subject_line
Online Application
General Information
First Name
*
Last Name
*
Address 1
*
Address 2
City
*
State
*
Postal Code
*
Phone
*
Email Address
*
Referral Source Name
*
Are you related to an Aquidneck Island Day Camp employee? If yes, please specify name of employee.
Have you ever worked here before?
Yes
No
From (MM/YYYY)
To (MM/YYYY)
Position Desired
Type of Employment Desired
Full Time
Part Time
Fill In
Days Available
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Are you under 18?
*
Yes
No
Do you have a valid driver's license?
*
Yes
No
Have you had your driver’s license for at least 2 years?
*
Yes
No
Have you ever had any license, permit or privilege to operate a motor vehicle denied, revoked or suspended?
*
Yes
No
If yes, please explain.
Have you ever been involved in an accident during the past 3 years?
*
Yes
No
If yes, please explain.
Have you ever been convicted of violations of motor vehicle laws or ordinances (other than parking) in the last 3 years?
*
Yes
No
If yes, please explain.
Employment History
Account for all the time over the last 10 years, start with present/most recent employer first.
Employer 1
Address
Phone
From (MM/YYYY)
To (MM/YYYY)
Position
Salary
Supervisor/Manager
Reason for Leaving
Employer 2
Address
Phone
From (MM/YYYY)
To (MM/YYYY)
Position
Salary
Supervisor/Manager
Reason for Leaving
Employer 3
Address
Phone
From (MM/YYYY)
To (MM/YYYY)
Position
Salary
Supervisor/Manager
Reason for Leaving
Employer 4
Address
Phone
From (MM/YYYY)
To (MM/YYYY)
Position
Salary
Supervisor/Manager
Reason for Leaving
Education
High School Diploma?
*
Yes
No
College Degree?
*
Yes
No
College Degree/Type?
*
School
*
Graduate Degree?
*
Yes
No
Graduate Degree/Type?
*
School
*
Certifications
Armed Services
Branch of Service
Active Duty Dates
Rank at Discharge
Date of Discharge
References
Reference 1
Name
Title
Phone
Email Address
Reference 2
Name
Title
Phone
Email Address
Additional Skills
List any additional skills that you would like to mention.
Please submit a copy of your resume.
I understand and agree that Aquidneck Island Day Camp will complete a criminal conviction and driving record check as a part of the selection process for employment, and that all employment offers will be contingent on the results of this background investigation. I understand and agree that, if hired, my employment is for no definite period and may, regardless of the date of payment of my wages and salary, be terminated at any time without any prior notice.
The information provided in this Application for Employment is true, correct, and complete. If employed, any misstatement or omission of fact on this application may result in my dismissal.
I understand that acceptance of an offer of employment does not create a contractual obligation upon the employer to continue to employ me in the future. If you decide to engage an investigative consumer reporting agency to report on my credit history or personal history, I authorize you to do so. If a report is obtained you must provide, at my request, the name and address of the agency so I may obtain from them the nature and substance of the information contained in the report.
I authorize Aquidneck Island Day Camp to contact any or all of my former employers or any of the references I supplied, for the purpose of verifying any information, whether favorable or unfavorable, about me or my employment with any former employer, except as noted below.
Signature:
*
Date
*
Notes
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