Thank you for your interest in Employment at PirateLand! To be considered for employment, please fill out the application below. You must complete in one sitting as you will not be able to save entries in this form. If any required questions do not apply to you please fill space in with NA. Be sure to click submit at the end!

Personal Information
Name *
Phone *
Answer NA if not under 18 years old
Are you eligible to work in the U.S.? *
Proof is required upon employment.
Do you have reliable means of transportation to work? *
Have you ever applied here before?
Have you ever been convicted of a felony? *
Schedule Availability
Date you can start? *
Date you can start?
Please check all days you are available to work *
Employment Type *
Please check all types you may be interested in
Education & Employment History
If applicable
Current Employer's address
Current Employer's address
Current Employer's phone
Current Employer's phone
May we contact your current employer?
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.
Reference #1 *
Reference #1
Provide the names and phone numbers of two persons unrelated to you that you have known for at least one year
Phone 1 *
Phone 1
Reference #2 *
Reference #2
Phone 2 *
Phone 2
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.”
Enter your name and date to acknowledge you have read and understand the statement above *
Enter your name and date to acknowledge you have read and understand the statement above
Today's date
Today's date