Employment Application

Please submit this simple contact form and we will contact you with our full application process.

    ABOUT YOU

    Your Name

    Address

    Telephone

    Best time to call

    Emergency Contact Name

    Your Email (required)

    GENERAL

    Position

    Date you can start

    Times Available:

    Monday

    Tuesday

    Wednesday

    Thursday

    Friday

    Saturday

    Sunday

    Specify any hours or days you cannot or will not work

    Upon request can you provide proof that you are authorized to work in the United States?

    Are you over 18 years of age?

    Have you ever worked for us?

    If so, when and where

    Have you ever applied to work with us before?

    If so, when and where

    How were you referred to us?

    List any friends, acquaintances, and relatives working at Little Whale and their relationship to you

    Education

    High School or GED

    Graduated?

    Post-Secondary School

    Post-Secondary School Graduated?

    Additional Education

    Type of degree/diploma/certificate

    Major/Subjects studied

    Other

    Employment History

    (List below the last three employers starting with the most recent first. For all dates, include Month and Year.)

    Employer

    Employer Address

    Employer Phone

    Date Started

    Date Ended

    Position

    If currently employed, may we contact your present employer?

    Brief description of your responsibilities

    Reason for leaving

    What did you like most about this job


    Employer

    Employer Address

    Employer Phone

    Date Started

    Date Ended

    Position

    If currently employed, may we contact your present employer?

    Brief description of your responsibilities

    Reason for leaving

    What did you like most about this job


    Employer

    Employer Address

    Employer Phone

    Date Started

    Date Ended

    Position

    If currently employed, may we contact your present employer?

    Brief description of your responsibilities

    Reason for leaving

    What did you like most about this job

    Add Another Employer


    Other Relevant Background

    Specify any special training relevant to the job applied for

    Specify any special skills relevant to the job applied for

    Essential Requirements of the Position

    The essential requirements of the job are as follows:

    • Able to work in 90-degree water for up to 4 hours.

    • Able to lift up to 50 lbs. This includes moving equipment and physically assisting students in and out of the water.

    • Able to work in a humid (degree ranges from 75-90) and noisy environment.

    • Able to climb in and out of the pool.

    The essential requirements of the job for which you are applying are specified on the attached job description. Can you perform the listed essential requirements with or without reasonable accommodation?

    (Note: We comply with the ADA and state law and consider reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions.)

    Work / Volunteer References

    Give the names of three persons not related to you whom you have known at least one year and who can give information about your work qualifications.

    Reference Name

    Reference Address

    Reference Phone

    Reference Occupation

    Years Known

    How Known


    Give the names of three persons not related to you whom you have known at least one year and who can give information about your work qualifications.

    Reference Name

    Reference Address

    Reference Phone

    Reference Occupation

    Years Known

    How Known


    Give the names of three persons not related to you whom you have known at least one year and who can give information about your work qualifications.

    Reference Name

    Reference Address

    Reference Phone

    Reference Occupation

    Years Known

    How Known


    Other

    Besides the crime of possession of less than an ounce of Marijuana for personal use more than two years ago, Have you ever plead guilty to, "no contest" to, or been convicted of any crime? (Misdemeanor automobile moving violations are included within this question.)

    Describe the nature of the crime(s), when, and where convicted and disposition of the case

    (A conviction will not necessarily disqualify an applicant for the job applied for. The nature of the offense, the date of the offense, the surrounding circumstances and the relevance of the offense to the position(s) applied for will be considered. You may exclude any conviction where the record was judicially ordered sealed, expunged or statutorily eradicated, and any misdemeanor for which probation was successfully completed or otherwise discharged and the case has been judicially dismissed.)
    Have you ever committed a crime?

    Describe

    Are you currently under arrest pending trial?

    If yes, describe how it will affect your availability for work, if at all

    Have you ever stolen property or money from a former employer?

    Describe

    Have you ever damaged a former employer's property?

    Describe

    Do you carry a weapon on your person?

    If yes, do you have a permit to carry the weapon?

    Please Tell Us About Yourself

    (Write a summary of yourself. Include any experiences that you have had with children, babysitting, volunteering, siblings, etc.)