Employment Application
Personal Information
Last Name: Click here to enter text.
First Name: Click here to enter text.
Address: Click here to enter text.
Contact: Click here to enter text.
Date
Home/Cellular
Email: Click here to enter text.
Position Desired : Click here to enter text.
ID Number: Click here to enter text.
Date Available: Click here to enter text.
Pay Desired: Awg. Click here to enter text.
Hourly
Currently Employed:
Yes
Monthly
No
Have you been employed by Casa del Mar in the past: Yes
If so, what was your position? Click here to enter text.
No
From:
(If applicable) Do you have a valid working permit? Yes
No
Have you ever been convicted of a crime?
Yes
No
Are you willing to do a drug test if requested?
Yes
Education
Name of School
Type of Education
No
Licenses and/or Certifications
To:
Years Attended
Grad. Yes/No
Date Issued
The position you are applying for may require flexibility and availability in working nights, weekends,
and on holidays. Are you willing to work on holidays and different shifts?
Yes
No
If not, please state below the hours you are available to work:
Click here to enter text.
Languages – Please indicate if poor, basic, good, or fluent:
Read
Write
Speak
Employer: Click here to enter text.
Employed from: Date
to: Date
Position: Click here to enter text.
Supervisor’s Name: Click here to enter text.
Starting salary: Awg. Click here to enter text.
Ending Salary: Awg. Click here to enter text.
English
Spanish
Dutch
Papiamento
Other:
Employment History
Reason for Leaving: Click here to enter text.
Employer: Click here to enter text.
Employed from: Date
to: Date
Position: Click here to enter text.
Supervisor’s Name: Click here to enter text.
Starting salary: Awg. Click here to enter text.
Ending Salary: Awg. Click here to enter text.
Reason for Leaving: Click here to enter text.
Employer: Click here to enter text.
Employed from: Date
to: Date
Position: Click here to enter text.
Supervisor’s Name: Click here to enter text.
Starting salary: Awg. Click here to enter text.
Ending Salary: Awg. Click here to enter text.
Reason for Leaving: Click here to enter text.
I declare all statements in this application are true, correct, and complete. I understand that false
information may be cause for dismissal.
Name:
Date:
Please send this form via email at [email protected]. You may also attach your CV
and certifications.