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EMPLOYMENT APPLICATION
Name
Today's Date
Available Date
Position Desired
CELL Phone
HOME Phone

Physical Address

Check if same as Mailing Address
Street
City
Zip

Mailing Address (If different)

Street
City
Zip
Current Employer
Current Employer Name
Supervisor Name
Phone Number
Position Held
Responsibilites
Dates of Employment
Wage
Reason for Leaving/Schedule if maintaining employment
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Previous Employer #1
Previous Employer Name
Previous Supervisor
Phone Number
Position Held
Responsibilites
Dates of Employment
Wage
Reason for Leaving/Schedule if maintaining employment
0 /
Previous Employer #2
Previous Employer Name
Previous Supervisor
Phone Number
Position Held
Responsibilites
Dates of Employment
Wage
Reason for Leaving/Schedule if maintaining employment
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Education
High School Name
Town/Location
Did you graduate?
College
Town/Location
Degree/Years

Please describe any particular skills or experience you have, or any additionaltraining or certification programs you have completed that may be beneficial toyour performance in the position for which you are applying.

Skills
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Personal Reference #1
Phone NumberPersonal Reference #1
Personal Reference #2
Phone NumberPersonal Reference #2
How where you referred to us?
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Have you worked at Port of Kimberling/What’s Up Dock before?
If so, when?
Additional Questions

Can you, within 3 days of beginning employment, submit verification of your legal right to work in the United States?

Legal

Because gasoline is considered a hazardous substance and many positions require operation of a motor vehicle, we must ask whether you are at least 16 years of age. 

16 Yrs or Older?

In order to allow you to sell certain products at What’s Up Dock, we must ask whether you are at least 18 years of age.

18 Yrs or Older?

All positions at the Port of Kimberling Family of Companies are customer service oriented. Many positions require physical labor to be performed. Many positions require labor to be performed outdoors in hot, humid, cold, and inclement weather. Many positions require work to be performed on docks floating on water or other uneven surfaces. Can you perform the job functions of the position for which you are applying with/without a reasonable accommodation? 

Labor Reqs

The Port of Kimberling Family of Companies observes a zero-tolerance drug, alcohol and tobacco use policy that includes post-offer, pre-employment and random drug screening of candidates for hire. We may also conduct background and reference checks on candidates for hire. In the event of employment, if we discover that false or misleading information was conveyed on this application or during an interview (including representations made about availability to work), the employee may be terminated immediately.

I agree to abide by the drug-free policy and allow POK to conduct a full backgound and reference checks.

Many positions at the Port of Kimberling Family of Companies are seasonal (approximately mid-May through the first week of September). We rarely grant time-off requests during these months for any position. Some of our busiest days are Memorial Weekend, the 4th of July week, and Labor Day Weekend, and therefore we require all employees to be available for work those holidays. Your availability for work during the season may determine eligibility for hire.


Will you be available for work approximately mid-May through the first week of September, including weekdays, weekends and holidays, with the exception of an emergency?
If no, explain:
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Are you currently attending school/college?

If yes, please complete the following:

Current School Attending
Last Day of School
Date Available to Start Work
Are you available to work weekends after school resumes?
Do you have any vacations planned?
List any dates unavailable to work from mid-May through the first week of September:

By signing below, you are stating that you are available for work during the timeframe described above, with the exception of an emergency and agree to fulfill the commitments set forth above if you are hired for this season. 

Signature
Date
Parent or Gardian (If under 18):

Applicant’s Acknowledgement and Authorization


In connection with the attached Employment Application and Availability for Work Form being presented to Port of Kimberling Marina and Campground, Port of Kimberling Resort and/or What’s Up Dock (referred to together as “POK” in this Acknowledgement and Authorization), please read the following statements.

 

  • Positions at POK are customer service oriented. 
  • Many positions require performance of physical labor, generally outdoors, in all types of weather.
  • Many positions require work to be performed on docks floating on water or other uneven surfaces. 
  • Many positions at POK are seasonal (approx. mid-May through the first week of September). 
  • Time-off requests are rarely granted from mid-May through the first week of September for any position. 
  • Employees are expected to be available for work on weekdays, weekends, Memorial Weekend, the 4th of July holiday, and Labor Day Weekend.
  • POK observes a zero-tolerance drug, alcohol and tobacco use policy (further described in the Employee Handbook) that may include a post-offer, pre-employment and random drug screening of candidates for hire. 
  • POK may conduct background and reference checks on candidates for hire, which may include internet checks, consumer reports (credit checks, criminal record checks, driving records checks), educational verification and past-employer checks. Information obtained from any background check will not be used to discriminate against an applicant, but rather only to provide information relevant to the safe and successful performance of the job duties required for the position applied for herein. Information obtained in any background check will be kept confidential and only personnel with a genuine need to know will be allowed to access such information.
  • False or misleading information on this application or given during an interview (including representations made about availability to work) may result in my immediate termination.
  • POK operates under an employment-at-will policy, which means that employers and employees can terminate the employment relationship at any time for any reason.
  • POK adheres to Missouri and Federal laws regarding reporting new hires and verifying employment eligibility. An I-9 form will be completed and proper documentation must be provided on the date of hire. Failure to provide documentation verifying the employee’s eligibility to work within three (3) days of employment may result in termination, in accordance with federal law. 
I,Enter your name below...

have completed the attached Applicationfor Employment with POK. I certify that my answers are true and complete to thebest of my knowledge. I acknowledge that if I become employed and is discoveredthat I provided false or misleading information on my application or in interview(s),my employment relationship with POK may be immediately terminated.

I have read and hereby acknowledge and agree to the terms of thestatements set forth above. I authorize POK or its agents to make suchinvestigations and inquiries of my personal, employment, educational, andfinancial history by way of internet searches, consumer reports and personalcontacts as may be necessary for an employment decision. I hereby authorizepast employers, educational institutions and other persons to release to POK orits agents information regarding my salary history, dates of employment,positions held, responsibilities and duties performed, reason for leaving,eligibility for rehire, performance, degree obtained and transcript information.I hereby waive any rights or claims I may have against POK, my past employers,educational institutions and other persons, and release POK and its employees,representatives and agents from any and all liability, claims or damages thatmay directly or indirectly result from the use, disclosure or release of anyinformation by any person or party, whether such information is favorable orunfavorable to me. I acknowledge that ifI am determined to be a candidate for hire, I may be asked to furnish a sample of my urine, breath, and/or hair foranalysis.

Applicant Name (Signature)
Date
Parent or Guardian Signature(If under 18)
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