Name *

Please enter first name, middle initial, and last name.

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Are you eligible to work in the US? ()

Proof is required upon employment

Yes

No

Do you have reliable means of transportation to work? *

Yes

No

Have you applied to work at Pirateland Campground previously?

Yes

No

Have you ever been convicted of a felony?

Yes

No

Available start date

MM

DD

YYYY

What days are you available to work?

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Employment Type

Full Time

Part Time

Seasonal

Current employers phone

(###)

###

####

May we contact your current employer?

Yes

No

Todays Date

MM

DD

YYYY

Acknowledgment *

By clicking "I understand" 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.”

I understand