Virginia Beach Fishing Center Application for Employment

What position would you be interested in applying for:

I am interested in the Parking Lot Attendant Position (minimum of 15 years old)

I am interested in the Dockhand Position (minimum of 16 years old)

I am interested in the Store Associate (minimum of 16 years old)

Applicant Data

Name (First, Middle Initial, Last):

Home Address:
        City:          State:     Zip:

Home Number:      Cell Phone Number:

Social Security Number: Pay Requirements:

Are you under 18 years old? Yes
                                             No

Do you have a reliable source of transportation to and from work? Yes   No

Have you ever worked for this company before? Yes      No
If yes, when?

Are you a citizen of the United States Yes    No
If not, are you legally allowed to work in the United States? Yes    No

Have you ever pleaded guilty, no contest or been convicted of a crime? Yes No
If yes, please give dates and details:

Answering yes to these questions does not constitute an automatic rejection for employment, Date of the offense, seriousness and nature of the violation, rehabilitation and position applied for will be considered.

Work History
List the most recent job first:

Are you currently employed? Yes   No

Dates of Employment: From To:
Position(s) Held:
Company Name:
Address: City:   State:    Zip:
Phone:   Supervisor: Title:

Starting Salary/Pay:     Ending Salary/Pay:
Reason for Leaving:

May we contact this employer for a reference? Yes  No

**************************

Dates of Employment: From To: 
Position(s) Held:
Company Name:
Address: City:   State:    Zip:
Phone:   Supervisor: Title:

Starting Salary/Pay:     Ending Salary/Pay:
Reason for Leaving:

May we contact this employer for a reference? Yes  No

School History

College
(please skip this step if it does not apply)

Name of School:
City: State:

Highest level of college completed?  Still in school
                                                        Associates
                                                        Bachelors
                                                        Masters

High School

Name of School:
City: State:

Did you graduate? Yes   No
If no, do you have your GED? Yes  No

Subjects studied, or special skills:

References:

1. Name:     Phone Number:
   Relationship to them:    Years known:
    

2. Name:     Phone Number:
   Relationship to them:    Years known:
    

3. Name:     Phone Number:
   Relationship to them:    Years known:

I certify that my answers are true and complete to the best of my knowledge. I authorize you to make such investigations and inquiries of my personal , employment, educational, financial and other related matters as may be necessary for an employment decision. I hereby release employers, schools or individuals from all liability when responding to inquiries in connection with my application.

In the event I am employed, I understand that false or misleading information given in my application or interview may result in discharge.

By submitting this form I agree to all terms. Initial here to agree