Employment Application

Fill out this application as completely as you can. A team member will contact you by phone and email if you’re selected for an interview.

Position

Position Applying For

Applicant Information

Full Name *

Email *

Phone *

Date of Birth *

Street Address *

City *

State *

ZIP *

Availability & Work Details

When can you start?

Employment type you are interested in:

Full-Time Part-Time Seasonal

Days and hours you are available to work

Desired pay

Are you legally authorized to work in the United States?

Are you at least 18 years of age?

Education

High school

College / Trade school / Other

Employment History

Please list up to three of your most recent jobs, starting with your most recent employer.

Previous Employer 1

Employer name

Position held

Dates of employment

Main duties / responsibilities

Reason for leaving

Previous Employer 2

Employer name

Position held

Dates of employment

Main duties / responsibilities

Reason for leaving

Previous Employer 3

Employer name

Position held

Dates of employment

Main duties / responsibilities

Reason for leaving

References

List at least two people (not relatives) who can speak about your work ethic or character.

Reference 1

Name

Relationship

Phone

Years known

Reference 2

Name

Relationship

Phone

Years known

Reference 3

Name

Relationship

Phone

Years known

Certifications & Emergency Contact

Certifications / Training (optional)

Emergency contact name (optional)

Relationship

Emergency contact phone

Why Ophelia Caribbean?

Why do you want to work here?

Applicant Statement & Signature

By submitting this application, you certify that the information provided is true and complete to the best of your knowledge. You understand that any false or misleading information may result in disqualification from employment or termination if hired.

Type your full legal name as your electronic signature

Date

I have read and agree to the statement above.