Employment Joyland Employment Application First Name*Last Name*Social Security #*Email* Phone*Street Address*Address Line 2City*State*Zipcode*Employment DetailsPosition Applying For*Select PositionSecurityBartenderWait StaffOtherSpecify Other Position Applying forAre you employed now?*YesNoMay we contact your employer?*YesNoHave you previously applied to Joyland?*YesNoHave you previously worked at Joyland?*YesNoReason for leaving JoylandWhere did you learn about Joyland's job opening?EducationHigh School Name*Did you receive a High School Diploma/GED?*YesNoYear graduated High School*Did you attend College?*YesNoCollege Name*College Years Attended*College subjects studied / Degree*College Degree Received?*YesNoDid you attend Trade, Business or Correspondence School?*YesNoTrade School Name*Years attended Trade School*Trade School subjects studied*Did you graduate Trade School?*YesNoMilitary ServiceHave you every served in the U.S. Armed Forces?*YesNoBranch of Service*Discharge Date*Rank*Employment HistoryName of Present or Last Employer*Employer Phone*Employer Address*Starting Date* Date Format: MM slash DD slash YYYY Leaving Date* Date Format: MM slash DD slash YYYY Job Title*May we contact your supervisor?*YesNoName of Supervisor*Supervisor's Title*Supervisor's PhoneDescription of Work*Preferred position, special experience, availability, etc.Reason for Leaving*Previous Employer (Employer 2)Employer 2 NameEmployer 2 PhoneEmployer 2 AddressEmployer 2 Starting Date Date Format: MM slash DD slash YYYY Employer 2 Leaving Date Date Format: MM slash DD slash YYYY Employer 2 Job TitleMay we contact your Employer 2 supervisor?YesNoEmployer 2 Supervisor's NameEmployer 2 Supervisor's TitleEmployer 2 Supervisor's PhoneEmployer 2 Description of WorkPreferred position, special experience, availability, etc.Employer 2 Reason for LeavingPrevious Employer (Employer 3)Employer 3 NameEmployer 3 PhoneEmployer 3 AddressEmployer 3 Starting Date Date Format: MM slash DD slash YYYY Employer 3 Leaving Date Date Format: MM slash DD slash YYYY Employer 3 Job TitleMay we contact your Employer 3 supervisor?YesNoEmployer 3 Supervisor's NameEmployer 3 Supervisor's TitleEmployer 3 Supervisor's PhoneEmployer 3 Description of WorkPreferred position, special experience, availability, etc.Employer 3 Reason for LeavingReferencesReference 1 Name*Reference 1 Phone*Reference 1 Address*Reference 1 Occupation*Reference 2Reference 2 Name*Reference 2 Phone*Reference 2 Address*Reference 2 Occupation*Reference 3Reference 3 NameReference 3 PhoneReference 3 AddressReference 3 OccupationSpecial Purpose QuestionsThe information disclosed will not be used to discriminate against the applicant during the hiring process for any reason relating to race, color, sex, religious affiliation, national origin, gender or disability.Are you Bi-Lingual?*YesNoBesides English, what languages do you speak fluently?*Have you been convicted of a felony within the last 5 years?*YesNoDescribe the felony conviction*This question is being asked because the job for which you are applying is considered a "security-sensitive" job, requiring a very high level of trust, such as any position in which the employee handles currency, has access to a job-related computer, has access to a master key, or works in an area which has been designated as a security-sensitive area. Answering yes to this question will not constitute an automatic rejection of employment. If your record was expunged, sealed or set aside, you may answer "no" to the above question.Consent and AuthorizationAuthorization and Consent* I agree to the employment authorization terms and disclaimersI certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employment, falsified statements on this application shall be grounds for dismissal. I authorize investigations 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 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 also understand and agree that no representative of the company 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 and authorized company representative. I understand consumer credit report or criminal records check may be necessary prior to my employment. If such reports are required, I understand that, in compliance with federal law, the Company will provide me with a written notice regarding the use of these reports and will also obtain a separate written authorization from me to consent to these reports. I also understand that a poor credit history or conviction will not automatically result in disqualification from employment. 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 and other relevant federal and state laws. In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire.Physical Examination, Drug Test* I AgreeI understand and agree that, in the event that I am offered a job, I may be required to take physical examinations and/or drug tests as a condition of hiring or continued employment. I agree to consent to such tests at such time as designated by the Company and to release the Company and any directors, officers, agents or employees form any claim arising in connection with the use of such tests, excluding claims related to privacy violations and/or protections guaranteed under applicable federal and state laws.Signature*By typing my name, I am agreeing that my electronic signature is an electronic indication of a my intent to agree to the content of this application. Like my handwritten signature, my electronic signature is a legal concept capturing my intent to be bound by the terms of the signed document in accordance with federal law under the ESIGN Act.
