Bingham Cyclery Employment Application

Name *
Phone *
Address *
Date of Birth *
Date of Birth
If you are under 18, can you furnish a work permit?
Are you legally eligible for employment in this country *
Proof of U.S. citizenship or immigration status will be required upon employment.)
Have you ever been convicted of a felony in the last seven (7) years? *
Such conviction may be relevant if job related, but does not bar you from employment.
Position(s) Applying For *
Please check the position(s) you are interested and qualified for.
Type of Employment Desired *
Please select all that apply.
Ogden, Salt Lake, Sandy, Sunset
Schedule Prefereces
Available Start Date *
Available Start Date
How many hours per week are you available to work? *
Select the times of day you are available. *
Select the days of the week you are available/willing to work. *
Do you have plans to take more than five consecutive days off in a row from March 1st - August 31st? *
Personal History
Have you been employed by Bingham Cyclery before? *
Have you ever worked in a bicycle shop before? *

Thank you for your interest in joining our team! In order for your application to be complete, you must email a current resume and list of three references to