Employment Application

Employment Application Updated June 2018

  • APPLICATION INFORMATION

  • Please fill in the blank.
  • Summer Availability

    Please select the shifts that you would be available to work. Leave unchecked if you are not available.
  • School Year Availability (if different than summer)

    Please select the shifts that you would be available to work. Leave unchecked if you are not available.
  • EDUCATION

  • Military

  • Employment

  • Company NameCompany AddressPositionDatesSupervisor's NameSupervisor's PhoneMay we contact them? 
    Add a new row
    Please add up to 3 previous employers. Click the (+) sign to add a new employer.
  • REFERENCES

  • NamePhone NumberEmployer / Position 
    Add a new row
    Please add 3 non-family references. Click the (+) sign to add a new reference.
  • Terms

  • I certify that the information provided in this application is correct to the best of my knowledge. I understand that false information may be grounds for refusal to hire or termination of employment. I authorize any person or organization listed on this application to provide references regarding my previous employment and qualifications. In consideration for employment, I agree to abide by the rules and regulations of the company, which may be changed, withdrawn, added, or interpreted at any time , a the company's discretion, with or without prior notice to me. I acknowledge my employment may be terminated, or job offer withdrawn, at any time, with or without cause, and with or without prior notice. I acknowledge that I have been advised that this application will remain active for no more than 90 days from the date signed.
  • Please type your name.
  • This field is for validation purposes and should be left unchanged.