Canobie Lake Park

EMPLOYMENT HISTORY

Please list your last 3 Employers (Last Employeer First)

Name / Address

Position

Supervisor

Rate of Pay

Reason For Leaving

APPLICATION FOR SEASONAL EMPLOYMENT
Have you ever applied to Canobie Lake park or Sodexho before? Yes No		If yes when
Have you ever worked for Canobie Lake Park or Sodexho before? Yes No		If yes when
Last Name	First Name	Middle Initial

Street Address		Email

City	State	Zip

Phone	Alt Phone	Under 18
		Yes No Date of Birth

EDUCATION
Schools	Name / Location	Years Completed
High School
College
Other
Will you attend classes in the fall?	Yes No	Date you return to classes

AVAILABILITY
Availability	Month	Day	Hours Available	Mon	Tues	Wed	Thur	Fri	Sat	Sun
Start Date			From
End Date			To
			Total hours available per week
Are you available for September weekends? Yes No			Please list any conflicts or prior commitments which need to be considered for weekends? scheduling. (For example: weddings, vacation, classes, camps, etc.)

Position Desired Number in order of preference, number 1 - 5 (1 = most desirable).
Cashier	Food Service	Parking Attendent
Costume Character	Gate Attendant	Retail/Gift Shop
EMT (certification required)	Landscaping/Grounds	Rides
Games	Matron/Custodian (restrooms)	Security Officer
Midway Sweeper	Office/Clerical	Waterslide Attendant
First Aid Attendant	Maintenance	(specify)
Halloween

Personal Data

Emergency Contact Name
Daytime Phone #:
Evening Phone #:

Do you have transportation to work? Yes No
Be specific:

Are you legally authorized to work in the U.S.? Yes No

Canobie Lake Park conducts background checks on all employees. Have you ever been arrested or convicted of a crime that has not been annulled by a court?
Yes No
If yes, please explain:

(An arrest or conviction record is not necessarily an automatic bar to employment. The nature of the crime will be considered in relation to the position for which you are applying.)

Have you ever been fired from a job? Yes No
If yes, please explain:

List any skills, training, experience, licenses, certificates, permits or foreign languages spoken which might relate to working here:

Please list any reasons which might limit your ability to perform job duties (for example: schedule conflicts, transportation, etc.)

Are there any individuals who work for Canobie Lake Park that may serve as a reference for you? If yes, please list name & department:

How did you hear about job opportunities at Canobie Lake Park?
Friends Job Fair School Internet Newspaper (specify)

Personal References
Name	Address	Phone	Relationship	Years Known

By clicking the below submit button you certify that the information that you have supplied in this application is true and complete to the best of your knowledge. You understand that any false statement, omission, or misrepresentation on this application is sufficient cause for refusal to hire, or dismissal if you have been hired, no matter when discovered. You understand and authorize Canobie Lake Park to have or cause to have a background investigation completed on you and you release Canobie Lake Park, its agents, any former employers and all references you have listed from any and all claims, liabilities or demands arising out of or related to such investigation disclosure or release of information. You understand and agree that nothing contained in this application, or conveyed during your interview is intended to create an employment contract. You further understand and agree that your employment will be "at will" and without fixed term, and may be terminated at any time, with or without cause and without prior notice, at the option of either yourself or Canobie Lake Park.

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Canobie Lake Park · 85 N. Policy Street · Salem, New Hampshire 03079 · (603) 893-3506