Kentucky Shores Family Fun Center


Your application is not complete without filling out the personality information located on the next page.  Once you have filled out and printed both forms, please send or drop them by in person.




Kentucky Shores is an equal opportunity employer dedicated to a policy of non-discrimination, based on race, religion, color, age, sex, religion, national origin, disability, sexual orientation, or other protected status under state, federal or local law.  This application form is intended for use in evaluating your qualifications for employment.  This is not an employment contract. Please complete all sections accurately and completely. False or misleading statements during the interview and on this form is grounds for terminating the application proccess or if discovered after employment will be grounds for dismissal.


Last Name__________________________First Name___________________________________


E mail_______________________________________








Age __________


How are you most like a kid?







Rate yourself from 1-10 on how fun you are.  10 being extremely fun  ______


What positions are you applying for?  Attraction Attendant ____Zip Line Attendant_____Arcade/Ticket Attendant_____


Do you want to work Part time____  Full time_____ Temporary____


Date available to start work______________


Desired pay______


How did you learn about this position?



List any clubs you belong to now or in the past - charity activities - volunteer activities 






List any type of performances you were involved with in your life (in front of a live audience)






Educational background______________________________________________________


Work experience most recent_________________________________________________

Telephone number ________________________

Address ________________________________


Telephone ______________________________


Years worked there________________________

Reason for leaving___________________________________________________________




May we call supervisor______

Work responsibilities:




2nd Work experience 

Name of employer____________________________________________________________



Telephone __________________________


Years worked there___________________

Reason for leaving





Have you ever been terminated?    If so give reason.




Please list any skills, lisc or certificates that will qualify you to work in the positions applying for.




Please list three references along with telephone numbers










I certify that I have read and understand that any false information, omissions, or misrepresentations of facts called for in this application may result in the rejection of this application or discharge anytime during employment.  I authorize any former employer, persons, school, company, or law enforcement authorities to release any information concerning my background and hereby release from liability any employer, persons, school, company or law enforcement authority.  I also understand that use of illegal drugs is prohibited during employment. If company policy requires, I am willing to submit to  drug testing to detect use of illegal drugs any time before or during employment.


I have read and fully understand the foregoing and seek employment under these conditions.  ______Check


Signature and date ________________________________       __________________________






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