to the Employment Application.

ARM PIWP, LLC
Location: Parrot Island Waterpark
7200 Zero Street Fort Smith, Arkansas 72903
Telephone: 479-788-6550 Facsimile: 814-833-2667
APPLICATION FOR EMPLOYMENT
Please answer carefully, completely and neatly
PERSONAL DATA
DATE OF APPLICATION
NAME:
LAST
FIRST
ADDRESS:
NUMBER AND STREET
CITY
(
)
HOME PHONE
(
)
(
CELL PHONE
MIDDLE INITIAL
STATE
ZIP CODE
)
OTHER CONTACT NUMBER
E-MAIL ADDRESS
Have you used any other name that we should know in order to check your employment or background history?
_____Yes _____ No If yes, please provide name(s): ______________________________________________
Source of Referral:
Advertisement
Employment Agency
Employee Referral
Other
Name of Newspaper / Agency / Employee: __________________________________________________________
Are you legally eligible for employment in the USA AND
with ARM PIWP, LLC at location: Parrot Island Waterpark? _____ Yes
_____ No
(Proper proof of U.S. citizenship or immigration status will be required upon employment)
Position Desired: __________________________________________
Employment Desired:
______ Full Time
Salary/Wage Desired: $ ___________________
______ Part Time
Date Available to Start: ____________________________________________________________________________________________
Availability: ____ Mon AM ____Tues AM ____ Wed AM ____ Thurs AM ____ Fri AM ____ Sat AM
____ Mon PM ____Tues PM ____ Wed PM ____ Thurs PM ____ Fri PM ____ Sat PM
____ Sun AM
____ Sun PM
Schedule Restrictions (What specific hours are you unable to work?) _________________________________________________________
Are you only available for seasonal employment? Yes
No
If yes, dates available: _______________________________
Willing to Work Overtime? _____Yes _____ No
Are you:
✔
 Able to furnish a work permit if under the state legal age to work?.............................................____Yes
___No___ N/A
 Able to perform the essential functions of the job for which you are applying,
With or without reasonable accommodation?.............................................................................................___Yes ___No
 Do you have any relatives working for ARM PIWP, LLC or Parrot Island Waterpark?................................___Yes___No
 Have you been convicted of a crime or pled guilty or no contest in the past ten years, excluding any minor traffic
violations, which have not been expunged by a court? (It is not necessary to reveal any conviction under seal)
If yes, please describe: _________________________________________________________________________
(Conviction of a crime will not necessarily prevent acceptance for employment.)
ARM, PIWP, LLC is an equal employment opportunity employer
AD0029 02/2015
EMPLOYMENT HISTORY (Please begin with your most recent employer)
Date of Employment
FROM (Month/Day/Year)
Employer
Descriptions
Company:
Job Title:
Type of Business:
Job Duties:
Address:
TO
(Month/Day/Year)
City:
State, Zip:
Total Months / Years
Employed
Phone #:
Reason for Leaving:
Supervisor & Title:
Beginning & Ending Salary
May we contact for a reference? _____ Yes
Date of Employment
FROM (Month/Day/Year)
Employer
_____ No
Descriptions
Company:
Job Title:
Type of Business:
Job Duties:
Address:
TO
(Month/Day/Year)
City:
State, Zip:
Total Months / Years
Employed
Phone #:
Reason for Leaving:
Supervisor & Title:
Beginning & Ending Salary
May we contact for a reference? _____ Yes
Date of Employment
FROM (Month/Day/Year)
Employer
_____ No
Descriptions
Company:
Job Title:
Type of Business:
Job Duties:
Address:
TO
(Month/Day/Year)
City:
State, Zip:
Total Months / Years
Employed
Phone #:
Reason for Leaving:
Supervisor & Title:
Beginning & Ending Salary
May we contact for a reference? _____ Yes
Date of Employment
FROM (Month/Day/Year)
Employer
_____ No
Descriptions
Company:
Job Title:
Type of Business:
Job Duties:
Address:
TO
(Month/Day/Year)
City:
State, Zip:
Total Months / Years
Employed
Phone #:
Reason for Leaving:
Supervisor & Title:
Beginning & Ending Salary
May we contact for a reference? _____ Yes
ARM, PIWP, LLC is an equal employment opportunity employer
_____ No
AD0029 02/2015
EDUCATION AND TRAINING
TYPE OF
SCHOOL
NAME AND LOCATION OF
SCHOOL
# OF YEARS
ATTENDED
High
School
1 ____
2 ____
3 ____
4 ____
Business
Trade or
Tech
School
1 ____
2 ____
3 ____
4 ____
Colleges
1 ____
2 ____
3 ____
4 ____
Other
Training
(Explain)
1 ____
2 ____
3 ____
4 ____
DEGREE EARNED
Diploma? Yes
No
Diploma? Yes
No
Diploma? Yes
No
Diploma? Yes
No
MAJOR AND MINOR FIELDS
OF STUDY
SPECIAL SKILLS and TRAINING
___ Typing ________ (wpm)
___ Painting
___ Lifeguard Certification
Expires: __________
___ Microsoft Word
___ Plumbing
___ CPR
Expires: __________
___ Excel
___ Carpentry
___ First Aid
Expires: __________
___ Power Point
___ Electrical
___ Class II Drivers License Expires: __________
___ 10-Key Adding Machine
___ POS Systems
___ HVAC / Refrigeration
___ PBX Board
___ Restaurant System (Describe) __________________________________
___ Reservation Property Management System (Describe) _________________________________________________
Additional Qualifications __________________________________________________________________________
PROFESSIONAL REFERENCES (DO NOT LIST RELATIVES)
(
NAME
STREET ADDRESS
TELEPHONE NUMBER
CITY
STATE
(
NAME
STREET ADDRESS
STREET ADDRESS
TELEPHONE NUMBER
CITY
STATE
STREET ADDRESS
TELEPHONE NUMBER
CITY
STATE
YEARS KNOWN
ZIP CODE
YEARS KNOWN
ZIP CODE
)
RELATIONSHIP / TITLE
TELEPHONE NUMBER
CITY
STATE
ARM, PIWP, LLC is an equal employment opportunity employer
ZIP CODE
)
RELATIONSHIP / TITLE
(
NAME
YEARS KNOWN
)
RELATIONSHIP / TITLE
(
NAME
)
RELATIONSHIP / TITLE
YEARS KNOWN
ZIP CODE
AD0029 02/2015
PLEASE READ BEFORE SIGNING
ARM PIWP, LLC is an Equal Employment Opportunity Employer. All applicants and employees are treated without regard
to their race, color, religion, gender, national origin, age, disability, veteran status, or status within any other protected
group by law.
Nothing contained in this application or in the interview process is intended to create an employment contract between
ARM PIWP, LLC and you (the applicant). Should this application result in your employment at Parrot Island Waterpark,
you have a right to terminate your employment at any time and for any reason, and ARM PIWP, LLC retains the same
right. Any verbal or written statements to the contrary, are expressly disclaimed and should not be relied on by you (the
applicant). Further, you understand and agree that employment is defined for no definite period and may be terminated at
any time without previous notice, regardless of the date wages or salary are last paid. If employed by ARM PIWP, LLC,
you understand that the company can change its policies and procedures at any time.
I have answered all questions to the best of my ability. I understand that false or misleading information or omissions
contained in this application (or attached resume, or given by me during the interview process) is grounds for
disqualification from further consideration or for dismissal from the company. I authorize any necessary inquiries as to my
character, reputation, and ability, and release those supplying any information from all liability.
I authorize ARM PIWP, LLC to investigate my past employment and education and the public records for any prior
criminal convictions I may have. I authorize ARM PIWP, LLC to request a report concerning my credit history, and I
understand that, at my request, ARM PIWP will inform me whether or not a consumer report was obtained and if obtained,
will provide me with the name and address of the consumer-reporting agency that furnished the report.
____________________________________
Signature of Applicant
Date
Fair Credit Reporting Act Disclosure Statement
This will confirm that you hereby agree and authorize ARM PIWP, LLC to obtain, on an annual basis, and for as long as
you are employed, a report from a consumer reporting agency regarding your creditworthiness, character, general
reputation, personal characteristics or mode of living. This will also serve to advise you that should the Company obtain
such a report, it will not be used in a manner that would violate any Federal or State Equal Employment Opportunity law
or regulation. Should employment be offered, ARM PIWP, LLC reserves the right to obtain a consumer report from a
consumer-reporting agency annually, for all General Managers, Controllers, and cash handling positions.
____________________________________
Signature of Applicant
Date
PLEASE DO NOT WRITE BELOW THIS LINE
Position Interviewed For: ___________________________________________________________________
Interviewed By: ___________________________________________ Date: ___________________________
ARM, PIWP, LLC is an equal employment opportunity employer
AD0029 02/2015