Bloomsdale Fun Farm Employment Application

Bloomsdale Fun Farm Employment Application

Please PRINT this form and bring it to our Open Interview!
Full Name*

First NameMiddle NameLast Name
Email Address*
example@example.com
Phone Number*
Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of Birth (MM/DD/YYYY):*
Last School Attended:
Current Year in School (If Applicable):
What Clubs, Organizations, or Sports are you involved in? (If Applicable):
Have you had a family or friends who have worked for Bloomsdale Fun Farm or Fischer Kiddie Rides in the past?*

YesNo
Please select all options that best describe you:*

ReliableAnalyticalPatientKindHonestReservedBubblyQuietHard workingLife of the party
Availability:

There will be weekday (support/prep staff) and weekend shifts(all daytime hours). All employees are expected to work 1-2 shifts the first three weeks and 2-4 shifts in the final four weeks including Halloween weekend! Our 2023 Season runs from September 23rd-October 29th. Be prepared to stay later than posted times as well. We will honor a late start on Sundays if needed to attend church. Let us know what you can work out of the following:
Let us know what you can work out of the following. Select all that apply: *

Weekday support/prep time and date flexibleSaturday's 9:00am - 6:30pmSaturday's 12:00 pm-6pmSaturdays 11:00am-4:00pmSunday's 9:00am - 6:30pmSunday's 12:00 pm-6pmSundays 11:00am-4:00pm
What number of hours are you interested in per week? *
Do you have any type of permanent work restrictions? Please Explain.*
References (If Applicable): List 3 references with their contact information, including their name, organization, phone number, and position. By providing such, you are giving us permission to contact them for verification.
Past Work Experience-list your most recent 3 (If Applicable):

1.
- Employer (Name of company)
- Supervisor Name and Contact (phone and email) First Name Last Name Area Code Phone Number Email
- Position/Job Duties
- Date Employed Date
- Date Employment Ended Date
- Reason for leaving
2.
- Employer (Name of company)
- Supervisor Name and Contact (phone and email) First Name Last Name Area Code Phone Number Email
- Position/Job Duties
- Date Employed Date
- Date Employment Ended Date
- Reason for leaving
3.
- Employer (Name of company)
- Supervisor Name and Contact (phone and email) First Name Last Name Area Code Phone Number Email
- Position/Job Duties
- Date Employed Date
- Date Employment Ended Date
- Reason for leaving
Emergency Instructions
In case of Emergency please list who your contact should be. If under 18 yo, must be a parent or guardian.

Name:   First Name*   Last Name*
Relationship:   *
Phone Number:   Area Code*   Phone Number*
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 and, as may be necessary, to arrive at an employment decision. In the event of employment, I understand I must abide by all rules and regulations of Bloomsdale Fun Farm including but not limited to: abiding by the owner’s manuals of all equipment to be operated and following all operating instructions.

I hereby acknowledge that any employment relationship with this company is of an 'at will' nature, which means that the employee may resign at any time and the employer may discharge the employee at any time with or without cause. It is further understood that the 'at will' employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of the company.

I acknowledge that I have been notified that my employment by Bloomsdale Fun Farm is for a specific temporary seasonal period as determined by Bloomsdale Fun Farm. As such, I am performing employment as a Seasonal Employee for a Seasonal Employer and my employment is limited to the ending date of the Seasonal Period. Thus, my employment as a Seasonal Employee will deny me Unemployment Compensation.

As an employee of Bloomsdale Fun Farm I hereby authorize said company to request and authorize background checks of any sort to be released to Bloomsdale Fun Farm. This includes but is not limited to the Missouri State Police ID department, background checks, sexual offender checks and periodic drug tests. Once hired I will fill out all necessary state and federal forms for tax and payroll purposes.

IN THE EVENT OF EMPLOYMENT, I UNDERSTAND THAT FALSE OR MISLEADING INFORMATION GIVEN IN MY APPLICATION OR INTERVIEW(S) MAY RESULT IN DISCHARGE. I UNDERSTAND, ALSO, THAT I AM REQUIRED TO ABIDE BY ALL THE RULES AND REGULATIONS OF THE COMPANY, WHETHER STATED IN THIS APPLICATION, THE CURRENT HANDBOOK, OTHER DEPARTMENTAL HANDBOOKS, MEMOS, OR ANY APPLICABLE EMPLOYMENT AGREEMENT. NON-CONFORMANCE TO ANY OF THESE REQUIREMENTS CAN BE CAUSE FOR PENALTIES INCLUDING BUT NOT LIMITED TO IMMEDIATE DISCHARGE.
Signature*

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Date*

MonthDayYear
Date
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