315-482-9999 or 315-482-9956 phone 315-482-9957 fax

    www.thousandislandsclub.com email: Horizonmarina@aol.com

    Physical Address TI CLUB Only:

    21952 Club Drive

    Wellesley Island, NY 13640


    Mailing Address TI & HORIZON:

    22 Sisson St

    Alexandria Bay, NY 13607

    It is the policy of THOUSAND ISLANDS CLUB/HORIZON MARINA to provide equal employment opportunities to all applicants and employees without regard to any legally protected status such as race, color, religion, gender, national origin, age, disability or veteran status.

    Personal Information

    Full Name:

    Date of Birth:






    Number of years at this address:

    Daytime phone:

    Evening phone:

    Cell phone:

    Social Security Number:

    Emergency Contact/phone #:

    Employment Information

    Job Position Applied for:

    Salary Desired:

    Who referred you to our company?:

    Have you applied to our company previously? If yes, when?:

    Are you at least 18 years old?:

    How will you get to work?:

    Are you willing to work any shift, including nights and weekends? If No please state any limitations:

    If you were offered employment, when would you be available to begin work?:

    Are you legally eligible for work in the US?:

    Are you able to perform the essential functions of the job position with or without reasonable accommodation?:

    What reasonable accommodation, if any, would you require?:

    Have you ever been convicted of any crime, including traffic violations? If Yes, please describe:

    Skills and Qualifications

    Please list any skills that may be useful for the job you are seeking.:

    Reasons to Hire

    In short, give us 2 reasons why we should hire you.:

    Employment History

    List your current or most recent employment first. Employer Name, Address, City/State/Zip, Job Duties, Reason for leaving, Dates of employment, Pay Rate:


    College Name and Address, Degree Received, High School Name and Address, Other training, Awards, Honors, Special Achievements:


    Please list any two people who would be willing to provide a reference for you. Name, Telephone, Relationship:

    Additional Information

    Please provide any other information that you believe should be considered.:



    Signature Date:

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