Pacific Raceways Application For Employment
  • Equal access to programs, services and employment is available to all persons
  • Information provided on this application is required to determine your qualifications for employment
  • Information provided will be used solely by Pacific Raceways management
  • Information provided will not be distributed or disseminated to any other organization or individual without the express written permission of the applicant
Personal Information
Name: Age:   Primary Position Applying For:
Street Address: City: State: ZIP Code:
Home Phone: Cell Phone: Email:
Are you legally eligible for employment in the United States? Yes No
Do you currently hold a valid drivers license? Yes No State
Have you ever been convicted of a felony? Yes No If Yes, provide date(s)
Date available for work: Desired salary range:
Type of employment desired: Full-Time Part-Time Seasonal

Employment History - Starting with your most recent employer, provide the following information
From: To: Employer: Phone:
Job Title: Supervisor:
Street Address: City: State: ZIP Code:
Reason for leaving: May we contact this employer? Yes No


From: To: Employer: Phone:
Job Title: Supervisor:
Street Address: City: State: ZIP Code:
Reason for leaving: May we contact this employer? Yes No
From: To: Employer: Phone:
Job Title: Supervisor:
Street Address: City: State: ZIP Code:
Reason for leaving: May we contact this employer? Yes No

Skills And Qualifications
Summarize any training, skills, licenses and/or certificates that you possess that would qualify you as being able to perform job-related functions in positions at Pacific Raceways.

Educational Background - Job Related Only
School: Years Completed:
Course Of Study:
City and State: GED Diploma Degree


School: Years Completed:
Course Of Study:
City and State: GED Diploma Degree

School: Years Completed:
Course Of Study:
City and State: GED Diploma Degree

Personal References
Name: Relationship: Phone: Years Known:
Name: Relationship: Phone: Years Known:
Name: Relationship: Phone: Years Known:
Name: Relationship: Phone: Years Known: