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Application
Application
Matt Jones
2022-01-20T12:41:18-06:00
Application for Employment at El Campo Lost Lagoon
"
*
" indicates required fields
Name
*
First
Middle Initial
Last
Address
*
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Phone
*
Email
*
Scheduling is sent via email
Date of Birth
*
MM slash DD slash YYYY
I have reliable transportation to and from work?
*
Yes
No
I am legally eligible for employment in the U.S.?
*
Yes
No
I am over 18 years old?
*
Yes
No
Do you have a Texas Food Handlers Certificate?
*
Yes
No
Do you have a TABC Server Certificate?
*
Yes
No
Are you First Aird/CPR/AED Certified?
*
Yes
No
Have you been convicted or plead no contest to a felony in the last 5 years?
*
Yes
No
If yes, please describe the crime - state the nature of the crime(s), when and where convicted, and the disposition (final statement) of the case.
*
Are you willing to submit to a drug/alcohol screening/background check?
*
Yes
No
Position and Availability
Position(s) Applying For
*
Desired Wage
*
Date Available
*
Type of Employment
*
Regular Part-Time Work
Regular Full-Time Work
Temporary Work (***Summer, Seasonal or Special Events)
***If applying for Temporary Work, indicate your desired length of employment and availability (start & end date) for employment
*
Days Available
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Hours Available (From - To)
*
***To schedule dates off, you must notify the office by the 3rd Thursday of the month.
Are you available to work overtime, holidays and/or special events?
*
Yes
No
Are you able to perform the essential functions of the job for which you are applying, either with or without reasonable accommodation?
*
Yes
No
If no, describe the function that cannot be performed
*
Education, Training and Experience
High School
High School
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Number of Years Completed
Did you graduate?
Yes
No
GPA
College
College
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Number of Years Completed
Did you graduate?
Yes
No
Degree(s) earned
Vocational School
Vocational School
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Number of Years Completed
Did you graduate?
Yes
No
Diploma Earned
Military Branch
Rank
Total Years of Service
Skills and Qualifications
What languages do your read and write fluently? (Please list each separately)
*
Licenses, Skills, Training, Awards or Special Talents
*
Computers, software an other equipment you are qualified to operate or repair
*
Professional Licenses, Certifications or Registrations
*
Employment/Experience History
Please detail each position for the past 5 years, starting with your most recent employer and account for any gaps in employment during that period (if needed email additional information to info@eclostlagoon.com)
Are you currently employed?
*
Yes
No
May we contact your present employer?
*
Yes
No
Company
Address
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Supervisor's Name
Supervisor's Phone
Length of employment/dates (From-To)
Salary/Pay Rate
Position held, duties performed, promotions
Reason for leaving
May we contact this employer for references?
Yes
No
Company
Address
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Supervisor's Name
Supervisor's Phone
Length of employment/dates (From-To)
Salary/Pay Rate
Position held, duties performed, promotions
Reason for leaving
May we contact this employer for references?
Yes
No
Company
Address
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Supervisor's Name
Supervisor's Phone
Length of employment/dates (From-To)
Salary/Pay Rate
Position held, duties performed, promotions
Reason for laving
May we contact this employer for references?
Yes
No
References
Please include name, phone number and relationship of your acquaintance. (Exclude relatives and former employers)
Reference #1
*
Reference #2
*
Disclaimer
*
I understand and agree to the information below.
I certify that all answers and statements on this application are true and complete to the best of my knowledge. I understand that should this application contain any false or misleading information, my application may be rejected or my employment with this company could be terminated. As part of procedure for processing employment applications, personal and employment references may be checked. I authorize any person, organization or company listed on this application to furnish you any and all information concerning my previous employment, education and qualifications for employment. I also authorize you to request and receive such information. In consideration for my employment, I agree to abide by the rules and regulations of the company, which rules may be changed, withdrawn, added or interpreted at any time, at the company's sole option and without prior notice to me. If necessary for employment, you will be required to supply your driver's license, social security card or other proof of authorization to work in the United States.
Typed Name Indicating Signature
*
Date
*
MM slash DD slash YYYY
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