Employment Application
General Information
Last Name
Ramsey
First
Christopher
Middle Initial
E
Last 4 Digits of Social
5427
Security No.
XXX - XX -
Street Address
City
State
Zip Code
E – Mail Address
Home Phone
Cell Phone Position Applied For (Title)
Department / Company (Lighthouse, LAMP)
Salary Requirement
Date Available
Hourly P-Time
Annually F-Time
How did you learn of this vacancy (please list the specific employee, newspaper, web site, or other source)?
Have you previously used any other names besides what is provided above? No Yes If yes, please specify below:
Are you over 18 years old? No Yes Are you eligible for employment in the United States? No Yes
(If offered employment, you will be required to provide documentation to verify eligibility.)
Do you have any direct or indirect relatives or friends, volunteers, interns or Board of Trustees that work or are associated with us? No Yes ; IF . Yes, please provide details of your relationship
First Light Maritime St Augustine Lighthouse & Museum, Inc. Affiliation
Are you now or have you ever been employed by any of our companies? No Yes If yes, please list the location, title, department, and dates below:
Note: If you are currently employed by the SAL&M, have you informed your supervisor of this application. No Yes
Your supervisor, however, must be informed if you are invited for an interview. Please attach your most recent work performance appraisal.
Are you now or have you ever served our companies as a Trustee, volunteer or intern or a staff member? No Yes
If yes, please list location, title, department, and dates below:
Education
High School Name
City
State
Diploma/Equivalent?
Yes No
College and/or Technical School Name
City
State
Degree?
Yes No
Major
Degree Earned
If degree not earned, years completed:
1 2 3 4
Other Training or Degrees School Name
City
State
Major
Degree Earned
Membership in Professional or Civic Organizations or Board
(Exclude those that may disclose your race, ethnic background, religion or national origin)
Drug Screen / Back Ground Check / Record of Conviction
We are a Drug Free Work Place and require a drug screen as part of the application process for employment, Check I understand and agree
Have you ever been convicted of a crime other than a minor traffic offense (including during Military Service)? No Yes If yes, explain:
Equal Opportunity Employer
Employment History: List current/last employer first, include U.S. military service.
Employer Name
Address
City
State
Zip Code
Telephone No
Your Title
Department Beginning Date
Ending Date
Final Salary
Supervisor's Name & Title
If you are still employed, may we contact your employer? Yes No
Summary of duties:
Reason for leaving:
Employer Name
Address
City
State
Zip Code
Telephone No.
Your Title
Department Beginning Date
Ending Date
Final Salary
Supervisor's Name & Title
Summary of duties:
Reason for leaving:
Employer Name
Address
City
State
Zip Code
Telephone No.
Your Title
Department Beginning Date
Ending Date
Final Salary
Supervisor's Name & Title
Summary of duties:
Reason for leaving:
If you wish to describe additional work experience, attach the above information for each position on a separate piece of paper.
Skills
List MS Office Products that you Know and your proficiency
Excellent Good Fair Poor
Excellent Good Fair Poor
Excellent Good Fair Poor
Languages (including Sign Language):
Fluency
List:
Written
Spoken
Excellent Good Fair Poor
Excellent Good Fair Poor
Excellent Good Fair Poor
Excellent Good Fair Poor
Please list any other skills relevant to the position for which you are applying:
I hereby certify that the facts set forth in this employment application are true and complete to the best of my knowledge. I understand that false statements of any kind or omission of facts called for on this application are a basis for dismissal regardless when they are discovered. I understand that any employment offered is for an indefinite duration, unless otherwise specified in writing, and is at-will, which means that either the St. Augustine Lighthouse and Museum, Inc. or I may terminate my employment at any time with or without notice or cause. I further understand that neither the policies, rules, regulations of employment, application for employment, nor anything said during the interview process shall be deemed to constitute the terms of any implied employment contract.
Signature of Applicant:
Date:
Rev.11012017MC3