Employee Application

PERSONAL INFORMATION
First Name
Required

Middle Initial

Last Name
Required

Date of Birth

Gender
Male:
Female:

Social Security Number

Address 1
Required

Address 2

City

State
Required

Zip
Required

Phone
Required

Alternative Phone

Email
Required

Referred By

Are you 18 years or older?
yes:
no:

Are you a citizen of the United States?
Required
yes:
no:

If no, are you authorized to work in the U.S.?
yes:
no:

Have you been convicted of a crime in the past 10 years, excluding misdemeanors & summary offenses?
Required
yes:
no:

If yes, explain conviction

EMPLOYMENT AVAILABILITY
Position Desired
Required

Date You Can Start

Desired Salary

Availability
Full-time

Part-time


Are you employed now?
yes:
no:

If so, may we contact employer?
yes:
no:

Can you work weekends & holidays?
yes:
no:

Do you have your own transportation?
yes:
no:

If no transportation, explain

Ever applied to Gulfarium?
yes:
no:

For what position?

Applied for position when?

EDUCATION HISTORY
High School Name

High School Location

Years Attended High School

Did You Graduate High School?
yes:
no:

High School Subjects Studied

College Name

College Location

Years Attended College

Did You Graduate College?
yes:
no:

Trade or Other School Name

Trade or Other School Location

Years Attended Trade or Other School

Trade or Other School Years Attended

Did You Graduate Trade or Other School
yes:
no:

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
yes:
no:

Grounds-keeping/Maintenance
Certificate in horticultural or agri-science

HVAC certification or experience

Additional Grounds-keeping/Maintenance
Horticulture/landscaping experience

Electrical

Plumbing


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
Public Speaking

PR Experience

Events Organization/Management


Retail/Customer Service
Resume

Acceptable File Type(s): .doc, .docx, .pdf
Max Upload Size: 32MB

SCUBA Certification
SCUBA Certification
PADI

NAUI

TDI

SSI

SDI

WASI/NASE

YMCA


COVER LETTER & RESUME
Cover Letter
Required

Acceptable File Type(s): .doc, .docx, .pdf
Max Upload Size: 32MB

Resume
Required

Acceptable File Type(s): .doc, .docx, .pdf
Max Upload Size: 32MB

FINAL CONFIRMATION
I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.
Accuracy Confirmation
Required
yes:
no:

Security Code
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