Employment Application Application Must Be Filled Out Completely "*" indicates required fields Personal DetailsHiddenName First Last First Name* Last Name* Physical Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Is your Mailing Address different? Yes No Mailing Address (if different from above) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* Phone*Do you have a legal right to work in the United States?* Yes No The federal government requires multiple forms of proof within 3 days of employment. This information is NOT used when we review applications.Are you OVER 18 years of age?* Yes No If UNDER 19 years of age, do you have valid working papers? Yes No Have you been convicted of a crime?* Yes No Are you currently involved in litigation (a party to a lawsuit)?* Yes No AvailabilityPosition for which you are applying?* If this is a seasonal position, what the Earliest and Final dates you will be available to work?* EducationJunior High (if applicable) Name of school: Grade completed & year: High SchoolName of school: Grade completed & year: CollegeName of school: Degree completed & year, if applicable: Major course of study: Post GraduateName of school: Degree completed & year, if applicable: Major course of study: Previous EmploymentList your three most recent employers with dates employed and the name of the supervisor. Please include their phone numbers/email addresses.May we contact your previous employers for references?* Yes No Employer 1Employer name, dates employed, supervisor name, and phone number/email address:Employer 2Employer name, dates employed, supervisor name, and phone number/email address:Employer 3Employer name, dates employed, supervisor name, and phone number/email address:Special SkillsWhat skills (languages, crafts, computers, machinery, etc.) do you have that would apply to the job available?ReferencesPlease provide three references (other than family members). Please include their phone numbers.Reference 1Reference name and phone number.Reference 2Reference name and phone number.Reference 3Reference name and phone number.Applicant's AgreementI understand that nothing contained in this application or conveyed during any interview which may be grated is intended to create an employment contract between Fort Ticonderoga and me. In addition, I understand and agree that if I am employed my employment is for no definite or determinable period and may be terminated at any time. No promises or representations contrary to the foregoing are binding on Fort Ticonderoga unless made in writing and signed by Beth L. Hill, President and CEO, and me.Signature*NameThis field is for validation purposes and should be left unchanged. Δ
