Employee Application

PERSONAL INFORMATION
First Name*
Middle Initial
Last Name*
Date of Birth
Gender
Social Security Number
Address 1*
Address 2
City
State*
Zip*
Phone*
Alternative Phone
Email*
Referred By
Are you 18 years or older?
Are you a citizen of the United States?*
If no, are you authorized to work in the U.S.?
Have you been convicted of a crime in the past 10 years, excluding misdemeanors & summary offenses?*
If yes, explain conviction
EMPLOYMENT AVAILABILITY
Position Desired*
Date You Can Start
Desired Salary
Availability
Are you employed now?
If so, may we contact employer?
Can you work weekends & holidays?
Do you have your own transportation?
If no transportation, explain
Ever applied to Gulfarium?
For what position?
Applied for position when?
EDUCATION HISTORY
High School Name
High School Location
Years Attended High School
Did You Graduate High School?
High School Subjects Studied
College Name
College Location
Years Attended College
Did You Graduate College?
Trade or Other School Name
Trade or Other School Location
Years Attended Trade or Other School
Trade or Other School Years Attended
FORMER EMPLOYERS
Employer 1 Name
Employer 1 Dates
From
To
Employer 1 Address
Employer 1 Contact Person
Employer 1 Salary
Employer 1 Position
Employer 1 Reason For Leaving
Employer 2 Name
Employer 2 Dates
From
To
Employer 2 Address
Employer 2 Contact Person
Employer 2 Salary
Employer 2 Position
Employer 2 Reason For Leaving
Employer 3 Name
Employer 3 Dates
From
To
Employer 3 Address
Employer 3 Contact Person
Employer 3 Salary
Employer 3 Position
Employer 3 Reason For Leaving
GENERAL INFORMATION
What special training or skills do you have that would help you obtain your desired position?
Special Skills
U.S. Military or Naval Service
Rank
REFERENCES
Reference 1 Name
Reference 1 Address
Reference 1 Phone
Reference 1 Occupation
Reference 1 Number Of Years Known
Reference 2 Name
Reference 2 Address
Reference 2 Phone
Reference 2 Occupation
Reference 2 Number Of Years Known
OTHER INFORMATION
Memberships in Professional or Civil Organizations
(Exclude those which may disclose your race, religion or national origin)
Organizations
State names of relatives and friends working for us:
SKILLS, CERTIFICATIONS, AND WORK EXPERIENCE
Animal Husbandry
Zoo Animal Tech/Aquarium Tech Certificate
Aqua Cultural Science Certificate
Aquarium Keeping/Aqua Cultural Experience
First Aid/Lifesaving
First aid/CPR
Lifeguard Certification Pool
Lifeguard Certification Waterfront
Food Service
Food Prep
Grounds-keeping/Maintenance
Certificate in horticultural or agri-science
HVAC certification or experience
Additional Grounds-keeping/Maintenance
Office/Clerical
Office/Clerical
Professional (please specify certifying organization or institution) AS/BA/BS/MA/MS in any of the following:
Marine science or other related fields (please specify if other)
Aqua Cultural Science
Horticultural Science
Public Relations
Florida Teaching Certificate
(please specify specialization)
Public Relations
Public Relations
Retail/Customer Service
Resume

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