Alamo Fireworks Operator Application

Applicant Information

First Name*	Last Name*
Middle Name	Date of Birth(mm/dd/yy)*
Drivers License No*	License State*
Social Security Number*	Email Address*

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Home Address*	City*
State*	Zip Code*
(Area Code) Phone*	How Long?*

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Previous Address*	City*
State*	Zip Code*
(Area Code) Phone*	From(mm/yy) To(mm/yy)

Applicant Employment Information

Employed By*	Employers Address
City	State
Zip Code	(Area Code) Phone*
How Long?*	Position or Job Title*

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Previous Employer*	Previous Employer Address
City*	State
Zip Code	Last Position There
From(mm/yy) To(mm/yy)

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Has a friend or relative ever worked for Alamo Fireworks?
Yes No If yes, whom?

Have you ever been in the fireworks business before?
Yes No If yes, when?

Do you own or rent your residence?
Own Rent

Name of mortgager or landlord	Mortgager/Landlord Address
City	State
Zip Code

Legal Information

IF A 'YES' ANSWER IS GIVEN TO EITHER OF THE NEXT TWO QUESTIONS, ATTACH A SEPARATE SHEET AND EXPLAIN. A 'YES' ANSWER DOES NOT AUTOMATICALLY DISQUALIFY YOU FROM THIS FUNDRAISING OPPORTUNITY.

Are there any unsatisfied judgements against you?
Yes No If yes, whom?

Have you been convicted of a felony or misdemeanor within the last 10 years?
Yes No If yes, please describe below?

EVERYTHING THAT I HAVE STATED IN THIS APPLICATION IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. IN PREPARING THIS APPLICATION FOR CREDIT, I UNDERSTAND A CONSUMER REPORT MAY BE MADE WHEREBY INFORMATION IS OBTAINED THROUGH CONSUMER REPORTING AGENCIES, INTERVIEWS WITH MY NEIGHBORS, FRIENDS OR OTHERS WITH WHOM I AM ACQUAINTED. THIS INQUIRY INCLUDES INFORMATION AS TO MY CHARACTER, GENERAL REPUTATION, PERSONAL CHARACTERISTICS AND MODE OF LIVING. I UNDERSTAND THAT I HAVE THE RIGHT TO MAKE A WRITTEN REQUEST WITHIN A REASONABLE PERIOD OF TIME TO RECEIVE ADDITIONAL DETAILED INFORMATION ABOUT THE NATURE AND SCOPE OF THIS CONSUMER REPORT.