Andy Alligator’s Fun Park
An Equal Opportunity Employer
Employment Application
Applicant Information
Full Name: _______________________________________________________________ Date: __________________
Last
First
M.I.
Address: ________________________________________________________________________________________
Street
Apartment/Unit #
________________________________________________________________________________________
City
State
Zip Code
Phone: __(____)________________________________________ Email Address: _____________________________
Date Available to Start: __________________
YES
NO
Are you a citizen of the United States?
NO
YES
NO
If no, are you authorized to work in the U.S.?
YES
NO
YES
NO
YES
NO
Have you ever been convicted of a felony?
If yes, explain: ____________________________________________
Were you referred by a current employee?
Are you over the age of 16?
YES
Can you provide transportation to and from work?
If Yes, who?
____________________________________________
Are you over the age of 18?
YES
NO
Availability
Please write the times you are available underneath the corresponding day.
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
*It is the responsibility of the employee to update the scheduling manager as to changes in availability
Education
Name and Location of School
Areas of Specialization
Year Graduated
High School
College/Tech
School
Please list any awards, clubs, scholastic achievements, and extra-curricular activities:
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
Do you have any specialized certificates or certifications that can aid in your position:
_______________________________________________________________________________________
_______________________________________________________________________________________
Position Applied for
Position Preference: _______________________________________________________________________
Employment History
Company Name #1: ____________________________________ Phone: __(
)__________________________
Address: _____________________________________________ Supervisor: ______________________________
Job Title: ________________________________ Starting Pay Rate: ____________ Ending Pay Rate: __________
Responsibilities: _______________________________________________________________________________
From: ___________ To: ______________ Reason for Leaving: __________________________________________
Company Name #2: ____________________________________ Phone: __(
)__________________________
Address: _____________________________________________ Supervisor: ______________________________
Job Title: ________________________________ Starting Pay Rate: ____________ Ending Pay Rate: __________
Responsibilities: _______________________________________________________________________________
From: ___________ To: ______________ Reason for Leaving: __________________________________________
May we contact your previous employers?
YES
NO
References
Please list two professional references other than family members that you have known longer then one year.
Name: ________________________________ Relationship: ___________________ Phone: _________________
Name: ________________________________ Relationship: ___________________ Phone: _________________
References
PLEASE READ BEFORE SIGNING
“I certify that the facts contained in this application are true and complete to the best of my knowledge and
understand that, if employed, falsified statements on the application shall be grounds for dismissal.
I authorize investigation of all statements concerning my previous employment and any pertinent information
they may have, personal or otherwise, and release the company from all liability for any damage that may result
from utilization of such information.
I also understand and agree that no representatives of the company has any authority to enter into any
agreement for employment for any specified amount of time, or to make agreement contrary to the foregoing,
unless it is in writing and signed by an authorized company representative.”
Signature: ______________________________________________ Date: ________________________________
Do Not Write Below this Line
Interviewed By: _________________________________ Date Interviewed: _________________________________
Hired:_________
Not Hired: __________
Position:__________________________ Pay Rate: ____________
Comments:
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________