Starting with the most recent, list up to three of your previous employers including the business name, address, the position you held, dates of employment, and wage or salary.
Authorization and Acknowledgement
By entering your name and date below and clicking "submit" you acknowledge the following:
I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal.
I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any other pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information. I consent to a background check and motor vehicle driving record check if applicable.
I also understand and agree that no representative of PirateLand has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by the General Manager.
This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws.”