experience you have that is relevant to your desired position(s) *
RELEVANT SALES EXPERIENCE
Tell us of any sales experience you have that is relevant to your desired position(s) *
RELEVANT CUSTOMER SERVICE EXPERIENCE
Tell us of any Customer Service Experience you have that is relevant to your desired position(s) *
ADDITIONAL LANGUAGES
Tell us of any additional languages you know
Language #1 *
*
Language #2 *
*
Language #3 *
*
MILITARY SERVICE
Current and/or Former Military Service: *
Military Status: *
Any current military commitment (e.g. National Guard, Active Reserve) that would influence your work schedule? *
If yes, explain: *
Start of Service Date *
End of Service Date *
Branch *
Rank *
LAW ENFORCEMENT
Current and/or Former Law Enforcement Officer *
LEO Status: *
Any current law enforcement commitment that would influence your work schedule? *
If yes, explain *
Start Date: *
End Date *
Agency: *
Position: *
PROFESSIONAL REFERENCES
Professional Reference #1
Name *
Contact Number: *
Relationship: *
Professional Reference #2
Name *
Contact Number: *
Relationship: *
Professional Reference #3
Name *
Contact Number: *
Relationship: *
SECURITY QUESTIONS
Are you authorized to work in the United States on an unrestricted basis? *
Are you under indictment or information in any court for a felony, or any other crime for which the judge could imprison you for more than one year? *
Have you ever been convicted in any court of a felony, or any other crime for which the judge could have imprisoned you for more than one year even if you received a shorter sentence including probation? *
Are you a fugitive from justice? *
Are you an unlawful user of, or addicted to, marijuana or any depressant, stimulant, narotic drug, or any other controlled substance? *
Have you ever been adjudicated as a mental defective OR have you ever been committed to a mental institution? *
Have you been discharged from the Armed Forces under dishonorable conditions? *
Are you subject to a court order restraining you from harassing, stalking, or threatening your child or an intimate partner or child of such partner? *
Have you ever been convicted in any court of a misdemeanor crime of domestic violence? *
Country of Citizenship *
Specify other country / countries citizenship *
Have you ever renounced your United States citizenship? *
Are you an alien illegally or unlawfully in the United States? *
AUTHORIZATION
By entering my name in the field below, I certify that the facts set forth in this Application for Employment are true and complete to the best of my knowledge. I understand that if I am employed, false statements, omissions, or misrepresentations may result in my dismissal. I authorized Bellevue Indoor Range to make an investigation of any of the facts set forth in this application and release the Bellevue Indoor Range from any liability. The employer may contact any listed references on this application.
I acknowledge and understand that Bellevue Indoor Range is an "at will" employer. Therefore, any employee (regular, temporary, or other type of category employee) may resign at any time, just as the employer may terminate the employment relationship with any employee at any time, with or without cause, with or without notice to the other party.
Signature *