First Name: *
Last Name: *
Email Address: *
Present Address, City, State, Zip:
Permanent Address, City, State, Zip:
Cell or Permanent Phone (with Area Code): *
Citizen of United States?: *
Authorized to work in the United States?: *
Last you can work this season? (MMDDYY): *
Date you can start? (MMDDYY): *
18 years of age or older?: *
Are you employed now?:
Ever convicted of a felony?:
May we contact present employer?:
If convicted, please explain:
What do you enjoy doing in your spare time?
High School: Name and Location:
Graduate from high school?
Year you graduated from High School:
Colleges Attended: Name and Location:
Did you graduate from college?:
Employer 1(most recent):
Address, City, State, Zip of Employer 1:
Job Title at Employer 1:
Supervisor at Employer 1:
Telephone at Employer 1:
Work Performed at Employer 1:
Starting Salary/Hourly Rate at Employer 1:
Final Salary/Hourly Rate at Employer 1:
Reason for Leaving Employer 1:
Dates Employed at Employer 1: (From/To)
Employer 2:
Address, City, State, Zip of Employer 2:
Job Title at Employer 2:
Supervisor at Employer 2:
Telephone at Employer 2:
Work Performed at Employer 2:
Starting Salary/Hourly Rate at Employer 2:
Final Salary/Hourly Rate at Employer 2:
Reason for Leaving Employer 2:
Dates Employed at Employer 2 (From/To):
Job Title at Employer 3:
Employer 3:
Address, City, State, Zip of Employer 3:
Supervisor at Employer 3:
Telephone at Employer 3:
Work Performed at Employer 3:
Starting Salary/Hourly Rate at Employer 3:
Final Salary/Hourly Rate at Employer 3:
Reason for Leaving Employer 3:
Dates Employed at Employer 3 (From/To):
Which of these jobs did you like the most and why?
Name of Reference 1 (not relative or former employer):
Address, City, State, Zip of Reference 1
Telephone of Reference 1:
Years Acquainted with Reference 1:
Name of Reference 2 (not a relative or former employer):
Address, City, State, Zip of Reference 2:
Telephone of Reference 2:
Years Acquainted with Reference 2:
Name of Reference 3:
Address, City, State, Zip of Reference 3:
Telephone of Reference 3:
Years Acquainted with Reference 3:
Upon submitting this application, I represent that all of the information now or hereafter given by me in support of my application is true and complete. I understand and agree that any falsification, misrepresentation or omission of fact either on this application or during the pre-hire process will be reason for (1) my not being offered employment or (2) dismissal at any time from the service of the Wings of Mackinac. If employed. I authorize you to verify any of the information concerning my employment, education, credit or medical history with the appropriate individuals, companies, institutions or agencies, and I authorize them to release such information as you require, including my prior disciplinary employment record, without any obligation to give me written notice of such disclosure. I hereby release you and them from any liability whatsoever as a result of any such inquiries and disclosures.
I agree that either party may terminate the employment relationship, with or without cause, at any time, and I further agree that this arrangement may only be altered in writing directed to me personally and signed by the General Manager of the Wings of Mackinac. I agree that I shall be bound by the other rules, policies, regulations and terms and conditions of employment of the Wings of Mackinac as they are from time to time changed, and no additional obligations can be imposed on the Wings of Mackinac except those which have been acknowledged in writing, by the General Manager or his/her designated representative.
Do you consent to the above? *
Yes
No
Last Date You Can Work:
