Career Page

Job Application - Repair Technician

PLEASE NOTE: Complete all parts of the application. If your application is incomplete, or does not clearly show the experience and/or training required, your application may not be accepted. If you have no information to enter in a section, please write N/A.

Name and Address
Name (First, Mi, Last)	Sex Male Female	Social Security Number
Mailing Address
City, State, and Zip Code
Home Phone	Cell Phone
Email Address	May we use e-mail to contact you? Yes No

Additional Information
Have you been an employee of this organization in the past? Yes No
I certify that I am a U.S. citizen, permanent resident, or a foreign national with authorization to work in the United States. ** Yes No

Education (Schools attended or special training received)
School	From	To	Did you graduate? Yes No
Location		Type of Degree or diploma
School	From	To	Did you graduate? Yes No
Location		Type of Degree or diploma

Job Type/Shift
Full Time	Part Time	Permanent	Temporary
Date Available to Begin Work:

Certification
Oceanic	Aqualung	Scubapro	Mares
Poseidon	Atomic	Dive Rite	Other

Work History
Job Title	From	To	Hrs/Week	Employer
Address	Phone	Supervisor		May we contact this employer? Yes No
Reason for Leaving?

Job Title	From	To	Hrs/Week	Employer
Address	Phone	Supervisor		May we contact this employer? Yes No
Reason for Leaving?

References
Personal		Professional
Reference Name		Reference Name
Relationship	Phone	Relationship	Phone
Reference Name		Reference Name
Relationship	Phone	Relationship	Phone

About Yourself

Employment with Dolphin is on an "at-will" basis. Employment at-will may be terminated at the will of either Dolphin or the employee. Employment may be terminated with or without cause, and with or without notice, at any time by your or Dolphin.

I certify that all answer and statements on this application are true and complete to the best of my knowledge. I understand that should an investigation disclose untruthful or misleading answers, my application my be rejected , my name removed form consideration, or my employment with this company terminated.

Career Page

Job Application - Repair Technician

Dolphin Swim School and Scuba Center