Desired Work Location(s)
[ Choose One ]
Clearwater FL
Name *
E-mail Address *
Street Address *
City *
State *
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Armed forces Africa \ Canada \ Europe \ Middle East
Armed forces America (except Canada)
Armed forces Pacific
Zip Code *
Home Phone *
Have you previously worked for us? *
If yes, when & where
Are you a U.S. Citizen? *
Positions Applied For *
[ Choose One ]
Cashier
Party Host or Hostess
Kitchen Attendant
Game Coach and Prize Station Attendant
Go-Kart & Bumper Boat Attendant
Management
Maintenance
Sales
Pay Expected *
Available to begin work on *
Work Desired *
Education
High School Name and Address
High School Major Courses
Graduate?
High School Diploma/Degree
College Name and Address
College Major Courses
Graduate?
College Diploma/Degree
Other School Name and Address
Other School Major Courses
Graduate?
Other School Diploma/Degree
Skills
List any skills (typing, shorthand, machine operations, etc.) or special training which you feel would especially qualify you for the position(s) *
Personal References
Name
Address
Phone Number
Name
Address
Phone Number
Name
Address
Phone Number
Employment History
Company Name
Phone Number
Address
In years and months, how long were you employed?
Name of Supervisor
Starting Pay
Ending Pay
Job Title & Work Duties
Reason for Leaving
Company Name
Phone Number
Address
In years and months, how long were you employed?
Name of Supervisor
Starting Pay
Ending Pay
Job Title & Work Duties
Reason for Leaving
Company Name
Phone Number
Address
In years and months, how long were you employed?
Name of Supervisor
Starting Pay
Ending Pay
Job Title & Work Duties
Reason for Leaving
May we contact your current employer
Please list any other names you have worked under
Employment History
By pressing the SUBMIT button, I certify that all the statement made in this application are true and complete to the best of my knowledge. I understand that, if employed, any false or misleading information, or factual omissions shall be considered grounds for dismissal. I authorize past employers, and any other persons to give you any and all information concerning my previous employment and any pertinent information they may have, personal and otherwise, and release all parties from all liabilities for any damage that may result from furnishing same to you. Further I understand and acknowledge that any employment relationship with this organization is of an "at will" nature, which means that I may resign at any time and you may discharge me at any time without cause.
