Celebration Station - Clearwater, FL

Application For Employment

It is the company's practice to consider applicants for all positions without regard to race, color, sex, religion, national origin, age, disability, marital or veteran status, sexual orientation, or any other legally protected status, except where there is a bona fide occupational qualification.

* indicates required fields

Desired Work Location(s):
Click on desired locations. To
select multiple locations, hold
down the 'Ctrl' key while clicking.

Name*:

E-mail Address*:

Street Address*:

City*: State*:

Zip Code*:

Home Phone*:

Social Security #:

Have you previously worked for us?* Yes No

If yes, when & where:

Are you a U.S. Citizen?* Yes No

If no, are you legally eligible for employment in the U.S.? Yes No

In accordance to the Immigration Reform and Control Act, proof of your citizenship or immigration will be required upon employment.

JOB INTEREST

Positions
Applied
For:*

Click on postion(s) applying for. To select multiple
positions, hold down the 'Ctrl' key while clicking.

Pay Expected*:
Available to begin work on*:
Work Desired*: Full Time Part Time

EDUCATION

School Name & Address	Major Courses	Graduate?	Diploma/Degree
High School
		Yes No
College
		Yes No
Other
		Yes No

SKILLS

List any skills (typing, shorthand, machine operations, etc.) or special training which you feel would especially qualify you for the position(s) applied for:

PERSONAL REFERENCES

Name	Address	Phone Number

EMPLOYMENT HISTORY (LIST MOST RECENT OR LAST POSITION FIRST)

Company Name:

Phone Number:

Address:

Month and Year Employed (XX/XXXX):
From to

Name of Supervisor:

Starting Pay:
Ending Pay:

Job Title & Work Duties:

Reason For Leaving:

Company Name:

Phone Number:

Address:

Month and Year Employed (XX/XXXX):
From to

Name of Supervisor:

Starting Pay:
Ending Pay:

Job Title & Work Duties:

Reason For Leaving:

Company Name:

Phone Number:

Address:

Month and Year Employed (XX/XXXX):
From to

Name of Supervisor:

Starting Pay:
Ending Pay:

Job Title & Work Duties:

Reason For Leaving:

May we contact your current employer? Yes No

Please list any other names you have worked under:

Applicant's Agreement
By pressing the SUBMIT FORM 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.