Employment Application Form
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
What is your date of birth?
*
-
Month
-
Day
Year
Do you have a valid driver's license?
*
Yes
No
Have you previously been employed by Jayhawk Marina?
*
Yes
No
Do you know anyone that is currently employed by Jayhawk Marina?
*
Yes
No
Have you ever been convicted of a felony?
*
Yes
No
Are you a citizen of the United States?
*
Yes
No
Other
If hired, would you have reliable transportation?
*
Yes
No
Do you have boating experience? If yes how many years?
*
Do you have any retail experience? If yes how many years?
*
Back
Next
What position are you applying for?
*
(Seasonal, Mechanic, Maintenance, or Marina Management)
What is your desired hourly wage?
What is the first available date you are able to start?
*
-
Month
-
Day
Year
Date
Are you willing to work weekends and holidays if needed?
*
Yes
No
Education Information
Rows
Name & Location of School
Course of Study
Did you graduate?
Certificate or Degree Earned
High School
College
Post-Graduate
Business/Trade Technical
Business References
Rows
Name of Reference
Title & Company
Phone Number
1
2
3
Past Employment Information (List most recent first)
Rows
Company Name
Phone
Address
Dates Employed
Job Title
Supervisor Name
Starting Pay
Ending Pay
Reason for Leaving
Can we contact this employer?
1
Yes
No
2
Yes
No
3
Yes
No
4
Yes
No
5
Yes
No
Back
Next
Please read the following information carefully, initial each paragraph, and sign below.
*
Rows
Initial
I hereby certify that I have not withheld or misstated any material facts that might adversely affect my application for employment and that the answers given by me are true and correct. I further certify that I, the undersigned applicant, have personally completed this application. I understand that any omission or misstatement of material fact on this application or any document used to secure employment shall be grounds for rejection of this application, or for immediate discharge if I am employed, regardless of the time elapsed before discovery.
I hereby authorize the Company to thoroughly investigate my references, work record, education, and other matters related to my suitability for employment, and further, I authorize my former employers listed in this application to speak to officials of and disclose to the Company any and all letters, reports, and other information related to my work records, without giving me prior notice of such disclosure. I authorize disclosure of this information in compliance with and in waiver of my rights under applicable privacy legislation.
I understand that some positions at the Company require criminal background checks and that a criminal conviction is not an automatic disqualification for hire. I understand that I will be notified and will provide additional written authorization in the case a criminal background check is required for a position that I may hold.
Signature
*
Date
*
-
Month
-
Day
Year
Date
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