Personal Information:
First Name: Middle Initial: Last Name:
Social Security Number: (Submit at Interview)
Address:
City: State: Zip Code:
Phone Number: xxx-xxx-xxxx
Email

1. Are you 16 years old or older? yes no - If no, how old:

2. Are you at least 18 years of age? yes no

3. Are you eligible for employment in the United States? yes no
4. Have you ever worked at Adventure Landing before? yes no
- If yes, why did you leave?
5. Have you ever been convicted of a crime other than a minor traffic violation? yes no
- If yes, explain?
6. Postition applying for: - P/T - F/T - Seasonal
7. Desired pay: - Salary - Hourly - Available Start Date:
8. How did you learn about this position?
Hours available to work:

Monday: From: To:
Tuesday: From: To:
Wednesday: From: To:
Thursday: From: To:
Friday: From: To:
Saturday: From: To:
Sunday: From: To:
Holidays: From: To:
9. Can you work holidays? yes no
 
Personal References:
Company Name: Phone Number:
Address:
Starting Date: Starting Salary: Starting Position:
Ending Date: Ending Salary: Ending Position:
Name and Title of Supervisor:
Description of Duties:
Reasons for Leaving:
   
Company Name: Phone Number:
Address:
Starting Date: Starting Salary: Starting Position:
Ending Date: Ending Salary: Ending Position:
Name and Title of Supervisor:
Description of Duties:
Reasons for Leaving:
 
Educational Background:
Name of School and Location:
Years Attended:
Topics Studied:
Date of Graduation: