JOB OPPORTUNITY FORM

APPLICATION FOR TEMPORARY/SEASONAL EMPLOYMENT
Date
MM slash DD slash YYYY
PERSONAL INFORMATION
Full Name*
*
Street Address City State ZIP Code
Cell Phone Number*
Alternate Phone
Email*
POSITION DESIRED
Temporary Position
Are you currently employed?
- Yes
- No
Where?
Date Available*
MM slash DD slash YYYY
Salary
Have you worked for our company before?
- Yes
- No
Referred By
REFERENCES
Name
Address/City
Phone Number
Years Known
Relationship
Name
Address/City
Phone Number
Years Known
Relationship
Name
Address/City
Phone Number
Years Known
Relationship
GENERAL INFORMATION
Summarize your special skills or qualifications:
FORMER EMPLOYERS
From*
DD slash MM slash YYYY
To*
DD slash MM slash YYYY
Name and Address of Employed*
Reason for leaving*
Salary*
Position*
From
DD slash MM slash YYYY
To
DD slash MM slash YYYY
Name and Address of Employed
Reason for leaving
Salary
Position
From
DD slash MM slash YYYY
To
DD slash MM slash YYYY
Name and Address of Employed
Reason for leaving
Salary
Position
WORK AVAILABILITY -DAYS & HOURS
MONDAY - FRIDAY
From:*

: Hours

Minutes
TO:*

: Hours

Minutes
SATURDAY - SUNDAY
From:*

: Hours

Minutes
TO:*

: Hours

Minutes
Are there any days / times that you will not be able to work?
AUTHORIZATION
*
I certify that my answers are true and complete to the best of my knowledge. I authorize you to make such investigations and inquires of my personal, employment, educational and other related matters as may be necessary for a temporary/seasonal employment decision.
I hereby release employers, schools or individuals from all liability when responding to inquiries in connection with my application.
In the event I am temporarily employed, I understand that false or misleading information given in my application or interview may result in discharge.

This field is required.
TEMPORARY/SEASONAL EMPLOYMENT AGREEMENT
This is not a permanent employment position and under no circumstances may it be construed as such.
As a Temporary/Seasonal Employee, I shall perform work as required by the Company including weekends and/or full time which may require working overtime. This shall not be construed as a permanent relationship.
Should the labor requirement be reduced for any reason whatsoever, it will be at the employer's discretion as to how the work will be allocated and to whom. These decisions will be based upon performance and not necessarily the length of service. The Temporary/Seasonal Employee will be informed in advance if his/her services will or will not be required.
Date
MM slash DD slash YYYY
Signature*