Camp Dawson Event Center Employment Application

Camp Dawson Event Center Employment Application
Human Resources Department
1001 Army Road
Kingwood, WV 26537
Phone: 304-791-7027
Fax: 304-791-4523
Email: hr@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

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Are you a US citizen?
If you are not a US citizen, are you permitted to work in the United States?
If selected for employment, are you willing to submit to a pre-employment screening drug test?
Have you ever been convicted of a felony?

Knowledge, Skills, Abilities (KSAs)
Why do you want to work for Camp Dawson Event Center?
Are you able to perform the essential functions of the job for which you are applying, with or without reasonable accomodations?
List some of your KSAs (Knowledge, Skills, Abilities) that are useful to the job for which you are applying.

Education
High School
City & State
Did you graduate?
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 Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Company phone
Please enter a valid phone number.Format: (000) 000-0000.
Job Title
Name of Supervisor
Valid Supervisor Phone
Please enter a valid phone number.Format: (000) 000-0000.
Valid Supervisor Email
example@example.com
Start Date

MonthDayYear
Starting Pay Rate
Ending Date

MonthDayYear
Ending Pay Rate
Reason for leaving
May we contact this company for a reference?
Company
Company Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Company phone
Please enter a valid phone number.Format: (000) 000-0000.
Job Title
Name of Supervisor
Valid Supervisor Phone
Please enter a valid phone number.Format: (000) 000-0000.
Valid Supervisor Email
example@example.com
Start Date

MonthDayYear
Starting Pay Rate
Ending Date

MonthDayYear
Ending Pay Rate
Reason for leaving
May we contact this company for a reference?
Company
Company Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Company phone
Please enter a valid phone number.Format: (000) 000-0000.
Job Title
Name of Supervisor
Valid Supervisor Phone
Please enter a valid phone number.Format: (000) 000-0000.
Valid Supervisor Email
example@example.com
Start Date

MonthDayYear
Starting Pay Rate
Ending Date

MonthDayYear
Ending Pay Rate
Reason for leaving
May we contact this company for a reference?

Military Service
Check here if you have no Military Service
Branch
Start Date

MonthDayYear
Discharge Date

MonthDayYear
Rank at Discharge
Type of Discharge
If other than Honorable, please explain here
Branch
Start Date

MonthDayYear
Discharge Date

MonthDayYear
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.
Signature
Date

MonthDayYear
Optional Resume Upload

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Camp Dawson Event Center Employment Application

Personal Information

Position

Knowledge, Skills, Abilities (KSAs)

Education

Employment History

Referral Source

Military Service

Disclaimer and Signature