Application for Employment

Fill out the following form to apply for a position.

Name:
Phone number:
Email:
Address:
City:
State:
Zip:
Age (if under 18):


Position applying for:
Number of hours looking for:
Start date: Day: Year:
Preferred rate of pay:
What is your availability?

What qualities do you possess that would make you an asset to this company?

Employment History

Employer: Phone number:
Start date: End date:
Supervisor:
May we contact? Yes No
Duties:

Reason for leaving:

Employer: Phone number:
Start date: End date:
Supervisor:
May we contact? Yes No
Duties:

Reason for leaving:

Personal References (non-relatives)

Name: Phone number:
Relationship:

Name: Phone number:
Relationship:

Name: Phone number:
Relationship:

If you have used a name other than the one listed above, please add name here - for reference checking purposes only.

CERTIFICATION and AUTHORIZATION: By clicking Submit, I certify that the facts presented in my application, resume or interview are true and complete to the best of my knowledge and understand that, if employed, false statements during my application are grounds for dismissal. I understand that The Lobster Boat subscribes to the Employment at Will Doctrine, and employment is not for a definite term and may be terminated at any time, with or without cause, for any reason by the employee or The Lobster Boat, with or without notice.

In making application for employment, I authorize The Lobster Boat to contact any company or individual deemed appropriate to investigate my employment history, character and qualifications and I give my full and complete consent to their revealing all information they wish as a result of this investigation. In addition, I hereby waive my right to bring any cause of action against these individuals for defamation, invasion of privacy or any other reason because of their statements.