Employee Application

PERSONAL INFORMATION
First Name*
Middle Initial
Last Name*
Date of Birth
Gender
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 Contact Phone Number
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 Contact Phone Number
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 Contact Phone Number
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
State names of relatives and friends working for us:
OTHER INFORMATION
Resume

Acceptable File Type(s): .doc, .pdf, .jpg
Max Upload Size: 32MB
Memberships in Professional or Civil Organizations
(Exclude those which may disclose your race, religion or national origin)
Organizations
First Aid/Lifesaving
First aid/CPR
Lifeguard Certification Pool
Lifeguard Certification Waterfront
SCUBA Certification
SCUBA Certification