Application Date(Required) MM slash DD slash YYYY Applicant InformationName First Middle Last Address Street Address Apartment/Unit # 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 PhoneEmail Date Available MM slash DD slash YYYY Dates Not AvailableOne per line pleaseDesired SalarySalary Type Annually Hourly Position Applying ForOffice Support Specialist (Full Time)Keeper I (Full Time)Admissions Seasonal SupervisorHabitat Educator (Seasonal)Grounds Associate & Ride Operator (Seasonal)Zoo Store Associate (Seasonal)Admissions Associate (Seasonal)Concessions Associate (Seasonal) How were you referred to us? Job Fair Open House Walk-in Staff Other Explain:Are you a citizen of the United States Yes No If no, are you authoerized to work in the U.S.? Yes No Have you previously worked for the Saginaw Children's Zoo? Yes No (volunteer, employment, or other)If so, when?EducationHigh SchoolAddressFrom MM slash DD slash YYYY To MM slash DD slash YYYY Did you graduate? Yes No DegreeCollegeAddressfrom MM slash DD slash YYYY To MM slash DD slash YYYY Did you graduate? Yes No DegreeOtherAddressFrom MM slash DD slash YYYY To MM slash DD slash YYYY Did you graduate? Yes No DegreeReferencesPlease list three professional references.Name First Last RelationshipCompanyPhoneAddressName First Last RelationshipCompanyPhoneAddressName First Last RelationshipCompanyPhoneAddressPrevious EmploymentStarting with present or most recent, please list all previous employers. Include self-employment, seasonal, and part-time jobs. Continue to an additional page, if needed. You may attach a resume in addition to this completed application.CompanyPhoneAddressSupervisorJob TitleStarting SalaryEnding SalarySalary Type Annually Per Hour ResponsibilitiesFrom MM slash DD slash YYYY To MM slash DD slash YYYY Reason for LeavingMay we contact your previous supervisor for a reference? Yes No CompanyPhoneAddressSupervisorJob TitleStarting SalaryEnding SalarySalary Type Annually Hourly From MM slash DD slash YYYY To MM slash DD slash YYYY Reason for LeavingMay we contact your previous supervisor for a reference? Yes No CompanyPhoneAddressSupervisorJob TitleStarting SalaryEnding SalarySalary Type Annually Hourly From MM slash DD slash YYYY To MM slash DD slash YYYY Reason for LeavingMay we contact your previous supervisor for a reference? Yes No Military ServiceBranch of ServiceFrom MM slash DD slash YYYY To MM slash DD slash YYYY Traning ReceivedDisclaimer and SignatureThe Saginaw Children’s Zoo is an equal opportunity employer and does not discriminate based on race, religion, national origin, sex, age, handicap, marital status, color, height, weight, status as a disabled veteran, or any other legally protected classification. Information provided on this application will not be used for any discriminatory purpose. I acknowledge that consideration for employment may be contingent on the results of a reference and background check. In addition, I consent for all contacts to provide information concerning this application. I release contacts from liability for providing information to the Zoo. If an offer of employment is made, a medical examination may be required prior to beginning duties. I hereby certify that the information contained in this application is correct to the best of my knowledge and understand that falsification of this application in any detail is grounds for disqualification or for dismissal from employment. I further acknowledge that the terms of my employment can be terminated with or without cause and with or without notice, at any time, at the option of either the employer or myself unless my employment is subject to the terms of a collective bargaining agreement. Your application form will be maintained in our active files for sixty (60) days from the date of application. Incomplete applications will not be considered for employment.ResumeAccepted file types: pdf, doc, docx, Max. file size: 400 MB.SignatureDate MM slash DD slash YYYY