Application for Employment

Human Resources Department

1001 Army Road
Kingwood, WV 26537
Phone: 304-791-7024
Fax: 304-791-4523
Email: mdeweirdt@cdec.org

Camp Dawson Event Center (CDEC) is an equal opportunity employer and does not discriminate against otherwise qualified applicants on the basis of race, color, creed, religion, ancestry, age, sex, marital status, national origin, disability or handicap, or veteran status.

Incomplete information could disqualify you for further consideration.

Personal Information

Name(required)

Street Address(required)

City(required)

State(required)

Zip(required)

Phone Number(required)

Email Address

Are You a US Citizen?(required) Yes

If you are not a US Citizen, are you permitted to work in the United States? Yes

If selected for employment are you willing to submit to a pre-employment screening drug test?(required) Yes

Have you ever been convicted of a felony?(required) Yes

If you have been convicted of a felony, please explain.

Position

Position you are applying for(required)

Available Start Date(required)

Desired Pay Per Hour(required)

Desired Employment(required) Full-time

Part-time

Temporary

On-Call

Are you Currently Employed?(required) Yes

What hours are you available to work?(required)

Are you available to work weekends?(required) Yes

Are you of age to serve alcohol? (only required when applying for the restaurant) Yes, 21 & Over

Yes, 18-20

Knowledge, Skills, Abilities (KSAs)

Why do you want to work for Camp Dawson Event Center?(required)

Are you able to perform the essential functions of the job for which you are applying, with or without reasonable accommodations?(required) Yes

List some of your KSAs (Knowledge, Skills, Abilities) that are useful to the job for which you are applying.(required)

Education

High School

City & State

Did you graduate? Yes

College or University

City & State

Degree Received

Trade/Business or Other School

City & State

Degree Received

Employment History

Check here if you have no employment history.

Company

Company Phone

Address

Job Title

Name of Supervisor

Start Date

Starting Pay Rate

End Date

Ending Pay Rate

Reason for leaving

May we contact this company for a reference? Yes

Company

Company Phone

Address

Job Title

Name of Supervisor

Start Date

Starting Pay Rate

End Date

Ending Pay Rate

Reason for Leaving

May we contact this company for a reference? Yes

Company

Company Phone

Address

Job Title

Name of Supervisor

Start Date

Starting Pay Rate

End Date

Ending Pay Rate

Reason for Leaving

May we contact this company for a reference? Yes

Referral Source

How did you hear about us?(required) Newspaper

Billboard

Website

Social Media

Someone working at Camp Dawson Event Center (please name below)

Someone working at Camp Dawson (please name below)

Have you ever worked at Camp Dawson?(required) Yes

If yes, when and what department?

Do you have any relatives that work at Camp Dawson?(required) Yes

Name

Were you referred by a Camp Dawson employee?(required) Yes

Name

Military Service

Branch

From

Rank at Discharge

Type of Discharge

If other than Honorable, please explain here.

Branch

From

Rank at Discharge

Type of Discharge

If other than Honorable, please explain here.

Disclaimer and Signature

I certify that the information obtained in this application is true and complete. I understand that any misstatement, omission, falsification or misrepresentation of facts in this application may disqualify me from consideration for employment or, if I am hired, may result in disciplinary action up to and including discharge from employment.

I authorize Camp Dawson Event Center, in order to evaluate me for employment purposes, to contact any or all of my previous employers, references and educational institutions, and otherwise investigate my suitability for employment, character, general reputation, personal characteristics, work habits, skills and abilities. I understand that Camp Dawson Event Center may conduct a criminal background check in connection with its considerations of me for employment. I understand that the results of any investigation of me may be disclosed to CDEC Human Resources Department, and I consent to such disclosure.

I acknowledge and agree that this employment application is not a contract or legal guarantee for employment. If hired by Camp Dawson Event Center, I understand that any such employment is at will, is not for any specific term, and may and can be terminated at any time, with or without advance notice, and with or without cause, at the option of Camp Dawson Event Center or myself.

If hired, I agree to comply with all rules, regulations and operating procedures established by Camp Dawson Event Center.

I have read and fully understand the above statement and conditions of employment.

Applicant's Signature(required)

Date(required)