Employment Application

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Application for Employment
ARE YOU CAPABLE OF PROVIDING OUTSTANDING CUSTOMER SERVICE?*

YesNo
DO YOU LIKE TO SMILE & ARE YOU GENERALLY A PLEASANT PERSON?*

YesNo
ARE YOU WILLING TO WORK WEEKENDS, EVENINGS & HOLIDAYS?*

YesNo
Marina @ Rowena has positions in the Marina and the Restaurant. Please select one:*
Which Position Interests You?*

Clerk - MarinaDock Hand - MarinaHousekeeping - MarinaCook - RestaurantServer/Bartender - RestaurantAssistant Manager - Marina
Full Legal Name*

Last NameFirst NameMiddle Name/Maiden
Phone Number*

Area CodePhone Number
E-mail*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Check one *

I am looking for Full time workI am Looking for Part time work
What Hours Are You Available? - check all that apply*

DaysNightsWeekendsI'm available for Overtime Hours
Are you on layoff & subject to recall?*

YesNo
Have you ever received Workers Compensation or disability benefits from an employer?*

YesNo
Do You Smoke?*

YesNo
Can You Swim?*

YesNo
Do You Have Reliable Transportation?*

YesNo
I am a U.S. Citizen or am authorized to work in the U.S. on an unrestricted basis:*

YesNo
Have you ever been convicted of a felony? (This does not automatically exclude you from employment )*

YesNo
If Yes, Please Explain
Drug Use/Abuse*

NeverFormerOccasionalAddicted
Are you willing to take a drug test?*

YesNo
Have You Applied Here Before?*

YesNo
If Yes, When?

MonthDayYear
Date
Please List friends or relatives currently working for Marina @ Rowena or do you have friends or relatives working with another business owned by Tony Sloan? *
Education History
High School
High School Name*
High School City, State*
Years Attended*
Graduated *

YesNo
GED*

YesNo
College/Trade School
School Name
Years Attended
Focus of Study
Graduated

YesNo
Degree Earned or Certified Specialty
Other Education
Please List Any Other Education or Certifications:
Employment History
Most Recent Employer
Most Recent Employer Name*
Dates Employed

Date Started Date Ended

Dates worked for
Salary *
Type of work perfomed*
Reason for Leaving*
Phone Number*

Area CodePhone Number
Supervisors Name and Position *
May We Contact?*

YesNo
Second Most Recent Employer
Second Most Recent Employer Name*
Dates Employed

Date Started Date Ended

Dates worked for
Salary *
Type of work performed*
Reason for Leaving*
Phone Number*

Area CodePhone Number
Supervisors Name and Position *
May We Contact?*

YesNo
Third Most Recent Employer
Third Most Recent Employer Name*
Dates Employed

Date Started Date Ended

Dates worked for
Salary *
Type of work performed*
Reason for Leaving*
Phone Number*

Area CodePhone Number
Supervisors Name and Position *
May We Contact?*

YesNo
Military Service Record
Branch of Service
Dates of Service
At this point in the application you are free to tell us what makes you the perfect candidate for Marina Rowena. Please include your qualifications for the position:*
Do you have any physical or other conditions which may limit your ability to perform the job for which you have applied? IF yes, also please explain:*
References

Please provide two references of people you have known at least 1 year and who are not related to you:
1. Name*
Years Known*
Phone Number*

Area CodePhone Number
2. Name*
Years Known*
Phone Number*

Area CodePhone Number
Feel Free to upload your Resume

Upload a File

Cancelof
Emergency Contact
Name*

First NameLast Name
Relationship*
Phone Number*

Area CodePhone Number
By submitting this Employment Application, I hereby certify that the information contained herein is complete and true to the best of my ability. I further understand that any information that has been misrepresented misconstrued or falsified in any manner may be grounds for my immediate and unconditional dismissal. I aso understand employment with Marina @ Rowena/Tony Sloan is by need only and that there is no contractual obligation by myself or Marina @ Rowena / Tony Sloan to continue my employment further than that as needed basis.

I also certify that I have read the position description for the job I am seeking and agree that I am willing and able to comply with each of the requirements.
Date*

MonthDayYear
Date
Should be Empty:

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Education History

High School

College/Trade School

Other Education

Employment History

Most Recent Employer

Second Most Recent Employer

Third Most Recent Employer

Military Service Record

References

Emergency Contact