* Required fields

Personal Information

Name*

Address*

City*

State*

Zip Code*

Phone*

Social Security & Driver’s License Number (will be required at the time of employment)

Email*

Desired Position*
—Please choose an option—Guest ServicesTechnicianBoat RentalsMarina Worker

Are you a citizen of the United States?*
YesNo

Have you ever worked for this company?*
YesNo

Have you ever been convicted of a felony?*
YesNo

Education

High School*

Address*

Years attended*

Did you graduate?*
YesNo

Diploma

College

Address

Years attended

Did you graduate?
YesNo

Degree

Employment History

Please account for all employment within the last two (2) years, beginning with your current or more recent employer.

Company Name*

Company Address*

Company Telephone Number*

Dates Employed

From*

To*

Salary*

Job Title*

Hours and Days Worked*

Supervisor*

Is this your current employer?*
YesNo

May we contact this employer?*
YesNo

Specific Job Duties*

Reason for Leaving*

Company Name

Company Address

Company Telephone Number

Dates Employed

From

To

Salary

Job Title

Hours and Days Worked

Supervisor

Is this your current employer?
YesNo

May we contact this employer?
YesNo

Specific Job Duties

Reason for Leaving

Personal References

Please list at least two (2) persons NOT related to you who have known you for at least five (5) years.*
Include

• Name of Reference

• Address

• Telephone Number

Disclaimer and Signature

1. I certify that my answers are true and complete to the best of my knowledge.

2. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

3. I have typed my signature in the space provided below only after I have completed the entire application to the best of my ability and have carefully read the statements above.

Applicant’s Full Name*

Date*