Employment Opportunities

First & Last Name *

Telephone Number *

Home Address *

City, State *

Zip *

Date of Birth *

Month/Day/Year

Email Address *

Date Available to Start *

Are you currently working? *

Yes No

May we contact your present employer? *

Yes No I am not currently working

Have you worked at the Erie Zoo before? *

Yes No

If yes, please provide the dates of Erie Zoo employment

Are you legally authorized to work in the U.S.? *

Yes
No

If you are hired, you will be required to provide proof of work authorization

Were you ever discharged by a company? *

Yes No

If yes, give the name of the company and reason for discharge:

Did you serve in the miliatary? *

Yes No

If yes, what was your branch, rank, and technical specialization?

How were you referred to the Erie Zoo? *

What is your availability? (Shifts at the Zoo/Ice Rink can range from 8am-10pm daily depending on the position) *

Check all that apply

Number of hours available per week: *

Please list any dates and times for which you have previous obligations over the next three months

Do you have a valid drivers license? *

Yes
No

Highest Level of Education *

School Name *

Degree(s) or certificate(s) earned (if applicable)

Recent Place of Employment *

Dates Employed (Recent) *

Company Phone Number (Recent) *

Pay Rate (Recent) *

Responsibilities & Duties (Recent) *

Reason For Leaving (Recent) *

Previous Employment #1

Dates Employed #1

Company Phone Number #1

Pay Rate #1

Responsibilities & Duties #1

Reason For Leaving #1

Previous Employment #2

Dates Employed #2

Company Phone Number #2

Pay Rate #2

Responsibilities & Duties #2

Reason For Leaving #2

Reference #1 First & Last Name *