Wild Island Application – Fill Out and Use

APPLICATION FOR

EMPLOYMENT

First Name:	Last Name:
Mailing
Address:
City:	State:	Zip Code:
Phone No.:	Alt. Phone No.:
E-Mail Address:		Birth date (if under 18):
		/	/
Are you 21 years old or older (Check only if applying for Bartender or Cocktail Server)? Yes				No

Are you able to submit verification of your legal right to work in the United States and verification of

your age (see attached list)?	Yes	No
Have you ever been convicted of a felony?		Yes	No
If Yes, please explain:
Have you been employed previously by Wild Island? Yes				No

If yes, please answer the following questions:

Dates of employment: _________________ Department?						Supervisor?
Are you available to work:	Full-time		Part-time		Both
Are you available to work weekends?		Yes	No
Are you available to work holidays?		Yes	No
What is your availability for work?

Use line 1 to circle day(s) available to work. Use line 2 to specify hours available to work on days circled (if hours are limited).

1	SAT.	SUN.	MON.	TUE.	WED.	THUR.	FRI.
2

Do you require specific dates/time off after hire date? Please list:

EDUCATION

INTERESTS/ACCOMPLISHMENTS

List your interests, special abilities, awards, and honors received:

EMPLOYMENT DESIRED

Please mark 1st choice with a 1, 2nd with a 2, and 3rd with a 3.

EMPLOYMENT HISTORY

Please list your previous employers beginning with the most recent one first. Include all employers from the last ten years. You may add additional pages if necessary.

From	Employer	Title	Job Duties
To	Address	Supervisor
Wage	City, State, Zip	Phone Number	Reason For Leaving
From	Employer	Title	Job Duties
To	Address	Supervisor
Wage	City, State, Zip	Phone Number	Reason For Leaving

I certify that all statements given on this application are correct, and I realize that falsification or misrepresentation of this or any other personnel record may result in refusal to hire or dismissal whenever discovered. I understand that, if hired, my employment will be at will and may be terminated by me or Wild Island at any time with or without cause. If hired, I agree to abide to the all the rules and regulations as set forth in the Wild Island Employee Handbook and any addendums, and I acknowledge that the Wild Island Employee Handbook may be changed or withdrawn by Wild Island at any time without prior notice. I agree to the right of Wild Island to inspect, at its discretion, any company-operated quarters, rooms, or lockers provided for employees. I also acknowledge, as a condition of employment, that belongings of employees, including their automobiles, may from time to time be searched by authorized representatives of the Wild Island’s security force. Also in the event of employment and in consideration thereof, Wild Island and any person or concern it may authorize, shall be entitled, without further consent, to copyright, sell or use in any manner, any photograph of me or recording of my voice, without further compensation. Wild Island is an equal opportunity employer and does not discriminate in employment opportunities or practices because of race, color, religion, sex, sexual orientation, national origin, age, or disability.

Date:________________ Applicant Signature: