Work Here - Riverbank Marina

Name *

First

Last

Cell Phone *

Home Phone

Email *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Are you at least 18 years old? *

Yes
No

Who should we contact in case of an emergency?

Cell Phone

Position Desired *

Date You Can Start *

When are you available to work?

Hours Available *

If unavailable to work certain days/hours, please explain:

Are you emplyed now?

Yes
No

If yes, may we contact your employer?

Yes
No

Have you applied for employment at Riverbank before?

Yes
No

If yes, when?

Have you ever worked at Riverbank before?

Yes
No

If yes, when?

Do you have any relatives or friends who are, or were, employed by Riverbank?

Yes
No

If yes, name(s):

Driver's License *

Are you legally able to work in the US?

Yes
No

Do you have any special training, skills, bi-lingual, or experiences that are relevant to the position for which you are applying? *

Yes
No

If yes, describe here:

Are you currently, or were you previously, in the military?

No
Previously
Currently

If you were previously, or are currently, in the military, what branch and rank (including reserves)?

Are you able to bend to pick up trash/equipment? *

Yes
No

Are you able to carry 50-75 lbs up/down stairs? *

Yes
No

Have you ever been seriously injured?

Yes
No

If yes, please explain: