Employment Application

Name

First

Last

Date of Birth

Position Applied For

Email

Phone

Address

Address Line 1

Address Line 2

City

State

Zip Code

Are you a citizen of the United States?

Yes
No

If no, are you authorized to work in the US?

Yes
No

Have you ever worked for Camp Horsin' Around?

Yes
No

If yes, when and in what role?

Have you ever been convicted of a felony?

Yes
No

If yes, please explain.

Education

High School

Last Date Attended

City, State

Did you graduate?

Yes
No
Still Attending

College

Last Date Attended

City, State

Did you graduate?

Yes
No
Still Attending

Other

Last Date Attended

City, State

Did you graduate?

Yes
No
Still Attending

Employment History

Employer

Job Title

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Date Employed From

Starting Salary

Current Employer?

Yes
No

Date Employed To

Ending Salary

If no, please share your reason for leaving.

Job Responsibilities

Supervisor

May we contact them for a reference?

Yes
No

Next Most Recent Job

Employer

Job Title

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Date Employed From

Starting Salary

Current Employer?

Yes
No

Date Employed To

Ending Salary

If no, please share your reason for leaving.

Job Responsibilities

Supervisor

May we contact them for a reference?

Yes
No

Next Most Recent Employer

Employer

Job Title

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Date Employed From

Starting Salary

Current Employer?

Yes
No

Date Employed To

Ending Salary

If no, please share your reason for leaving.

Supervisor

May we contact them for a reference?

Yes
No

References

Please list three professional/character references.

Name

Address

Address Line 1

Address Line 2

City

State

Zip Code

Relationship

Phone

Name

Address

Address Line 1

Address Line 2

City

State

Zip Code

Relationship

Phone

Name

Address

Address Line 1

Address Line 2

City

State

Zip Code

Relationship

Phone

Licenses/Certifications

Please list any licenses or certifications that you currently hold.

License/Certification

Expiration

ID Number

Military Service

Branch

Served From

Served To

Rank at Discharge

Was discharge honorable?

Yes
No

If no, please explain.

Disclaimer

I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may lead to my dismissal.

Yes
No

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Education

Employment History

Next Most Recent Job

Next Most Recent Employer

References

Licenses/Certifications

Military Service

Disclaimer

Our Facility

Address

Contacts