Job Application Form

JOB APPLICATION FORM
Instructions:Print this form and complete by typing or printing clearly in black or blue ink. Answer all of the questions and then FAX it to 859-0912, or mail it to Dolphin Aquatics, 129 Nick Fitcheard Rd. Huntsville, AL 35806 or call 859-3483 for an appointment.

NAME (Last, First, Middle) ___________________________________________________________________

ADDRESS (Number and Street, City, State, Zip Code) ___________________________________________________________________	PHONE NO. (___)______________

POSITION DESIRED Sales Associate:___ Swimming Instructor:___ SCUBA Instructor:___	Full-time ___	Part-time ___

ARE YOU A US CITIZEN OR CAN YOU PROVE THAT YOU ARE AUTHORIZED TO WORK IN THE UNITED STATES?	Yes___	No___

EDUCATION
	NAME AND ADDRESS OF SCHOOL	MAJOR	DEGREE/ DIPLOMA
High School	_____________________________ _____________________________ _____________________________	__________________________ __________________________ __________________________	_______________ _______________ _______________

College	_____________________________ _____________________________ _____________________________	__________________________ __________________________ __________________________	_______________ _______________ _______________

Trade, business, other	_____________________________ _____________________________ _____________________________	__________________________ __________________________ __________________________	_______________ _______________ _______________

SPECIAL SKILLS AND QUALIFICATIONS: List job-related licenses, skills, training, honors, awards, and special accomplishments

_________________________________________________________________________________________________

_________________________________________________________________________________________________

EMPLOYMENT HISTORY: (START WITH PRESENT OR LAST POSITION)
Employer: __________________________________________________
Address:___________________________________________________
Supervisor: _________________________________________________
Phone: _______________________________
Position Title: ______________________________
From: ______________ To: ______________
Duties:_________________________________________________________________________________ ______________________________________________________________________________________
Reason for leaving: ______________________________________________
**********************************************************************************************
Employer: __________________________________________________
Address:___________________________________________________
Supervisor: _________________________________________________
Phone: _______________________________
Position Title: ______________________________
From: ______________ To: ______________
Duties:_________________________________________________________________________________ ______________________________________________________________________________________
Reason for leaving: ______________________________________________
**********************************************************************************************
Employer: __________________________________________________
Address:___________________________________________________
Supervisor: _________________________________________________
Phone: _______________________________
Position Title: ______________________________
From: ______________ To: ______________
Duties:_________________________________________________________________________________ ______________________________________________________________________________________
Reason for leaving: ______________________________________________
**********************************************************************************************

MAY WE CONTACT YOUR PRESENT EMPLOYER? Yes _____ No _____

REFERENCES: (EXCLUDE RELATIVES AND FORMER EMPLOYERS)

	Name/Title	Address and Phone No.	Occupation
1.	_________________________ _________________________	_____________________ _____________________ _____________________	__________________
2.	_________________________ _________________________	_____________________ _____________________ _____________________	__________________
3.	_________________________ _________________________	_____________________ _____________________ _____________________	__________________

I CERTIFY THAT THE INFORMATION CONTAINED IN THIS APPLICATION IS TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE AND UNDERSTAND THAT ANY FALSE INFORMATION ON THIS APPLICATION MAY BE GROUNDS FOR NOT HIRING ME.

DATE________________SIGNATURE__________________________________________________________

EDUCATION