All fields are mandatory
Your name
Address
City
State & Zip
Your e-mail address
Your phone number
Your Social Security Number
Area(s) Interested in working?
Mouse over each job area for a short description.
Descriptions are NOT full job responsibilities, just highlights. All positions listed have more responsibilities.
Life Guard Lake Staff EMT
Food Service
Sky Challenge Airfill Attendant Front Office Maintenance Gate Attendant Retail Janitorial Summer Camp Group Sales Marketing Internship
How did you hear about us?
How may we contact you?
If you are under 18, can you furnish a work permit?
Have you applied to work here before?
Have you ever worked for Dutch Springs in the past?
Are you legally eligible for employment in this country?
First day you are able to start working?
Last day you are able to work?
Are you currently laid off and subject to recall?
Have you ever been bonded?
Have you been convicted of a felony in the last seven (7) years?
Work & Volunteer History Starting with your current or most previous experience, fill in the fields.
Employer
Telephone
Address
Job Title
Supervisor's name and title
Reason for Leaving
May we contact for reference?
Dates employed
From
Hourly Rate
Summarize the nature of the work performed and job responsibilities
Employer
Telephone
Address
Job Title
Supervisor's name and title
Reason for Leaving
May we contact for reference?
Dates employed
From
Hourly Rate
Summarize the nature of the work performed and job responsibilities
Employer
Telephone
Address
Job Title
Supervisor's name and title
Reason for Leaving
May we contact for reference?
Dates employed
From
Hourly Rate
Summarize the nature of the work performed and job responsibilities
Employer
Telephone
Address
Job Title
Supervisor's name and title
Reason for Leaving
May we contact for reference?
Dates employed
From
Hourly Rate
Summarize the nature of the work performed and job responsibilities
Educational Background
School
Highest Grade Completed
Degree/Diploma/Concentration
GPA/Class Rank
Major
Minor
School
Highest Grade Completed
Degree/Diploma/Concentration
GPA/Class Rank
Major
Minor
List any foreign languages and check the box that best describes your aptitude.
Language
Aptitude
Language
Aptitude
Certifications:
If applying for Lake Staff, please indicate certification level:
If applying for Lake Staff, do you have Liability Insurance?
If applying for Lake Staff, is your liability insurance through a Dive Shop or your own personal?
References:
Name
Telephone
Years Known
Capacity Known
Name
Telephone
Years Known
Capacity Known
Name
Telephone
Years Known
Capacity Known
List professional, trade, civic, academic or other associations and any offices held. Exclude memberships that would reveal sex, race, religion, national origin, age, disability or other protected status.
Organization
Offices Held
Organization
Offices Held
Organization
Offices Held
List special accomplishments, publications, awards. Exclude memberships that would reveal sex, race, religion, national origin, age, disability or other protected status.
Special Accomplishment
List any additional information you would like us to consider:
PLEASE READ It is understood and agreed upon that any misrepresentation by me in this online application will be sufficient cause for cancellation of this application and/or separation from the employer's service if I have been employed.
I give the Employer (Dutch Springs) the right to investigate all references and secure additional information about me, if job related. I hereby release from liability the Employer (Dutch Springs) and its representatives for seeking such information and all persons, corporations, or organizations for furnishing such information.
The Employer (Dutch Springs) is an Equal Opportunity Employer. Dutch Springs does not discriminate in employment and no question on this application is used for the purpose of limiting or excusing any applicant's consideration for employment on a basis prohibited by local, state or federal law.
This application is current for only 60 days. At the conclusion of this time if I have not heard from Dutch Springs and still wish to be considered for employment, it will be necessary to complete this application once again.
I understand that just as I am free to resign at any time, Dutch Springs reserves the right to terminate my employment at any time, with or without prior notice. I understand that no representative of Dutch Springs has the authority to make any assurances to the contrary.
Electronic Signature (Type full name)
Date
