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Below is the Dutch Springs Employment Application for all 2021 seasonal employees. All fields are mandatory and will be marked with an asterisk(*).  If the question does not pertain to you please enter "N/A" in the text box.

All correspondence will be through email.

It is understood and agreed upon that any misrepresentation by me in this online application will be sufficient cause for cancellation of this application and/or
eparation from the employer's service if I have been employed.

I give the Employer (Dutch Springs) the right to investigate all references and secure additional information about me, if job related. I hereby releasefrom liability the Employer
(Dutch Springs) and its representatives for seeking such information and all persons, corporations, or organizations for furnishing such information.

The Employer (Dutch Springs) is an Equal Opportunity Employer. Dutch Springs does not discriminate in employment and no question on this application
is used for the purpose of limiting or excusing any applicant's consideration for employment on a basis prohibited by local, state or federal law.

This application is current for only 180 days. At the conclusion of this time if I have not heard from Dutch Springs and still wish to be considered for employment, it will be necessary
to complete this application once again.

I understand that just as I am free to resign at any time, Dutch Springs reserves the right to terminate my employment at any time, with or without prior notice. I understand that
no representative of Dutch Springs has the authority to make any assurances to the contrary.

************************************************************************************************************************************

Must be 15 yrs of age or older to work at Dutch Springs.  Minimum Age varies with position.  
** denotes: Must be 18 yrs of age or older  
*** denotes: Must be 16 yrs of age or older

Areas of Work and Discriptions

Admissions Office - looking for customer service oriented people to greet and assist customers purchase tickets, perform general office duties and use the point of sale system.

Airfill**-  looking for customer service oriented people to fill scuba tanks

Medic**-  looking for customer service oriented, National or PA certified paramedics or EMTs to assist and treat injured customers- PA or National EMT or Paramedic certification required

Food Service- looking for customer service oriented people to prepare and package food and use the point of sale system.  No prior food service experience necessary

Gate Attendant- looking for outgoing, customer service oriented people with good handwriting and spelling skills to greet customers, park cars, general garbage pick-up and scan tickets.

Lifeguard***- looking for outgoing, customer service oriented Red Cross certified lifeguards to assist in monitoring customers and enforce all rules, daily maintenance of attractions,
walkways and overall appearence of the Aqua Park 

Maintenance**- looking for detail and customer service oriented people to maintain the facility via operating machinery, commercial lawn mowers, weed whackers, etc.  Must be able
to lift 50 lbs and stand for long periods of time.

Memorable Events- looking for outgoing, customer service oriented people with good phone skills to book groups using the point of sale, greet and assist groups to ensure a
"wow" experience.

Retail- looking for outgoing, customer service oriented people to assist customers in retail stores by interacting and upselling, inventory management, making hot drinks and latte
and use the point of sale system.

Sky Challenge**- looking for outgoing, customer service oriented people comfortable with heights higher than 15 feet to assist customers on the Zip Line, Bungee Trampoline and
High Ropes Course and Climbing Wall.

 

First Applicant's Name

First Name*

Middle Name

Last Name*

Phone*
First Applicant's Date of Birth*
I certify that I am 15 years of age or older
First Applicant's Information

Email Address *
Check All Areas You are Interesting in Working (see above for descriptions) *
Admissions Office
Airfill**
Food Service
Gate Attendant
Grounds Maintenance/Lawncare**
Lake Staff*
Lifeguard***
Medic**
Memorable Events
Retail
Sky Challenge**
Any
When would you like to work?*
All Season (April - November)
College Summer Break (Mid May - Mid August)
High School Summer Break (June -Labor Day)
Other

Certifications


Please list all certifications (ie- CPR, First Aid, Open Water, Divemaster,...) *

Educational Background

School #1


School #1- Name *

School #1- Highest Grade Completed (incl Degree/Diploma/Major/Minor/Class of 'XX) *

School #1- GPA/Class Rank *

School #1- Clubs, Sports, Special Accomplishments *

School #2


School #2- Name *

School #2- Highest Grade Completed (incl Degree/Diploma/Major/Minor/Class of 'XX) *

School #2- GPA/Class Rank *

School #2- Clubs, Sports, Special Accomplishments *

Work and Volunteer History- Starting with your current or most previous experience, fill in the fields.

Employer #1


Employer #1- Company Name *

Employer #1- Job Title *
Employer #1- Still working for this employer?*
No
Yes

Employer #1 Address *

Employer #1- Phone *

Employer #1- Supervisor's name and title *
Employer #1- May we contact your supervisor for a reference?*
No
Yes

Employer #1- Hourly Rate (or type in volunteer if this was not a paid position) *

Employer #1- Summarize the nature of the work performed and the job responsibilities *

Employer #1- Start and End Dates *

Employer #2


Employer #2- Company Name *

Employer #2- Job Title
Employer #2- Still working for this employer?*
No
Yes

Employer #2- Address *

Employer #2- Telephone *

Employer #2- Supervisor's name and title *
Employer #2- May we contact your supervisor for a reference?*
No
Yes

Employer #2- Hourly Rate (or type in volunteer if this was not a paid position) *

Employer #2- Summarize the nature of the work performed and the job responsibilities *

Employer #2- Start and End Dates *

Employer #3


Employer #3- Company Name *

Employer #3- Job Title
Employer #3- Still working for this employer?*
No
Yes

Employer #3- Address *

Employer #3- Phone Number *

Employer #3- Supervisor's name and title *
Employer #3- May we contact your supervisor for a reference?*
No
Yes

Employer #3- Hourly Rate (or type in volunteer if this was not a paid position) *

Employer #3- Summarize the nature of the work performed and the job responsibilities *

Employer #3- Start and End Dates *

Employer #4


Employer #4- Company Name *

Employer #4- Job Title *
Employer #4- Still working for this employer?*
No
Yes

Employer #4- Address *

Employer #4- Phone Number *

Employer #4- Supervisor's name and title *
Employer #4- May we contact your supervisor for a reference?*
No
Yes

Employer #4- Hourly Rate (or type in volunteer if this was not a paid position) *

Employer #4- Summarize the nature of the work performed and the job responsibilities *

Employer #4- Start and End Dates *

List special accomplishments, publications, awards. 

Exclude memberships that would reveal sex, race, religion, national origin, age, disability or other protected status.


Special Accomplishment(s) *

List club, trade, civic, academic, professional or other associations and any offices held.

Exclude memberships that would reveal sex, race, religion, national origin, age, disability or other protected status.


Organization(s) & Position(s) Held *

Foreign Languages


Language *
Aptitude (Check all that apply) *
Fluent
Speak
Read
Write
N/A

Language *
Aptitude (Check all that apply) *
Fluent
Speak
Read
Write
N/A

References

Please list three (3) business/work/volunteer references who are not related to you and are not previous supervisors.  If not applicable, list three (3) school or personal references who are not related to you.

Reference #1


Reference #1- Name *

Reference #1- Phone Number *

Reference #1- Years Known *

Reference #1- Capacity Known *

Reference #2


Reference #2- Name *

Reference #2- Phone Number *

Reference #2- Years Known *

Reference #2- Capacity Known *

Reference #3


Reference #3- Name *

Reference #3- Phone Number *

Reference #3- Years Known *

Reference #3- Capacity Known *

Other Information

If you are under 18, can you furnish a work permit?*
No
Yes
Are you eligible for employment in this country*
No
Yes
Have you ever applied to work at Dutch Springs before?*
No
Yes
Have you ever worked for Dutch Springs in the past?*
No
Yes
Area you currently laid off and subject to recall*
No
Yes
Have you ever been bonded?*
No
Yes
Have you been convicted of a felony in the last seven (7) years?*
No
Yes
How did you hear about employment at Dutch Springs? (Check all that apply) *
the Bethlehem Press
Family Member
Friend
the Key
Social Media (eg- Facebook, twitter,...)
Website
Other
First Applicant's Signature*
Second Applicant's Name

First Name*

Middle Name

Last Name*
Second Applicant's Date of Birth*
Second Applicant's Information

Email Address *
Check All Areas You are Interesting in Working (see above for descriptions) *
Admissions Office
Airfill**
Food Service
Gate Attendant
Grounds Maintenance/Lawncare**
Lake Staff*
Lifeguard***
Medic**
Memorable Events
Retail
Sky Challenge**
Any
When would you like to work?*
All Season (April - November)
College Summer Break (Mid May - Mid August)
High School Summer Break (June -Labor Day)
Other

Certifications


Please list all certifications (ie- CPR, First Aid, Open Water, Divemaster,...) *

Educational Background

School #1


School #1- Name *

School #1- Highest Grade Completed (incl Degree/Diploma/Major/Minor/Class of 'XX) *

School #1- GPA/Class Rank *

School #1- Clubs, Sports, Special Accomplishments *

School #2


School #2- Name *

School #2- Highest Grade Completed (incl Degree/Diploma/Major/Minor/Class of 'XX) *

School #2- GPA/Class Rank *

School #2- Clubs, Sports, Special Accomplishments *

Work and Volunteer History- Starting with your current or most previous experience, fill in the fields.

Employer #1


Employer #1- Company Name *

Employer #1- Job Title *
Employer #1- Still working for this employer?*
No
Yes

Employer #1 Address *

Employer #1- Phone *

Employer #1- Supervisor's name and title *
Employer #1- May we contact your supervisor for a reference?*
No
Yes

Employer #1- Hourly Rate (or type in volunteer if this was not a paid position) *

Employer #1- Summarize the nature of the work performed and the job responsibilities *

Employer #1- Start and End Dates *

Employer #2


Employer #2- Company Name *

Employer #2- Job Title
Employer #2- Still working for this employer?*
No
Yes

Employer #2- Address *

Employer #2- Telephone *

Employer #2- Supervisor's name and title *
Employer #2- May we contact your supervisor for a reference?*
No
Yes

Employer #2- Hourly Rate (or type in volunteer if this was not a paid position) *

Employer #2- Summarize the nature of the work performed and the job responsibilities *

Employer #2- Start and End Dates *

Employer #3


Employer #3- Company Name *

Employer #3- Job Title
Employer #3- Still working for this employer?*
No
Yes

Employer #3- Address *

Employer #3- Phone Number *

Employer #3- Supervisor's name and title *
Employer #3- May we contact your supervisor for a reference?*
No
Yes

Employer #3- Hourly Rate (or type in volunteer if this was not a paid position) *

Employer #3- Summarize the nature of the work performed and the job responsibilities *

Employer #3- Start and End Dates *

Employer #4


Employer #4- Company Name *

Employer #4- Job Title *
Employer #4- Still working for this employer?*
No
Yes

Employer #4- Address *

Employer #4- Phone Number *

Employer #4- Supervisor's name and title *
Employer #4- May we contact your supervisor for a reference?*
No
Yes

Employer #4- Hourly Rate (or type in volunteer if this was not a paid position) *

Employer #4- Summarize the nature of the work performed and the job responsibilities *

Employer #4- Start and End Dates *

List special accomplishments, publications, awards. 

Exclude memberships that would reveal sex, race, religion, national origin, age, disability or other protected status.


Special Accomplishment(s) *

List club, trade, civic, academic, professional or other associations and any offices held.

Exclude memberships that would reveal sex, race, religion, national origin, age, disability or other protected status.


Organization(s) & Position(s) Held *

Foreign Languages


Language *
Aptitude (Check all that apply) *
Fluent
Speak
Read
Write
N/A

Language *
Aptitude (Check all that apply) *
Fluent
Speak
Read
Write
N/A

References

Please list three (3) business/work/volunteer references who are not related to you and are not previous supervisors.  If not applicable, list three (3) school or personal references who are not related to you.

Reference #1


Reference #1- Name *

Reference #1- Phone Number *

Reference #1- Years Known *

Reference #1- Capacity Known *

Reference #2


Reference #2- Name *

Reference #2- Phone Number *

Reference #2- Years Known *

Reference #2- Capacity Known *

Reference #3


Reference #3- Name *

Reference #3- Phone Number *

Reference #3- Years Known *

Reference #3- Capacity Known *

Other Information

If you are under 18, can you furnish a work permit?*
No
Yes
Are you eligible for employment in this country*
No
Yes
Have you ever applied to work at Dutch Springs before?*
No
Yes
Have you ever worked for Dutch Springs in the past?*
No
Yes
Area you currently laid off and subject to recall*
No
Yes
Have you ever been bonded?*
No
Yes
Have you been convicted of a felony in the last seven (7) years?*
No
Yes
How did you hear about employment at Dutch Springs? (Check all that apply) *
the Bethlehem Press
Family Member
Friend
the Key
Social Media (eg- Facebook, twitter,...)
Website
Other
Third Applicant's Name

First Name*

Middle Name

Last Name*
Third Applicant's Date of Birth*
Third Applicant's Information

Email Address *
Check All Areas You are Interesting in Working (see above for descriptions) *
Admissions Office
Airfill**
Food Service
Gate Attendant
Grounds Maintenance/Lawncare**
Lake Staff*
Lifeguard***
Medic**
Memorable Events
Retail
Sky Challenge**
Any
When would you like to work?*
All Season (April - November)
College Summer Break (Mid May - Mid August)
High School Summer Break (June -Labor Day)
Other

Certifications


Please list all certifications (ie- CPR, First Aid, Open Water, Divemaster,...) *

Educational Background

School #1


School #1- Name *

School #1- Highest Grade Completed (incl Degree/Diploma/Major/Minor/Class of 'XX) *

School #1- GPA/Class Rank *

School #1- Clubs, Sports, Special Accomplishments *

School #2


School #2- Name *

School #2- Highest Grade Completed (incl Degree/Diploma/Major/Minor/Class of 'XX) *

School #2- GPA/Class Rank *

School #2- Clubs, Sports, Special Accomplishments *

Work and Volunteer History- Starting with your current or most previous experience, fill in the fields.

Employer #1


Employer #1- Company Name *

Employer #1- Job Title *
Employer #1- Still working for this employer?*
No
Yes

Employer #1 Address *

Employer #1- Phone *

Employer #1- Supervisor's name and title *
Employer #1- May we contact your supervisor for a reference?*
No
Yes

Employer #1- Hourly Rate (or type in volunteer if this was not a paid position) *

Employer #1- Summarize the nature of the work performed and the job responsibilities *

Employer #1- Start and End Dates *

Employer #2


Employer #2- Company Name *

Employer #2- Job Title
Employer #2- Still working for this employer?*
No
Yes

Employer #2- Address *

Employer #2- Telephone *

Employer #2- Supervisor's name and title *
Employer #2- May we contact your supervisor for a reference?*
No
Yes

Employer #2- Hourly Rate (or type in volunteer if this was not a paid position) *

Employer #2- Summarize the nature of the work performed and the job responsibilities *

Employer #2- Start and End Dates *

Employer #3


Employer #3- Company Name *

Employer #3- Job Title
Employer #3- Still working for this employer?*
No
Yes

Employer #3- Address *

Employer #3- Phone Number *

Employer #3- Supervisor's name and title *
Employer #3- May we contact your supervisor for a reference?*
No
Yes

Employer #3- Hourly Rate (or type in volunteer if this was not a paid position) *

Employer #3- Summarize the nature of the work performed and the job responsibilities *

Employer #3- Start and End Dates *

Employer #4


Employer #4- Company Name *

Employer #4- Job Title *
Employer #4- Still working for this employer?*
No
Yes

Employer #4- Address *

Employer #4- Phone Number *

Employer #4- Supervisor's name and title *
Employer #4- May we contact your supervisor for a reference?*
No
Yes

Employer #4- Hourly Rate (or type in volunteer if this was not a paid position) *

Employer #4- Summarize the nature of the work performed and the job responsibilities *

Employer #4- Start and End Dates *

List special accomplishments, publications, awards. 

Exclude memberships that would reveal sex, race, religion, national origin, age, disability or other protected status.


Special Accomplishment(s) *

List club, trade, civic, academic, professional or other associations and any offices held.

Exclude memberships that would reveal sex, race, religion, national origin, age, disability or other protected status.


Organization(s) & Position(s) Held *

Foreign Languages


Language *
Aptitude (Check all that apply) *
Fluent
Speak
Read
Write
N/A

Language *
Aptitude (Check all that apply) *
Fluent
Speak
Read
Write
N/A

References

Please list three (3) business/work/volunteer references who are not related to you and are not previous supervisors.  If not applicable, list three (3) school or personal references who are not related to you.

Reference #1


Reference #1- Name *

Reference #1- Phone Number *

Reference #1- Years Known *

Reference #1- Capacity Known *

Reference #2


Reference #2- Name *

Reference #2- Phone Number *

Reference #2- Years Known *

Reference #2- Capacity Known *

Reference #3


Reference #3- Name *

Reference #3- Phone Number *

Reference #3- Years Known *

Reference #3- Capacity Known *

Other Information

If you are under 18, can you furnish a work permit?*
No
Yes
Are you eligible for employment in this country*
No
Yes
Have you ever applied to work at Dutch Springs before?*
No
Yes
Have you ever worked for Dutch Springs in the past?*
No
Yes
Area you currently laid off and subject to recall*
No
Yes
Have you ever been bonded?*
No
Yes
Have you been convicted of a felony in the last seven (7) years?*
No
Yes
How did you hear about employment at Dutch Springs? (Check all that apply) *
the Bethlehem Press
Family Member
Friend
the Key
Social Media (eg- Facebook, twitter,...)
Website
Other
Fourth Applicant's Name

First Name*

Middle Name

Last Name*
Fourth Applicant's Date of Birth*
Fourth Applicant's Information

Email Address *
Check All Areas You are Interesting in Working (see above for descriptions) *
Admissions Office
Airfill**
Food Service
Gate Attendant
Grounds Maintenance/Lawncare**
Lake Staff*
Lifeguard***
Medic**
Memorable Events
Retail
Sky Challenge**
Any
When would you like to work?*
All Season (April - November)
College Summer Break (Mid May - Mid August)
High School Summer Break (June -Labor Day)
Other

Certifications


Please list all certifications (ie- CPR, First Aid, Open Water, Divemaster,...) *

Educational Background

School #1


School #1- Name *

School #1- Highest Grade Completed (incl Degree/Diploma/Major/Minor/Class of 'XX) *

School #1- GPA/Class Rank *

School #1- Clubs, Sports, Special Accomplishments *

School #2


School #2- Name *

School #2- Highest Grade Completed (incl Degree/Diploma/Major/Minor/Class of 'XX) *

School #2- GPA/Class Rank *

School #2- Clubs, Sports, Special Accomplishments *

Work and Volunteer History- Starting with your current or most previous experience, fill in the fields.

Employer #1


Employer #1- Company Name *

Employer #1- Job Title *
Employer #1- Still working for this employer?*
No
Yes

Employer #1 Address *

Employer #1- Phone *

Employer #1- Supervisor's name and title *
Employer #1- May we contact your supervisor for a reference?*
No
Yes

Employer #1- Hourly Rate (or type in volunteer if this was not a paid position) *

Employer #1- Summarize the nature of the work performed and the job responsibilities *

Employer #1- Start and End Dates *

Employer #2


Employer #2- Company Name *

Employer #2- Job Title
Employer #2- Still working for this employer?*
No
Yes

Employer #2- Address *

Employer #2- Telephone *

Employer #2- Supervisor's name and title *
Employer #2- May we contact your supervisor for a reference?*
No
Yes

Employer #2- Hourly Rate (or type in volunteer if this was not a paid position) *

Employer #2- Summarize the nature of the work performed and the job responsibilities *

Employer #2- Start and End Dates *

Employer #3


Employer #3- Company Name *

Employer #3- Job Title
Employer #3- Still working for this employer?*
No
Yes

Employer #3- Address *

Employer #3- Phone Number *

Employer #3- Supervisor's name and title *
Employer #3- May we contact your supervisor for a reference?*
No
Yes

Employer #3- Hourly Rate (or type in volunteer if this was not a paid position) *

Employer #3- Summarize the nature of the work performed and the job responsibilities *

Employer #3- Start and End Dates *

Employer #4


Employer #4- Company Name *

Employer #4- Job Title *
Employer #4- Still working for this employer?*
No
Yes

Employer #4- Address *

Employer #4- Phone Number *

Employer #4- Supervisor's name and title *
Employer #4- May we contact your supervisor for a reference?*
No
Yes

Employer #4- Hourly Rate (or type in volunteer if this was not a paid position) *

Employer #4- Summarize the nature of the work performed and the job responsibilities *

Employer #4- Start and End Dates *

List special accomplishments, publications, awards. 

Exclude memberships that would reveal sex, race, religion, national origin, age, disability or other protected status.


Special Accomplishment(s) *

List club, trade, civic, academic, professional or other associations and any offices held.

Exclude memberships that would reveal sex, race, religion, national origin, age, disability or other protected status.


Organization(s) & Position(s) Held *

Foreign Languages


Language *
Aptitude (Check all that apply) *
Fluent
Speak
Read
Write
N/A

Language *
Aptitude (Check all that apply) *
Fluent
Speak
Read
Write
N/A

References

Please list three (3) business/work/volunteer references who are not related to you and are not previous supervisors.  If not applicable, list three (3) school or personal references who are not related to you.

Reference #1


Reference #1- Name *

Reference #1- Phone Number *

Reference #1- Years Known *

Reference #1- Capacity Known *

Reference #2


Reference #2- Name *

Reference #2- Phone Number *

Reference #2- Years Known *

Reference #2- Capacity Known *

Reference #3


Reference #3- Name *

Reference #3- Phone Number *

Reference #3- Years Known *

Reference #3- Capacity Known *

Other Information

If you are under 18, can you furnish a work permit?*
No
Yes
Are you eligible for employment in this country*
No
Yes
Have you ever applied to work at Dutch Springs before?*
No
Yes
Have you ever worked for Dutch Springs in the past?*
No
Yes
Area you currently laid off and subject to recall*
No
Yes
Have you ever been bonded?*
No
Yes
Have you been convicted of a felony in the last seven (7) years?*
No
Yes
How did you hear about employment at Dutch Springs? (Check all that apply) *
the Bethlehem Press
Family Member
Friend
the Key
Social Media (eg- Facebook, twitter,...)
Website
Other
Fifth Applicant's Name

First Name*

Middle Name

Last Name*
Fifth Applicant's Date of Birth*
Fifth Applicant's Information

Email Address *
Check All Areas You are Interesting in Working (see above for descriptions) *
Admissions Office
Airfill**
Food Service
Gate Attendant
Grounds Maintenance/Lawncare**
Lake Staff*
Lifeguard***
Medic**
Memorable Events
Retail
Sky Challenge**
Any
When would you like to work?*
All Season (April - November)
College Summer Break (Mid May - Mid August)
High School Summer Break (June -Labor Day)
Other

Certifications


Please list all certifications (ie- CPR, First Aid, Open Water, Divemaster,...) *

Educational Background

School #1


School #1- Name *

School #1- Highest Grade Completed (incl Degree/Diploma/Major/Minor/Class of 'XX) *

School #1- GPA/Class Rank *

School #1- Clubs, Sports, Special Accomplishments *

School #2


School #2- Name *

School #2- Highest Grade Completed (incl Degree/Diploma/Major/Minor/Class of 'XX) *

School #2- GPA/Class Rank *

School #2- Clubs, Sports, Special Accomplishments *

Work and Volunteer History- Starting with your current or most previous experience, fill in the fields.

Employer #1


Employer #1- Company Name *

Employer #1- Job Title *
Employer #1- Still working for this employer?*
No
Yes

Employer #1 Address *

Employer #1- Phone *

Employer #1- Supervisor's name and title *
Employer #1- May we contact your supervisor for a reference?*
No
Yes

Employer #1- Hourly Rate (or type in volunteer if this was not a paid position) *

Employer #1- Summarize the nature of the work performed and the job responsibilities *

Employer #1- Start and End Dates *

Employer #2


Employer #2- Company Name *

Employer #2- Job Title
Employer #2- Still working for this employer?*
No
Yes

Employer #2- Address *

Employer #2- Telephone *

Employer #2- Supervisor's name and title *
Employer #2- May we contact your supervisor for a reference?*
No
Yes

Employer #2- Hourly Rate (or type in volunteer if this was not a paid position) *

Employer #2- Summarize the nature of the work performed and the job responsibilities *

Employer #2- Start and End Dates *

Employer #3


Employer #3- Company Name *

Employer #3- Job Title
Employer #3- Still working for this employer?*
No
Yes

Employer #3- Address *

Employer #3- Phone Number *

Employer #3- Supervisor's name and title *
Employer #3- May we contact your supervisor for a reference?*
No
Yes

Employer #3- Hourly Rate (or type in volunteer if this was not a paid position) *

Employer #3- Summarize the nature of the work performed and the job responsibilities *

Employer #3- Start and End Dates *

Employer #4


Employer #4- Company Name *

Employer #4- Job Title *
Employer #4- Still working for this employer?*
No
Yes

Employer #4- Address *

Employer #4- Phone Number *

Employer #4- Supervisor's name and title *
Employer #4- May we contact your supervisor for a reference?*
No
Yes

Employer #4- Hourly Rate (or type in volunteer if this was not a paid position) *

Employer #4- Summarize the nature of the work performed and the job responsibilities *

Employer #4- Start and End Dates *

List special accomplishments, publications, awards. 

Exclude memberships that would reveal sex, race, religion, national origin, age, disability or other protected status.


Special Accomplishment(s) *

List club, trade, civic, academic, professional or other associations and any offices held.

Exclude memberships that would reveal sex, race, religion, national origin, age, disability or other protected status.


Organization(s) & Position(s) Held *

Foreign Languages


Language *
Aptitude (Check all that apply) *
Fluent
Speak
Read
Write
N/A

Language *
Aptitude (Check all that apply) *
Fluent
Speak
Read
Write
N/A

References

Please list three (3) business/work/volunteer references who are not related to you and are not previous supervisors.  If not applicable, list three (3) school or personal references who are not related to you.

Reference #1


Reference #1- Name *

Reference #1- Phone Number *

Reference #1- Years Known *

Reference #1- Capacity Known *

Reference #2


Reference #2- Name *

Reference #2- Phone Number *

Reference #2- Years Known *

Reference #2- Capacity Known *

Reference #3


Reference #3- Name *

Reference #3- Phone Number *

Reference #3- Years Known *

Reference #3- Capacity Known *

Other Information

If you are under 18, can you furnish a work permit?*
No
Yes
Are you eligible for employment in this country*
No
Yes
Have you ever applied to work at Dutch Springs before?*
No
Yes
Have you ever worked for Dutch Springs in the past?*
No
Yes
Area you currently laid off and subject to recall*
No
Yes
Have you ever been bonded?*
No
Yes
Have you been convicted of a felony in the last seven (7) years?*
No
Yes
How did you hear about employment at Dutch Springs? (Check all that apply) *
the Bethlehem Press
Family Member
Friend
the Key
Social Media (eg- Facebook, twitter,...)
Website
Other
Sixth Applicant's Name

First Name*

Middle Name

Last Name*
Sixth Applicant's Date of Birth*
Sixth Applicant's Information

Email Address *
Check All Areas You are Interesting in Working (see above for descriptions) *
Admissions Office
Airfill**
Food Service
Gate Attendant
Grounds Maintenance/Lawncare**
Lake Staff*
Lifeguard***
Medic**
Memorable Events
Retail
Sky Challenge**
Any
When would you like to work?*
All Season (April - November)
College Summer Break (Mid May - Mid August)
High School Summer Break (June -Labor Day)
Other

Certifications


Please list all certifications (ie- CPR, First Aid, Open Water, Divemaster,...) *

Educational Background

School #1


School #1- Name *

School #1- Highest Grade Completed (incl Degree/Diploma/Major/Minor/Class of 'XX) *

School #1- GPA/Class Rank *

School #1- Clubs, Sports, Special Accomplishments *

School #2


School #2- Name *

School #2- Highest Grade Completed (incl Degree/Diploma/Major/Minor/Class of 'XX) *

School #2- GPA/Class Rank *

School #2- Clubs, Sports, Special Accomplishments *

Work and Volunteer History- Starting with your current or most previous experience, fill in the fields.

Employer #1


Employer #1- Company Name *

Employer #1- Job Title *
Employer #1- Still working for this employer?*
No
Yes

Employer #1 Address *

Employer #1- Phone *

Employer #1- Supervisor's name and title *
Employer #1- May we contact your supervisor for a reference?*
No
Yes

Employer #1- Hourly Rate (or type in volunteer if this was not a paid position) *

Employer #1- Summarize the nature of the work performed and the job responsibilities *

Employer #1- Start and End Dates *

Employer #2


Employer #2- Company Name *

Employer #2- Job Title
Employer #2- Still working for this employer?*
No
Yes

Employer #2- Address *

Employer #2- Telephone *

Employer #2- Supervisor's name and title *
Employer #2- May we contact your supervisor for a reference?*
No
Yes

Employer #2- Hourly Rate (or type in volunteer if this was not a paid position) *

Employer #2- Summarize the nature of the work performed and the job responsibilities *

Employer #2- Start and End Dates *

Employer #3


Employer #3- Company Name *

Employer #3- Job Title
Employer #3- Still working for this employer?*
No
Yes

Employer #3- Address *

Employer #3- Phone Number *

Employer #3- Supervisor's name and title *
Employer #3- May we contact your supervisor for a reference?*
No
Yes

Employer #3- Hourly Rate (or type in volunteer if this was not a paid position) *

Employer #3- Summarize the nature of the work performed and the job responsibilities *

Employer #3- Start and End Dates *

Employer #4


Employer #4- Company Name *

Employer #4- Job Title *
Employer #4- Still working for this employer?*
No
Yes

Employer #4- Address *

Employer #4- Phone Number *

Employer #4- Supervisor's name and title *
Employer #4- May we contact your supervisor for a reference?*
No
Yes

Employer #4- Hourly Rate (or type in volunteer if this was not a paid position) *

Employer #4- Summarize the nature of the work performed and the job responsibilities *

Employer #4- Start and End Dates *

List special accomplishments, publications, awards. 

Exclude memberships that would reveal sex, race, religion, national origin, age, disability or other protected status.


Special Accomplishment(s) *

List club, trade, civic, academic, professional or other associations and any offices held.

Exclude memberships that would reveal sex, race, religion, national origin, age, disability or other protected status.


Organization(s) & Position(s) Held *

Foreign Languages


Language *
Aptitude (Check all that apply) *
Fluent
Speak
Read
Write
N/A

Language *
Aptitude (Check all that apply) *
Fluent
Speak
Read
Write
N/A

References

Please list three (3) business/work/volunteer references who are not related to you and are not previous supervisors.  If not applicable, list three (3) school or personal references who are not related to you.

Reference #1


Reference #1- Name *

Reference #1- Phone Number *

Reference #1- Years Known *

Reference #1- Capacity Known *

Reference #2


Reference #2- Name *

Reference #2- Phone Number *

Reference #2- Years Known *

Reference #2- Capacity Known *

Reference #3


Reference #3- Name *

Reference #3- Phone Number *

Reference #3- Years Known *

Reference #3- Capacity Known *

Other Information

If you are under 18, can you furnish a work permit?*
No
Yes
Are you eligible for employment in this country*
No
Yes
Have you ever applied to work at Dutch Springs before?*
No
Yes
Have you ever worked for Dutch Springs in the past?*
No
Yes
Area you currently laid off and subject to recall*
No
Yes
Have you ever been bonded?*
No
Yes
Have you been convicted of a felony in the last seven (7) years?*
No
Yes
How did you hear about employment at Dutch Springs? (Check all that apply) *
the Bethlehem Press
Family Member
Friend
the Key
Social Media (eg- Facebook, twitter,...)
Website
Other
Seventh Applicant's Name

First Name*

Middle Name

Last Name*
Seventh Applicant's Date of Birth*
Seventh Applicant's Information

Email Address *
Check All Areas You are Interesting in Working (see above for descriptions) *
Admissions Office
Airfill**
Food Service
Gate Attendant
Grounds Maintenance/Lawncare**
Lake Staff*
Lifeguard***
Medic**
Memorable Events
Retail
Sky Challenge**
Any
When would you like to work?*
All Season (April - November)
College Summer Break (Mid May - Mid August)
High School Summer Break (June -Labor Day)
Other

Certifications


Please list all certifications (ie- CPR, First Aid, Open Water, Divemaster,...) *

Educational Background

School #1


School #1- Name *

School #1- Highest Grade Completed (incl Degree/Diploma/Major/Minor/Class of 'XX) *

School #1- GPA/Class Rank *

School #1- Clubs, Sports, Special Accomplishments *

School #2


School #2- Name *

School #2- Highest Grade Completed (incl Degree/Diploma/Major/Minor/Class of 'XX) *

School #2- GPA/Class Rank *

School #2- Clubs, Sports, Special Accomplishments *

Work and Volunteer History- Starting with your current or most previous experience, fill in the fields.

Employer #1


Employer #1- Company Name *

Employer #1- Job Title *
Employer #1- Still working for this employer?*
No
Yes

Employer #1 Address *

Employer #1- Phone *

Employer #1- Supervisor's name and title *
Employer #1- May we contact your supervisor for a reference?*
No
Yes

Employer #1- Hourly Rate (or type in volunteer if this was not a paid position) *

Employer #1- Summarize the nature of the work performed and the job responsibilities *

Employer #1- Start and End Dates *

Employer #2


Employer #2- Company Name *

Employer #2- Job Title
Employer #2- Still working for this employer?*
No
Yes

Employer #2- Address *

Employer #2- Telephone *

Employer #2- Supervisor's name and title *
Employer #2- May we contact your supervisor for a reference?*
No
Yes

Employer #2- Hourly Rate (or type in volunteer if this was not a paid position) *

Employer #2- Summarize the nature of the work performed and the job responsibilities *

Employer #2- Start and End Dates *

Employer #3


Employer #3- Company Name *

Employer #3- Job Title
Employer #3- Still working for this employer?*
No
Yes

Employer #3- Address *

Employer #3- Phone Number *

Employer #3- Supervisor's name and title *
Employer #3- May we contact your supervisor for a reference?*
No
Yes

Employer #3- Hourly Rate (or type in volunteer if this was not a paid position) *

Employer #3- Summarize the nature of the work performed and the job responsibilities *

Employer #3- Start and End Dates *

Employer #4


Employer #4- Company Name *

Employer #4- Job Title *
Employer #4- Still working for this employer?*
No
Yes

Employer #4- Address *

Employer #4- Phone Number *

Employer #4- Supervisor's name and title *
Employer #4- May we contact your supervisor for a reference?*
No
Yes

Employer #4- Hourly Rate (or type in volunteer if this was not a paid position) *

Employer #4- Summarize the nature of the work performed and the job responsibilities *

Employer #4- Start and End Dates *

List special accomplishments, publications, awards. 

Exclude memberships that would reveal sex, race, religion, national origin, age, disability or other protected status.


Special Accomplishment(s) *

List club, trade, civic, academic, professional or other associations and any offices held.

Exclude memberships that would reveal sex, race, religion, national origin, age, disability or other protected status.


Organization(s) & Position(s) Held *

Foreign Languages


Language *
Aptitude (Check all that apply) *
Fluent
Speak
Read
Write
N/A

Language *
Aptitude (Check all that apply) *
Fluent
Speak
Read
Write
N/A

References

Please list three (3) business/work/volunteer references who are not related to you and are not previous supervisors.  If not applicable, list three (3) school or personal references who are not related to you.

Reference #1


Reference #1- Name *

Reference #1- Phone Number *

Reference #1- Years Known *

Reference #1- Capacity Known *

Reference #2


Reference #2- Name *

Reference #2- Phone Number *

Reference #2- Years Known *

Reference #2- Capacity Known *

Reference #3


Reference #3- Name *

Reference #3- Phone Number *

Reference #3- Years Known *

Reference #3- Capacity Known *

Other Information

If you are under 18, can you furnish a work permit?*
No
Yes
Are you eligible for employment in this country*
No
Yes
Have you ever applied to work at Dutch Springs before?*
No
Yes
Have you ever worked for Dutch Springs in the past?*
No
Yes
Area you currently laid off and subject to recall*
No
Yes
Have you ever been bonded?*
No
Yes
Have you been convicted of a felony in the last seven (7) years?*
No
Yes
How did you hear about employment at Dutch Springs? (Check all that apply) *
the Bethlehem Press
Family Member
Friend
the Key
Social Media (eg- Facebook, twitter,...)
Website
Other
Eighth Applicant's Name

First Name*

Middle Name

Last Name*
Eighth Applicant's Date of Birth*
Eighth Applicant's Information

Email Address *
Check All Areas You are Interesting in Working (see above for descriptions) *
Admissions Office
Airfill**
Food Service
Gate Attendant
Grounds Maintenance/Lawncare**
Lake Staff*
Lifeguard***
Medic**
Memorable Events
Retail
Sky Challenge**
Any
When would you like to work?*
All Season (April - November)
College Summer Break (Mid May - Mid August)
High School Summer Break (June -Labor Day)
Other

Certifications


Please list all certifications (ie- CPR, First Aid, Open Water, Divemaster,...) *

Educational Background

School #1


School #1- Name *

School #1- Highest Grade Completed (incl Degree/Diploma/Major/Minor/Class of 'XX) *

School #1- GPA/Class Rank *

School #1- Clubs, Sports, Special Accomplishments *

School #2


School #2- Name *

School #2- Highest Grade Completed (incl Degree/Diploma/Major/Minor/Class of 'XX) *

School #2- GPA/Class Rank *

School #2- Clubs, Sports, Special Accomplishments *

Work and Volunteer History- Starting with your current or most previous experience, fill in the fields.

Employer #1


Employer #1- Company Name *

Employer #1- Job Title *
Employer #1- Still working for this employer?*
No
Yes

Employer #1 Address *

Employer #1- Phone *

Employer #1- Supervisor's name and title *
Employer #1- May we contact your supervisor for a reference?*
No
Yes

Employer #1- Hourly Rate (or type in volunteer if this was not a paid position) *

Employer #1- Summarize the nature of the work performed and the job responsibilities *

Employer #1- Start and End Dates *

Employer #2


Employer #2- Company Name *

Employer #2- Job Title
Employer #2- Still working for this employer?*
No
Yes

Employer #2- Address *

Employer #2- Telephone *

Employer #2- Supervisor's name and title *
Employer #2- May we contact your supervisor for a reference?*
No
Yes

Employer #2- Hourly Rate (or type in volunteer if this was not a paid position) *

Employer #2- Summarize the nature of the work performed and the job responsibilities *

Employer #2- Start and End Dates *

Employer #3


Employer #3- Company Name *

Employer #3- Job Title
Employer #3- Still working for this employer?*
No
Yes

Employer #3- Address *

Employer #3- Phone Number *

Employer #3- Supervisor's name and title *
Employer #3- May we contact your supervisor for a reference?*
No
Yes

Employer #3- Hourly Rate (or type in volunteer if this was not a paid position) *

Employer #3- Summarize the nature of the work performed and the job responsibilities *

Employer #3- Start and End Dates *

Employer #4


Employer #4- Company Name *

Employer #4- Job Title *
Employer #4- Still working for this employer?*
No
Yes

Employer #4- Address *

Employer #4- Phone Number *

Employer #4- Supervisor's name and title *
Employer #4- May we contact your supervisor for a reference?*
No
Yes

Employer #4- Hourly Rate (or type in volunteer if this was not a paid position) *

Employer #4- Summarize the nature of the work performed and the job responsibilities *

Employer #4- Start and End Dates *

List special accomplishments, publications, awards. 

Exclude memberships that would reveal sex, race, religion, national origin, age, disability or other protected status.


Special Accomplishment(s) *

List club, trade, civic, academic, professional or other associations and any offices held.

Exclude memberships that would reveal sex, race, religion, national origin, age, disability or other protected status.


Organization(s) & Position(s) Held *

Foreign Languages


Language *
Aptitude (Check all that apply) *
Fluent
Speak
Read
Write
N/A

Language *
Aptitude (Check all that apply) *
Fluent
Speak
Read
Write
N/A

References

Please list three (3) business/work/volunteer references who are not related to you and are not previous supervisors.  If not applicable, list three (3) school or personal references who are not related to you.

Reference #1


Reference #1- Name *

Reference #1- Phone Number *

Reference #1- Years Known *

Reference #1- Capacity Known *

Reference #2


Reference #2- Name *

Reference #2- Phone Number *

Reference #2- Years Known *

Reference #2- Capacity Known *

Reference #3


Reference #3- Name *

Reference #3- Phone Number *

Reference #3- Years Known *

Reference #3- Capacity Known *

Other Information

If you are under 18, can you furnish a work permit?*
No
Yes
Are you eligible for employment in this country*
No
Yes
Have you ever applied to work at Dutch Springs before?*
No
Yes
Have you ever worked for Dutch Springs in the past?*
No
Yes
Area you currently laid off and subject to recall*
No
Yes
Have you ever been bonded?*
No
Yes
Have you been convicted of a felony in the last seven (7) years?*
No
Yes
How did you hear about employment at Dutch Springs? (Check all that apply) *
the Bethlehem Press
Family Member
Friend
the Key
Social Media (eg- Facebook, twitter,...)
Website
Other
Ninth Applicant's Name

First Name*

Middle Name

Last Name*
Ninth Applicant's Date of Birth*
Ninth Applicant's Information

Email Address *
Check All Areas You are Interesting in Working (see above for descriptions) *
Admissions Office
Airfill**
Food Service
Gate Attendant
Grounds Maintenance/Lawncare**
Lake Staff*
Lifeguard***
Medic**
Memorable Events
Retail
Sky Challenge**
Any
When would you like to work?*
All Season (April - November)
College Summer Break (Mid May - Mid August)
High School Summer Break (June -Labor Day)
Other

Certifications


Please list all certifications (ie- CPR, First Aid, Open Water, Divemaster,...) *

Educational Background

School #1


School #1- Name *

School #1- Highest Grade Completed (incl Degree/Diploma/Major/Minor/Class of 'XX) *

School #1- GPA/Class Rank *

School #1- Clubs, Sports, Special Accomplishments *

School #2


School #2- Name *

School #2- Highest Grade Completed (incl Degree/Diploma/Major/Minor/Class of 'XX) *

School #2- GPA/Class Rank *

School #2- Clubs, Sports, Special Accomplishments *

Work and Volunteer History- Starting with your current or most previous experience, fill in the fields.

Employer #1


Employer #1- Company Name *

Employer #1- Job Title *
Employer #1- Still working for this employer?*
No
Yes

Employer #1 Address *

Employer #1- Phone *

Employer #1- Supervisor's name and title *
Employer #1- May we contact your supervisor for a reference?*
No
Yes

Employer #1- Hourly Rate (or type in volunteer if this was not a paid position) *

Employer #1- Summarize the nature of the work performed and the job responsibilities *

Employer #1- Start and End Dates *

Employer #2


Employer #2- Company Name *

Employer #2- Job Title
Employer #2- Still working for this employer?*
No
Yes

Employer #2- Address *

Employer #2- Telephone *

Employer #2- Supervisor's name and title *
Employer #2- May we contact your supervisor for a reference?*
No
Yes

Employer #2- Hourly Rate (or type in volunteer if this was not a paid position) *

Employer #2- Summarize the nature of the work performed and the job responsibilities *

Employer #2- Start and End Dates *

Employer #3


Employer #3- Company Name *

Employer #3- Job Title
Employer #3- Still working for this employer?*
No
Yes

Employer #3- Address *

Employer #3- Phone Number *

Employer #3- Supervisor's name and title *
Employer #3- May we contact your supervisor for a reference?*
No
Yes

Employer #3- Hourly Rate (or type in volunteer if this was not a paid position) *

Employer #3- Summarize the nature of the work performed and the job responsibilities *

Employer #3- Start and End Dates *

Employer #4


Employer #4- Company Name *

Employer #4- Job Title *
Employer #4- Still working for this employer?*
No
Yes

Employer #4- Address *

Employer #4- Phone Number *

Employer #4- Supervisor's name and title *
Employer #4- May we contact your supervisor for a reference?*
No
Yes

Employer #4- Hourly Rate (or type in volunteer if this was not a paid position) *

Employer #4- Summarize the nature of the work performed and the job responsibilities *

Employer #4- Start and End Dates *

List special accomplishments, publications, awards. 

Exclude memberships that would reveal sex, race, religion, national origin, age, disability or other protected status.


Special Accomplishment(s) *

List club, trade, civic, academic, professional or other associations and any offices held.

Exclude memberships that would reveal sex, race, religion, national origin, age, disability or other protected status.


Organization(s) & Position(s) Held *

Foreign Languages


Language *
Aptitude (Check all that apply) *
Fluent
Speak
Read
Write
N/A

Language *
Aptitude (Check all that apply) *
Fluent
Speak
Read
Write
N/A

References

Please list three (3) business/work/volunteer references who are not related to you and are not previous supervisors.  If not applicable, list three (3) school or personal references who are not related to you.

Reference #1


Reference #1- Name *

Reference #1- Phone Number *

Reference #1- Years Known *

Reference #1- Capacity Known *

Reference #2


Reference #2- Name *

Reference #2- Phone Number *

Reference #2- Years Known *

Reference #2- Capacity Known *

Reference #3


Reference #3- Name *

Reference #3- Phone Number *

Reference #3- Years Known *

Reference #3- Capacity Known *

Other Information

If you are under 18, can you furnish a work permit?*
No
Yes
Are you eligible for employment in this country*
No
Yes
Have you ever applied to work at Dutch Springs before?*
No
Yes
Have you ever worked for Dutch Springs in the past?*
No
Yes
Area you currently laid off and subject to recall*
No
Yes
Have you ever been bonded?*
No
Yes
Have you been convicted of a felony in the last seven (7) years?*
No
Yes
How did you hear about employment at Dutch Springs? (Check all that apply) *
the Bethlehem Press
Family Member
Friend
the Key
Social Media (eg- Facebook, twitter,...)
Website
Other
Tenth Applicant's Name

First Name*

Middle Name

Last Name*
Tenth Applicant's Date of Birth*
Tenth Applicant's Information

Email Address *
Check All Areas You are Interesting in Working (see above for descriptions) *
Admissions Office
Airfill**
Food Service
Gate Attendant
Grounds Maintenance/Lawncare**
Lake Staff*
Lifeguard***
Medic**
Memorable Events
Retail
Sky Challenge**
Any
When would you like to work?*
All Season (April - November)
College Summer Break (Mid May - Mid August)
High School Summer Break (June -Labor Day)
Other

Certifications


Please list all certifications (ie- CPR, First Aid, Open Water, Divemaster,...) *

Educational Background

School #1


School #1- Name *

School #1- Highest Grade Completed (incl Degree/Diploma/Major/Minor/Class of 'XX) *

School #1- GPA/Class Rank *

School #1- Clubs, Sports, Special Accomplishments *

School #2


School #2- Name *

School #2- Highest Grade Completed (incl Degree/Diploma/Major/Minor/Class of 'XX) *

School #2- GPA/Class Rank *

School #2- Clubs, Sports, Special Accomplishments *

Work and Volunteer History- Starting with your current or most previous experience, fill in the fields.

Employer #1


Employer #1- Company Name *

Employer #1- Job Title *
Employer #1- Still working for this employer?*
No
Yes

Employer #1 Address *

Employer #1- Phone *

Employer #1- Supervisor's name and title *
Employer #1- May we contact your supervisor for a reference?*
No
Yes

Employer #1- Hourly Rate (or type in volunteer if this was not a paid position) *

Employer #1- Summarize the nature of the work performed and the job responsibilities *

Employer #1- Start and End Dates *

Employer #2


Employer #2- Company Name *

Employer #2- Job Title
Employer #2- Still working for this employer?*
No
Yes

Employer #2- Address *

Employer #2- Telephone *

Employer #2- Supervisor's name and title *
Employer #2- May we contact your supervisor for a reference?*
No
Yes

Employer #2- Hourly Rate (or type in volunteer if this was not a paid position) *

Employer #2- Summarize the nature of the work performed and the job responsibilities *

Employer #2- Start and End Dates *

Employer #3


Employer #3- Company Name *

Employer #3- Job Title
Employer #3- Still working for this employer?*
No
Yes

Employer #3- Address *

Employer #3- Phone Number *

Employer #3- Supervisor's name and title *
Employer #3- May we contact your supervisor for a reference?*
No
Yes

Employer #3- Hourly Rate (or type in volunteer if this was not a paid position) *

Employer #3- Summarize the nature of the work performed and the job responsibilities *

Employer #3- Start and End Dates *

Employer #4


Employer #4- Company Name *

Employer #4- Job Title *
Employer #4- Still working for this employer?*
No
Yes

Employer #4- Address *

Employer #4- Phone Number *

Employer #4- Supervisor's name and title *
Employer #4- May we contact your supervisor for a reference?*
No
Yes

Employer #4- Hourly Rate (or type in volunteer if this was not a paid position) *

Employer #4- Summarize the nature of the work performed and the job responsibilities *

Employer #4- Start and End Dates *

List special accomplishments, publications, awards. 

Exclude memberships that would reveal sex, race, religion, national origin, age, disability or other protected status.


Special Accomplishment(s) *

List club, trade, civic, academic, professional or other associations and any offices held.

Exclude memberships that would reveal sex, race, religion, national origin, age, disability or other protected status.


Organization(s) & Position(s) Held *

Foreign Languages


Language *
Aptitude (Check all that apply) *
Fluent
Speak
Read
Write
N/A

Language *
Aptitude (Check all that apply) *
Fluent
Speak
Read
Write
N/A

References

Please list three (3) business/work/volunteer references who are not related to you and are not previous supervisors.  If not applicable, list three (3) school or personal references who are not related to you.

Reference #1


Reference #1- Name *

Reference #1- Phone Number *

Reference #1- Years Known *

Reference #1- Capacity Known *

Reference #2


Reference #2- Name *

Reference #2- Phone Number *

Reference #2- Years Known *

Reference #2- Capacity Known *

Reference #3


Reference #3- Name *

Reference #3- Phone Number *

Reference #3- Years Known *

Reference #3- Capacity Known *

Other Information

If you are under 18, can you furnish a work permit?*
No
Yes
Are you eligible for employment in this country*
No
Yes
Have you ever applied to work at Dutch Springs before?*
No
Yes
Have you ever worked for Dutch Springs in the past?*
No
Yes
Area you currently laid off and subject to recall*
No
Yes
Have you ever been bonded?*
No
Yes
Have you been convicted of a felony in the last seven (7) years?*
No
Yes
How did you hear about employment at Dutch Springs? (Check all that apply) *
the Bethlehem Press
Family Member
Friend
the Key
Social Media (eg- Facebook, twitter,...)
Website
Other
Applicant's Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Email Address

Email
Check to receive information, news, and discounts by e-mail.
A signed copy of this waiver will be sent to the email address you provide.
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Middle Name

Last Name*

Phone*
Parent or Guardian's Date of Birth*
I certify that I am 15 years of age or older
Parent or Guardian's Information

Email Address *
Check All Areas You are Interesting in Working (see above for descriptions) *
Admissions Office
Airfill**
Food Service
Gate Attendant
Grounds Maintenance/Lawncare**
Lake Staff*
Lifeguard***
Medic**
Memorable Events
Retail
Sky Challenge**
Any
When would you like to work?*
All Season (April - November)
College Summer Break (Mid May - Mid August)
High School Summer Break (June -Labor Day)
Other

Certifications


Please list all certifications (ie- CPR, First Aid, Open Water, Divemaster,...) *

Educational Background

School #1


School #1- Name *

School #1- Highest Grade Completed (incl Degree/Diploma/Major/Minor/Class of 'XX) *

School #1- GPA/Class Rank *

School #1- Clubs, Sports, Special Accomplishments *

School #2


School #2- Name *

School #2- Highest Grade Completed (incl Degree/Diploma/Major/Minor/Class of 'XX) *

School #2- GPA/Class Rank *

School #2- Clubs, Sports, Special Accomplishments *

Work and Volunteer History- Starting with your current or most previous experience, fill in the fields.

Employer #1


Employer #1- Company Name *

Employer #1- Job Title *
Employer #1- Still working for this employer?*
No
Yes

Employer #1 Address *

Employer #1- Phone *

Employer #1- Supervisor's name and title *
Employer #1- May we contact your supervisor for a reference?*
No
Yes

Employer #1- Hourly Rate (or type in volunteer if this was not a paid position) *

Employer #1- Summarize the nature of the work performed and the job responsibilities *

Employer #1- Start and End Dates *

Employer #2


Employer #2- Company Name *

Employer #2- Job Title
Employer #2- Still working for this employer?*
No
Yes

Employer #2- Address *

Employer #2- Telephone *

Employer #2- Supervisor's name and title *
Employer #2- May we contact your supervisor for a reference?*
No
Yes

Employer #2- Hourly Rate (or type in volunteer if this was not a paid position) *

Employer #2- Summarize the nature of the work performed and the job responsibilities *

Employer #2- Start and End Dates *

Employer #3


Employer #3- Company Name *

Employer #3- Job Title
Employer #3- Still working for this employer?*
No
Yes

Employer #3- Address *

Employer #3- Phone Number *

Employer #3- Supervisor's name and title *
Employer #3- May we contact your supervisor for a reference?*
No
Yes

Employer #3- Hourly Rate (or type in volunteer if this was not a paid position) *

Employer #3- Summarize the nature of the work performed and the job responsibilities *

Employer #3- Start and End Dates *

Employer #4


Employer #4- Company Name *

Employer #4- Job Title *
Employer #4- Still working for this employer?*
No
Yes

Employer #4- Address *

Employer #4- Phone Number *

Employer #4- Supervisor's name and title *
Employer #4- May we contact your supervisor for a reference?*
No
Yes

Employer #4- Hourly Rate (or type in volunteer if this was not a paid position) *

Employer #4- Summarize the nature of the work performed and the job responsibilities *

Employer #4- Start and End Dates *

List special accomplishments, publications, awards. 

Exclude memberships that would reveal sex, race, religion, national origin, age, disability or other protected status.


Special Accomplishment(s) *

List club, trade, civic, academic, professional or other associations and any offices held.

Exclude memberships that would reveal sex, race, religion, national origin, age, disability or other protected status.


Organization(s) & Position(s) Held *

Foreign Languages


Language *
Aptitude (Check all that apply) *
Fluent
Speak
Read
Write
N/A

Language *
Aptitude (Check all that apply) *
Fluent
Speak
Read
Write
N/A

References

Please list three (3) business/work/volunteer references who are not related to you and are not previous supervisors.  If not applicable, list three (3) school or personal references who are not related to you.

Reference #1


Reference #1- Name *

Reference #1- Phone Number *

Reference #1- Years Known *

Reference #1- Capacity Known *

Reference #2


Reference #2- Name *

Reference #2- Phone Number *

Reference #2- Years Known *

Reference #2- Capacity Known *

Reference #3


Reference #3- Name *

Reference #3- Phone Number *

Reference #3- Years Known *

Reference #3- Capacity Known *

Other Information

If you are under 18, can you furnish a work permit?*
No
Yes
Are you eligible for employment in this country*
No
Yes
Have you ever applied to work at Dutch Springs before?*
No
Yes
Have you ever worked for Dutch Springs in the past?*
No
Yes
Area you currently laid off and subject to recall*
No
Yes
Have you ever been bonded?*
No
Yes
Have you been convicted of a felony in the last seven (7) years?*
No
Yes
How did you hear about employment at Dutch Springs? (Check all that apply) *
the Bethlehem Press
Family Member
Friend
the Key
Social Media (eg- Facebook, twitter,...)
Website
Other
Parent or Guardian's Signature*
Electronic Signature Consent*
By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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