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First Name (required)

Last Name

Middle Initial

Phone Number

Address:
Street:
City:
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Zip:

Emai:

I am:

Have you ever been convicted, pleaded no contest, or had adjudication withheld on a felony?

If yes please explain:

Have you ever filed an application with us before?

If yes, when?

Have you ever employed by us before?

If yes, when?

Department

Level of education:

Employment Experience:
Employer's Name:
Date From:
Date To:
Immediate Supervisor (Name and Telephone):
Your Position:
Reason for leaveing:

Employer's Name:
Date From:
Date To:
Immediate Supervisor (Name and Telephone):
Your Position:
Reason for leaveing:

Employer's Name:
Date From:
Date To:
Immediate Supervisor (Name and Telephone):
Your Position:
Reason for leaveing:

References
Reference One
Name:
Phone Number with area code:
Occupation:
Years Known:

Reference Two
Name:
Phone Number with area code:
Occupation:
Years Known:

Reference Three
Name:
Phone Number with area code:
Occupation:
Years Known:

How did you learn about employment opporunities at The Beach?
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Referred By (include first and last name):

Availability:

Date you can start:

Certifications:

Certifications Number (State ID):



I certify that all facts on this employment application are true and complete. I understand that any false statements on this application shall be considered sufficient cause for the rejection of this application and/or dismissal from employment. I understand that this application is not a promise or contract for employment. If employed, by signing below, I agree to comply with present and future policies and regulations of Adventure Landing. I also understand and agree that my duties and assignments may change from time to time during my employment at Adventure Landing. I understand that if I am employed by Adventure Landing my employment will be for an indefinite period and may be terminated by myself or the employer at any time, with or without notice and with or without cause, except as limited by any applicable collective bargaining agreement or written contract. I authorize all schools, persons, previous employers, and other organizations named in this employment application to provide Adventure Landing, its authorized employees, agents, or representatives with any relevant information that may be required to arrive at an employment decision. I release any such schools, persons, employers, and organizations, from any liability, which they might otherwise incur to me as a result.
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