<p> Application for Seasonal Employment Centennial Field, 287 Colchester Ave, Burlington, VT 05401 Office: (802) 655-4200 Fax: (802) 655-5660 www.vermontlakemonsters.com The Vermont Lake Monsters are an equal opportunity employer</p><p>Today’s Date: ______</p><p>Personal: Last Name:______First Name:______Middle Initial: ______</p><p>Street Address:______</p><p>City:______State:______Zip Code:______</p><p>Primary Phone:______Other Phone:______</p><p>Email Address:______</p><p>Position Desired: (Please select 3 positions that you are most interested in for employment) ___ Usher ___ Merchandise ___ Inflatable Attendant ___ Parking Attendant ___ Grounds Crew ___ Customer Service Rep ___ Tickets ___ Mascot ___ Other ___ Concessions ___ Custodial</p><p>General Information: Are you 18 years or older? ___ YES ___ NO Are you a citizen of the United States? ___ YES ___ NO, If NO, do you have authorization to work? ___ YES ___ NO Will this position be your primary job or will it be your second job? ____ PRIMARY ___ SECOND JOB If your SECOND JOB, what is your primary job? ______Hours worked per week ______When are you available to start? ______What days can you work? M Tu W Th F Sa Su Any Day Can you work nights? ___ YES ___ NO Have you ever been convicted of a felony? ___ YES ___ NO If YES, please explain: ______Do you have appropriate means of transportation? ___ YES ___ NO Have you previously worked for the Vermont Lake Monsters? ___ YES ___ NO If YES, Supervisor: ______Do you know anyone who works for the Vermont Lake Monsters? ___ YES ___ NO If YES, whom? ______</p><p>Highest Level of Education: High School/College/Technical School: ______City/State: ______Major/Study: ______Did you graduate? ___ YES ___ NO</p><p>Employment History: (list your current or most recent employer first) 1. Employer: ______Dates: ______to ______</p><p>Address: ______Salary: $______</p><p>Job Title: ______Reason for Leaving: ______</p><p>Supervisor: ______Phone: ______</p><p>Briefly describe your job duties: ______2. Employer: ______Dates: ______to ______</p><p>Address: ______Salary: $______</p><p>Job Title: ______Reason for Leaving: ______</p><p>Supervisor: ______Phone: ______</p><p>Briefly describe your job duties: ______</p><p>3. Employer: ______Dates: ______to ______</p><p>Address: ______Salary: $______</p><p>Job Title: ______Reason for Leaving: ______</p><p>Supervisor: ______Phone: ______</p><p>Briefly describe your job duties: ______</p><p>Give any other information you believe would assist us in considering you for employment: ______</p><p>References: Give below the names of three persons not related to you that you have known at least one year: Name Address Phone 1. ______2. ______3. ______</p><p>Certification: I certify that all facts contained in this application are true and complete. I authorize the Vermont Lake Monsters to verify the accuracy of the information provided herein, I authorize former employers and educational institutions to provide information concerning me, and I release them from liability for providing any such information to the Vermont Lake Monsters. I further authorize the Vermont Lake Monsters to provide to others information concerning me, and I release the Vermont Lake Monsters from liability for providing any such information. </p><p>I understand that falsification, misrepresentation, or omission of requested facts will result in denial of employment or, if employed, will result in immediate dismissal. I understand and agree that, if hired, my employment will be for no definite period and may, regardless of the date of payment of wages, be terminated at any time without previous notice and with or without reason, at the will of either myself or the Vermont Lake Monsters. I also understand and agree that no one has the authority to promise my job security or continued employment, except the General Manager of the Vermont Lake Monsters in a formal written agreement signed by both parties. </p><p>Applicant’s Signature: ______Date: ______</p><p>In Case of Emergency, Notify: Name: ______Telephone: ______Relationship: ______Address: ______</p>