EMPLOYMENT


"Welcome to the Fishlips Online Application. Please allow 48 hours for a response. We appreciate your time and look forward to meeting you.

Michael Schwarz

General Manager
PLEASE PRINT AND COMPLETELY ANSWER ALL QUESTIONS
POSITION APPLIED FOR DATE:  (yyyy/mm/dd)
PERSONAL DATA
First Name
Middle Name
Last Name
Social Security Number
Email Address
Street Address
City
State
Zip Code
Telephone Number
When will you be available to start work?
Are you atleast 18 years old?
Yes No
If not, state your age for child labour law purposes only
Are there any days, shifts or hours you will not work?
Please explain:
Are you available for out of town work?
Yes No
Will you work overtime, if required?
Yes No
Are you legally authorized to work in the United States?
Yes No
Will you now or in the future require sponsorship
for employment visa status?
Yes No
Have you ever pled "guilty" or "no contest" to, or been convicted of a crime?
Yes No
Date of conviction:  (yyyy/mm/dd)
If yes, please explain
Have you been named as a defendant in a civil
action for an intentional tort?
Yes No
If yes, please describe the nature of the tort and the disposition of the action
(Answering "yes" to these questions does not constitute an automatic bar to employment. Factors such as date of the incident, seriousness and nature of the violation, rehabilitation and positon applied for will be taken into account.)
Have you taken any illegal drugs within the last 30 days?
Yes No
If yes, please explain:
How did you learn of our company?
    Newspaper Friend
    Recruiting Firm Current Employee
    Other    
If a referral, who were you referred by?
Have you ever applied or worked here before?
Yes No
 
If yes, provide dates  (yyyy/mm/dd)  
DRIVING RECORD
(Answer only if driving is a requirement for the job for which you are applying)
Do you have a valid drivers license?
Yes No
State 
License No.
Have you had any tickets?
yes No
If yes, please explain
Has your license ever been suspended or revoked
Yes No
If yes, please explain
Do you have any DUI of DWI convictions?
Yes No
If yes, please state when you were convicted and explain
 
 
  610 Glen Cheek Drive • Port Canaveral, FL 32920 • 321-784-4533
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