Employment

Your Name (required)

Your Email (required)

Street:

City:  

State:

Zip Code:

Summer Address if different than permanent

Phone: (required)

Over 18?  Yes No

Position you are applying for:(required)

Special qualifications related to the position:

Do you have any scheduled obligations/commitments we need to know about? (vacations/sports camp/etc.) If yes, please explain::

Are you willing to work holidays?  Yes No

Please indicate any days you are NOT available to work:
 Mon Tues Wed Thurs Fri Sat Sun

Date Available to Start:

Last Date Available to work:

References and/or people/relatives who have worked at Bay Village in the past:

Emergency Contact Information:

Name:

Relationship:

Phone:

EMPLOYMENT HISTORY

May we contact your current and/or previous employers?  Yes No

Name and address of most recent or current employer:

Supervisor:

Phone Number:

Start Date:

Leaving Date:

Description of work performed:

Reason for leaving:

Name and address of 2nd most recent employer:

Supervisor:

Phone Number:

Start Date:

Leaving Date:

Description of work performed:

Reason for leaving:

Education
High School attended:

Year Graduated:

College attended:

Year Graduated:

Other School:

Year Graduated:

Additional message / information: