MtGilead/Mid-Ohio KOA Holiday Job Application

Date of Application:*

Date

Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number*

Area CodePhone Number

Email*

example@example.com

Position Applying For:*

Date Available:*

Days Available:*

Hours Available:*

From/To

If you're under 18 yrs old, please state your birthdate:

DD/MM/YYYY

How were you referred?

SCHOOLING

High School Attended?

Name & location of school

Number of Years Attended:

Graduated?

YesNo

College Attended?

Name & location of college

Number of Years Attended:

Graduated?

YesNo

Graduate School?

Name & location of school

Number of Years Attended:

Graduated?

YesNo

Other Schooling?

Name & location of school

Number of Years Attended:

Graduated?

YesNo

EMPLOYMENT HISTORY

Use employment starting with your most recent position. Account for any time during this period that you were unemployed by stating the nature of your activities.

May we contact your current employer?*

YesNo

May we contact your previous employer(s)?*

YesNo

Dates currently employed:

From/To

Current Employer Name, Address & Phone Number:

Your Job Title:

Supervisor Name:

Dates Previously Employed:

From/To

Previous Employer Name, Address & Phone Number:

Your Job Title:

Supervisor Name:

Dates Previously Employed:

From/To

Previous Employer Name, Address & Phone Number:

Your Job Title:

Supervisor Name:

Dates Previously Employed:

From/To

Previous Employer Name, Address & Phone Number:

Your Job Title:

Supervisor Name:

REFERENCES

Do not list relatives. Plese indicate if you were employed under a different name.

Name, Address & Telephone Number of Reference #1:

Name, Address & Telephone Number of Reference #2:

Name, Address & Telephone Number of Reference #3:

STATEMENT OF APPLICATION

APPLICANT PLEASE READ CAREFULLY: Please answer all questions on this form to the best of your ability. Your qualifications will be carefully reviewed and you will be given thorough consideration for any suitable vacancies. A physical examination may be required for new employees.

By submitting this form electronically, you hereby affirm and declare that all the foregoing statements are true and correct, and that you have not knowingly withheld any fact that would, if disclosed, affect your application unfavorably. You authorize Wagon Wheen Campground (LLC) (Shelby/Mansfield KOA Resort) to conduct any investigation it deems nececessary on this application, and you agree that you will hold Wagon Wheel Campground (LLC) (Shelby/Mansfield KOA Resort) harmless for any result of the reference check. You understand that false statement on this application may be considered as sufficient cause for rejections of this application, or dismissal, if already employed by the Campground. Employment with Wagon Wheen Campground (LLC) (Shelby/Mansfield KOA Resort) is at will and can be terminated at any time.

Mt. Gilead/Mid Ohio KOA Holiday Job Application