Employment – Shaver Lake Power Center

Applicant Information

First Name*

M.I.*

Last Name*

Date*

Address*

Apt. #*

City*

State*

Zip*

Home Phone

Cell Phone*

Email*

Date Available*

Soc. Sec. #*

Desired Salary*

Position Applied For*

Do You Have A Driver's License?*

Yes

No

Do You Have Experience With Boats or Jet Skis?*

Yes

No

If You Have Experience With Boats or Jet Skis - Please Explain.

Education

High School

High School Address

From

To

Did You Graduate

Yes

No

Diploma

College

College Address

Started College

Finished College

Did You Graduate College

Yes

No

College Diploma

Other Education (Technical School, Military, Apprentice Program)

Other Education Address

Started Other Education

Finished Other Education

Did You Graduate Other Education

Yes

No

Other Education Diploma

References

First Reference Name

First Reference Relationship

First Reference Company

First Reference Phone

First Reference Address

Second Reference Name

Second Reference Relationship

Second Reference Company

Second Reference Phone

Second Reference Address

Third Reference Name

Third Reference Relationship

Third Reference Company

Third Reference Phone

Third Reference Address

Previous Employment

First Company Name

First Company Phone

First Company Address

First Company Supervisor

First Company Job Title

First Company Starting Salary

First Company Ending Salary

First Company Job Responsibilities

Started First Job

Left First Job

First Job Reason for Leaving

May We Contact Your First Job Supervisor for a Reference?

Yes

No

Second Company Name

Second Company Phone

Second Company Address

Second Company Supervisor

Second Company Job Title

Second Company Starting Salary

Second Company Ending Salary

Second Company Job Responsibilities

Started Second Job

Left Second Job

Second Job Reason for Leaving

May We Contact Your Second Job Supervisor for a Reference?

Yes

No

Third Company Name

Third Company Phone

Third Company Address

Third Company Supervisor

Third Company Job Title

Third Company Starting Salary

Third Company Ending Salary

Third Company Job Responsibilities

Started Third Job

Left Third Job

Third Job Reason for Leaving

May We Contact Your Third Job Supervisor for a Reference?

Yes

No

Disclaimer and Signature

I certify that my answers are true and complete to the best of my knowledge.

If this application leads to my employment, I understand that false or misleading information in my application or interview may result in my release.

Signature

Job Application