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Application for Employment

Questions marked with an asterisk (*) are required.
Please consider printing a copy of this page for your records before you click Submit.


(xxx) xxx-xxxx
(xxx) xxx-xxxx
      mm-dd-yyyy
      mm-dd-yyyy
If you are applying for a seasonal job, please enter the latest date you can end employment.

Select the positions you are applying for:

EDUCATION AND TRAINING


Please list in order

Present or Most Recent Employer

mm-dd-yyyy
mm-dd-yyyy
(xxx) xxx-xxxx

Second Employer

mm-dd-yyyy
mm-dd-yyyy
(xxx) xxx-xxxx

Third Employer

mm-dd-yyyy
mm-dd-yyyy
(xxx) xxx-xxxx
Do not include relatives or personal references.

First Reference

(xxx) xxx-xxxx

Second Reference

(xxx) xxx-xxxx

Third Reference

(xxx) xxx-xxxx

Please note that if an offer of employment is extended to you, we will be conducting a background check. A notice for your approval will be sent to you once the offer has been extended.

Please read carefully:

I certify that the above answers are true and complete to the best of my knowledge. I understand that any false information or omission in my application, correspondence, discussions or interview may disqualify me from further consideration for employment and may result in my dismissal from employment if subsequently discovered.

I authorize Basin Harbor to investigate any statement contained in this application, including my past employment, education, activities, and reference information, as necessary to determine my qualifications.   I release and hold harmless Basin Harbor, its agents, and its employees from any and all claims arising out of the investigation of my references and background and any employment decisions made about me on the basis of information revealed by such investigation.  I further release and hold harmless any person, institution, organization, or company from any and all claims arising out of the release of information to Basin Harbor in connection with its investigation.

I understand that this application is not and is not intended to be any kind of contract or agreement. In the event of employment,  I further understand that acceptance of an offer of employment with Basin Harbor does not create a guarantee of employment for a definite period of time or an obligation on Basin Harbor to continue to employ me in the future.  I understand that if hired, it is at the will of Basin Harbor and my employment may be terminated at any time, with or without cause and with or without notice.

I further understand that this application will remain active for 90 days.  After that time, if I wish to be considered for employment with Basin Harbor, I will need to submit a new application.

Please be patient while your application is processed.