Employment Application "*" indicates required fields InstagramThis field is for validation purposes and should be left unchanged.Applicant General InformationDate*Driver's License #Age*Name* First Middle Last Present Address* Street Address Address Line 2 City State 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 ZIP Code Permanent Address (if different) Street Address Address Line 2 City State 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 ZIP Code Cell #*Home #Email* Date of Birth (D.O.B.)* MM slash DD slash YYYY Position Desired — Original Wisconsin Ducks® / Dells Boat Tours® / Ghost Boat®Position(s) Desired (check all that apply)* Tour Duck / Shuttle Duck Driver (18 or older) Ducks Greaser / Shop Assistant (16 or older) Parking Lot Attendant (14 or older) Office / Admin (16 or older) Boat Tours Pilot (18 or older) Boat Tours Guide (16 or older) Mechanic / Shop Specialist Ghost Boat: Scare Actor (16 or older) All Attractions: Ticket Agent Other Position (please specify)EducationHigh SchoolHigh School — Name and LocationHigh School — Years AttendedHigh School — Date GraduatedTech / Trade SchoolTech/Trade — Name and LocationTech/Trade — Years AttendedTech/Trade — Date GraduatedTech/Trade — Degree / MajorCollegeCollege — Name and LocationCollege — Years AttendedCollege — Date GraduatedCollege — Degree / MajorWork Experience — Start with Last Three Employers, Most Recent FirstEmployer 1 (Most Recent)Employer 1 — Dates (From / To)Employer 1 — Name / AddressEmployer 1 — Position HeldEmployer 1 — Reason for LeavingEmployer 2Employer 2 — Dates (From / To)Employer 2 — Name / AddressEmployer 2 — Position HeldEmployer 2 — Reason for LeavingEmployer 3Employer 3 — Dates (From / To)Employer 3 — Name / AddressEmployer 3 — Position HeldEmployer 3 — Reason for LeavingCurrently Employed?* Yes No May We Contact Your Employer? Yes No If yes, provide employer name & phone #References — List Three Persons You've Known for at Least 1 YearReference 1 — NameReference 1 — RelationshipReference 1 — Phone #Reference 1 — Years AcquaintedReference 2 — NameReference 2 — RelationshipReference 2 — Phone #Reference 2 — Years AcquaintedReference 3 — NameReference 3 — RelationshipReference 3 — Phone #Reference 3 — Years AcquaintedPhysical RecordAny Defects in Hearing?* Yes No Any Defects in Speech?* Yes No Do You Wear Glasses or Contacts?* Yes No Do You Swim?* Yes No Additional InformationHobbies / InterestsPlease Review and Agree to the FollowingConsent*Certification: I certify that the information given in this application is true and give Dells Boat Tours®/ Original Wisconsin Ducks, Inc.® permission to inquire about any of the statements given. I also fully forever release and discharge Dells Boat Tours/ Original Wisconsin Ducks, Inc., their heirs, administrators, executors, successors, and assigns, and all other persons, firms, or corporations who might be liable from any claims, actions, rights of actions, and demands whatever kind of nature in the event of an accident or injury during off-duty hours or while participating in any Dells Boat Tours/Original Wisconsin Ducks, Inc. sponsored activities (softball, basketball, volleyball, social activities, etc.) I have read and agree to the certification statement above.Consent*Model Release: I give my consent to Dells Boat Tours/Original Wisconsin Ducks, Inc. and anyone else whom they may authorize to photograph me and to publish without any limitations as to the date of such use, photographs of me, with or without my name for any purpose, including editorial, advertising, promotion, or trade purposes. I agree to the model release above.
