Fort Wayne Children’s Zoo
3411 Sherman Blvd
Fort Wayne, IN 46808
Date ___________________
Please print your name as it appears on your Social Security Card.
Name ________________________________________________________________________________________________________
Last First Middle
Address _______________________________________________________________________________________________________
Street City State Zip County
Home Phone __________________________________ Social Security # ___________________________________________________
Cell Phone ____________________________________ Email ____________________________________________________________
Position(s) Applied For ___________________________________________________________________________________________
Are you at least 16 years of age? Yes No Are you at least 18 years of age? Yes No
When are you available to work? Full-Time Part-Time Temporary / Summer Season
Please indicate your best estimate for your: Start Date _____________________ End Date (for temporary positions) _________________
Please list your weekly work availability:
Have you previously been employed by the Fort Wayne Children’s Zoo? Yes No
If yes, give date and reason for leaving. __________________________________________________________________________
Are you legally entitled to work in the position for which you have applied? Yes No
Have you ever been convicted of or pled guilty or no contest to a crime other than a minor traffic infraction?
(Answering ‘yes’ will not necessarily disqualify applicant from employment.) No Yes
If yes, explain. ___________________________________________________________________________________________
Employment Dates
Employment Dates
Employment Dates
The Society
is an equal opportunity employer.
Applicants are considered for employment without
regard to race, color, national origin, religion, sex,
sexual orientation, age, disability, marital status,
or any other basis prohibited by law.
Type of School
Name of School
City & State
(Yes / No)
Course Pursued /
Degrees Granted
High School
College or
Summarize any additional information on experience, skills, or qualifications relevant to the position for which you are applying, including
those acquired from employment, education, volunteering, extracurriculars, or other activity.
Because we host more than 600,000 guests each year, our employees must meet high standards. Please be sure that you are able to
comply with all of the statements below before you apply. If you have any questions or concerns, please contact the zoo.
You will agree to a pre-employment background check and a pre-employment drug screen.
You will agree to comply with the zoo’s appearance guidelines, including no visible tattoos and no visible piercings (except ears).
You will agree to provide great guest service in compliance with zoo policy.
You will be willing and able to work evenings, weekends, and holidays.
IMPORTANT: We are glad you are interested in joining our team. Please read the following statement carefully before you sign and return
this application.
In considering my application for employment, you may verify the information set forth on this application and obtain additional background
information relating to my background. I authorize all persons, schools, companies, corporations, credit bureaus, and law enforcement agencies to
supply any information concerning my background. I have read, understand, and agree to this statement.
(Please initial here)
I understand that you have a commitment to maintain an alcohol/drug-free workplace and that unless prohibited by law, you require a drug screening
test as a part of the selection and hiring process. I understand that such drug screening will consist of the testing of a urine sample or other medically
recognized test designed to detect traceable amounts of certain banned substances in my body. If after a second confirmatory test, it is determined
my specimen contains a banned substance or was altered or substituted, I will be disqualified from consideration for employment and any offer of
employment will be withdrawn. I further understand and agree that if I am employed, I may be required to submit to alcohol/drug-testing under certain
circumstances during my employment. I have read, understand, and agree to this statement.
(Please initial here)
I certify that the information on this application is correct and I understand that any misrepresentation or omission of any information will result in my
disqualification from consideration for employment or, if employed, my dismissal. I have read, understand, and agree to this statement.
(Please initial
I understand that this application is not a contract, offer, or promise of employment and that if hired, I will be able to resign at any time for any reason.
Likewise, the zoo can terminate my employment at any time with or without cause, unless otherwise specified by law or an explicit written contract. I
further understand that no one other than the Director has the authority to enter into any employment contract or agreement on behalf of the zoo. I
have read and understand this statement.
(Please initial here)
I understand that this application is good only for sixty (60) days from today’s date. If I still desire a position with the zoo after this application expires,
it will be my responsibility to fill out a new application and file it with the zoo. Otherwise, the zoo will not consider me for employment after this
application expires.
(Please initial here)
Signature (as it appears on Social Security Card) ___________________________________________________ Date _________________
click to sign
click to edit
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