Hoosier Hills Marina Application for Employment

Hoosier Hills Marina Application for Employment
10306 East Lick Fork Marina, Celestine, IN 47521

rebecca@hoosierhillsmarina.com

Questions? 812-678-3313
Name*

First NameMiddle InitialLast Name
Application Date:*

MonthDayYear
Date
Date of Birth:*

MonthDayYear
Date
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone:*
Format: (000) 000-0000.
Email:*
example@example.com
If you are under 18 years of age, can you provide a work permit?

YesNo
Do you have a valid driver's license?*

YesNo
Do you have reliable transportation?*

YesNo
Have you ever worked for this company before?*

YesNo
If yes, When?
Are you legally allowed to work in the United States?*

YesNo
Position Applying for:
Title:*
Employment Type*

Full TimePart Time
Desired Salary:*
Referred by:
Date Available:*

MonthDayYear
Date
Can you work weekends and Holidays?*

YesNo
How many Hours per week could you work?*
Do you have an Indiana Servers License?*

YesNo
Do you have travel plans between May 1 and September 5? If so, please explain and list dates:
Education:

Do you have an Indiana Alcohol Server’s Permit?*

YesNo
Do you have an Serv-Safe Certification?*

YesNo
Other training, Certification, or licenses held:
Summarize any special skills or qualifications (computer skills, mechanical skills, etc.)*
Active Military Status National Guard or Reserve:*

YESNO
Rank at Discharge:
Type of Discharge:

References:
Give names and phone numbers of three persons not related to you, whom you have known for at least one year.
Name:*

First NameLast Name
Phone Number:*
Format: (000) 000-0000.
Affiliation:*
Name:*

First NameLast Name
Phone Number:*
Format: (000) 000-0000.
Affiliation:*
Name:*

First NameLast Name
Phone Number:*
Format: (000) 000-0000.
Affiliation:*
Record of Conviction:
During the last 10 years, have you ever been convicted of a crime other than minor traffic offenses?*

YesNo
If yes, explain:
(A conviction will not necessarily automatically disqualify you for employment. Rather, such factors as age and date of conviction, seriousness, and nature of the crime, and rehabilitation will be considered).
Acknowledgement and Authorization:*

I certify that all answers given herein are true and complete to the best of my knowledge.I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge.In consideration of my employment, I agree to adhere to all existing & future instructions, rules & policies.
Signature*
Date:*

MonthDayYear
Date
Should be Empty: