Cooperstown Dreams Park Application For Seasonal Employment

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DATE _____/_____/____
COOPERSTOWN DREAMS PARK
APPLICATION FOR SEASONAL EMPLOYMENT
4550 St. Hwy. 28, Milford, NY 13807
Please complete both sides & print in dark ink.
All qualified applicants will be considered without regard to race, color, age, religion, sex, national origin or disability.
Applicants must be at least 14 years of age. Working papers are mandatory for employees under age 18.
PERSONAL DATA
Are you 18 years of age or older? ________ If younger than 18, when is your birthday _____/_____/_____
NAME:
SOCIAL SECURITY #:
LAST
FIRST
MI
Mailing Address:
City:
State:
Zip:
Phone: (
)
Cell Phone: (
)
E-mail address:
Temporary or College Address:
City:
State:
Zip:
Name of person to notify in case of emergency:
Relationship:
Phone Number: (
)
Alternative Phone Number: (
)
Have you ever been employed by Cooperstown Dreams Park? O YES O NO If yes, what year and what department(s):
How did you hear about us? O Re-Hire O Walk-In O Ad O Friend/Relative O Job Fair O Other _______________________________________
If referred by a CDP employee, please list their name here___________________________________________________________________
Do you have any relatives presently employed at CDP? O YES
O NO If yes, please list name(s):
If hired, can you provide a valid driver's license? O YES O NO
Have you ever been convicted of a felony or misdemeanor, or do you presently have criminal action pending
against you? O YES O NO If yes, explain (use a separate sheet if necessary):
EDUCATION
Use separate page if necessary
CITY &
GRADE COMPLETED
DID YOU
MAJOR OR
LIST SPECIAL ABILITIES, HOBBIES, AWARDS
SCHOOL
STATE
BY JUNE 30th
GRADUATE?
SCHOOL NAME
SPECIALTY
OR HONORS
GED
HIGH
8 9 10 11 12
SCHOOL
1 2 3 4 G
COLLEGE
TRADE OR
BUSINESS
1 2 3 4
SCHOOL
Are you currently a full-time student? O YES O NO
If a college student, are you interested in our Ambassador Program (Internship)?
O YES O NO
EMPLOYMENT HISTORY - LIST LAST TWO EMPLOYERS
DATES
POSITION
EMPLOYED
HELD
COMPANY NAME
SUPERVISORS NAME
PHONE NUMBER
PAY RATE
REASON FOR LEAVING
May we contact your present employer O YES O NO
MILITARY SERVICE
HAVE YOU EVER BEEN IN
THE U.S. MILITARY?
BRANCH
DATE ENTERED
TYPE OF DISCHARGE/ACTIVE SERVICE?
O YES O NO
HRB ____________________
DCJS __________________
Letter Sent _______________

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