Seasonal Employment Application

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Thank you for your interest in working at Wolfe's Neck Center! Please note that we receive hundreds of applications and cannot respond to every candidate. As such, we will contact you if we are interested in your application.

Thank you again!

Applicant Info

Your First Name

Your Last Name

Date - Format (mm/dd/yyyy)

Present Address

City

State

Zip Code

Email Address

Preferred Phone

Cell Phone - Format (207) 555-5555

Home Phone

Work Phone

Permanent Address (If different from present address)

Will you be 18 years old by your starting date?

Are you either a U.S. citizen or an alien authorized to work in the U.S.?

Do you have a valid drivers license?

Have you ever worked or attended school under another name? If so, under what name?

Have you ever been convicted of a crime?*

If yes, give details, including date(s):

*A "yes" answer will not automatically disqualify you from employment. We will consider the nature and date of the offense and the job for which you are applying for job-related purposes only, and only to the extent permitted by applicable law.

Position Desired

Earliest date available

Final date to end employment

Please select the job(s) you are most interested in applying for:

Do you prefer full-time or part-time?

If part-time, hours per week desired

Hours you are available to work

Days of the week you are available to work

Are you able to work*

Are you available to work overtime?

*if required for the position for which you're applying

Have you previously worked for this organization? If so, from ___ to ___

Reason for leaving

Former supervisor(s) at this organization:

How did you learn about this opening?

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Education

Name of High School, City, and State

Are you currently a high school student?

Did you graduate high school?

Name of College/University, City, and State

Did you graduate college/university?

Course of Study

What experience and skills do you have that would qualify you to work in this position at Wolfe's Neck Center?

What specifically interests you about the position(s) you are applying for?

Military Experience

Have you served in the military?

Branch of Service

Dates Served - Format (mm/dd/yyyy)

Rank at Discharge

Education and Training

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Employment History

Please list your 3 most recent jobs.

Job #1

Employer

Employer Address

Position Held

Supervisor

Supervisor's Phone Number

Supervisor's Email Address

May we contact this employer about your work?

Job Duties

Start Date

End Date

Format (mm/dd/yyyy) Format (mm/dd/yyyy)

Reason for Leaving

Starting Hourly Pay

Final Hourly Pay

Employment History

Job #2

Employer

Employer Address

Position Held

Supervisor

Supervisor's Phone Number

Supervisor's Email Address

May we contact this employer about your work?

Job Duties

Start Date

End Date

Format (mm/dd/yyyy) Format (mm/dd/yyyy)

Reason for Leaving

Starting Hourly Pay

Final Hourly Pay

Employment History

Job #3

Employer

Employer Address

Position Held

Supervisor

Supervisor's Phone Number

Supervisor's Email Address

May we contact this employer about your work?

Job Duties

Start Date

End Date

Format (mm/dd/yyyy) Format (mm/dd/yyyy)

Reason for Leaving

Starting Hourly Pay

Final Hourly Pay

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References

Name

Occupation

Relationship

How long have you known this person?

Phone Number

Email Address

Mailing Address

References

Name

Occupation

Relationship

How long have you known this person?

Phone Number

Email Address

Mailing Address

References

Name

Occupation

Relationship

How long have you known this person?

Phone Number

Email Address

Mailing Address

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Supporting Documents

If you would like to submit a cover letter, resume, additional references, or any other supporting documents you may upload these here.

Upload Attachment 1

Upload Attachment 2

Upload Attachment 3

Upload Attachment 4

Authorization and Acknowledgments

I certify that the facts contained in this application are true and complete to the best of my knowledge. I understand that if I am employed, any false statements on this application may be grounds for dismissal.

I authorize investigation of all statements contained in this application. I also grant permission to contact all references listed above, and authorize them to release all information concerning my previous employment and any other pertinent information these references might have, personal or otherwise. I release all parties from all liability for any damage that may result from furnishing this information to Wolfe's Neck Center.

I understand and agree that, if hired, my employment is for no definite period and may be terminated at any time and without prior notice.

Applicant Signature (Please type name here)

Date - Format (mm/dd/yyyy)

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