Xtreem Family Fun is an equal opportunity employer dedicated to a policy of nondiscrimination in employment upon any basis, including race, color, creed, religion, age, sex, national origin, ancestry, marital status, or the presence of any physical or mental condition or disability. In reading and answering the following questions, please keep in mind that these questions are not intended to imply any limitations, illegal preferences, or discrimination based upon any non-job related information.

    First Name




    Desired Salary

    18 Year Old

    Desired Employment

    Do You Have a Valid Drivers License?

    Legally Able to Work in USA?

    High School


    Previous Supervisor (Non-Relation)

    Previous Supervisor (Non-Relation)

    Name of Reference

    Company Name of Current or Previous Employer

    From Date:

    Company Name of Previous Employer

    From Date:

    Company Name of Previous Employer

    From Date:

    Emergency Contact

    Applicant's Signature


    I declare that the information provided by me on this application, or any other documents filled out in connection with my employment, is complete and true to the best of my knowledge. I understand that any misrepresentation or omission on this application may preclude an offer of employment or withdrawal of an employment offer or may result in my discharge from employment if I am already employed at the time the misrepresentation or omission is discovered. If employed by Xtreem Family Fun, Inc. and in consideration of my employment, I agree to abide by the rules and regulations of Xtreem Family Fun, Inc. and agree that my employment and compensation can be terminated at will, with or without cause, with or without notice, at any time, either at my option or at the option of Xtreem Family Fun, Inc.

    I authorize the investigation of all statements contained in this application. I also authorize the company to contact my present employer (unless otherwise noted in this application), past employers, and listed references and to provide information without limitations pertaining to my character, work history, background and qualifications. I waive any rights to privacy attached hereto. I release all parties and persons from any and all liability for any damages that may result from furnishing such information to Xtreem Family Fun, Inc. as well as from the use or disclosure of such information by Xtreem Family Fun, Inc. or any of its agents, associates, representatives or franchisor.

    As a condition of my employment, I agree to arbitrate any and all disputes with the company pursuant to an arbitration agreement to be presented to me by the company.

    I understand if selected for hire, it will be necessary for me to provide satisfactory evidence of my identity and legal authority to work in the United States. I understand that all employment is contingent upon successful drug and/or alcohol screening and criminal background checks. Failure to keep my appointment for the drug/alcohol screening will result in withdrawal of a job offer.