City, State, and Zip:
Are you over the age of 17?
Do you hold a valid driver’s license?
If so, what state?
Position Applying For:
Date available to start:
Can you perform the job for which you are applying with or without reasonable accommodations being made?
Have you ever been convicted of a felony within the last 7 years?
If yes, please explain:
Please tell us the name of the School and Grade Level you
College Degree (if applicable)
Will you be returning to school in the fall and if so,where?
- Employment History
Start with your present or last job
Comments: Please list any special talents, skills and/or additional experience you feel would benefit your position at
The Seaside Inn.
Give the name, address, and telephone number of three
references who are not related to you or a previous
Submit your form when you have completed all the questions.