FIRST NAME LAST NAME

CITYSTATE

PHONE E-MAIL

Family Camping Backpacking Boy Scout Canoeing Kayaking Hunting Fishing Hiking Other

Give details or explain other.

COLLEGE (Name, City, State)

What was/is your major?

Did you receive a degree? Yes or No

How many semesters/years did you attend?

What years did you attend?

Did you graduate? Yes or No If yes, what year?

What hours are you available? Monday through Saturday 9:00 a.m. to 6:00 p.m. (Full-time) Other (Part-time)

How many times last year did you do any of your hobbies? None Once 2-5 Times 5-10 Times More than 10 Times

This is a preliminary form, if you are called for an interview a more detailed application will be required.

Thank you for your interest in working at Hempstead Outdoor Store - TENT CITY.