Service Center Application

Service Center Application

Mechanic Position
Name*

First NameLast Name
Birthdate*

MonthDayYear
Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Do you have a valid driver's licenses?*

YesNo
Do you know anyone that is currently employed by Jayhawk Marina?
If yes, please list their first & last name.
Do you have mechanical experience and/or certifications? *

If hired, do you have reliable transportation to and from work?*

YesNo
If hired, what would your desired hourly wage be?*
If hired, what if the first date you would be available to start?*

MonthDayYear

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*

Past Employment Information (List most recent first)*

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.