Employment Application – Butterfly World

Please fill out all sections before submitting this form. Butterfly World is an equal opportunity employer and considers applicants on the basis of qualifications and without regard to race, color, religion, sex, national origin, age, marital or veteran status, sexual orientation, disability or any other legally protected status. Any disclosures on your part are strictly voluntary and will be kept confidential. If you wish to submit an application it will be kept in our archives. If we are to hire for any of the positions you applied for we will review archived applications first. We receive all submissions.

Today's Date:*
MM slash DD slash YYYY
Name:*
First Middle Last
Address:*
Street Address City State ZIP Code
Email Address:*
Phone Number:*
Additional Phone Number:
1st Position of Interest:*
- Retail Sales/Tour Guide - Available every day of the week - Part-Time
- Animal Care Provider (bird) / Lorikeet Attendant - Full or Part-Time
- Assistant Manager of Bird Care and Bug Zoo - Full-Time
- Assistant Landscape Supervisor - Full Time
- Landscaper / Groundskeeper / Maintenance - Full or Part-Time
- Receptionist / Group Coordinator - Full or Part-Time
- Custodian (Inside and outside) - Full or Part-Time
2nd Position of Interest:
- Retail Sales/Tour Guide - Available every day of the week - Part-Time
- Animal Care Provider (bird) / Lorikeet Attendant - Full or Part-Time
- Assistant Manager of Bird Care and Bug Zoo - Full-Time
- Assistant Landscape Supervisor - Full Time
- Landscaper / Groundskeeper / Maintenance - Full or Part-Time
- Receptionist / Group Coordinator - Full or Part-Time
- Custodian (Inside and outside) - Full or Part-Time
- None of these, I'm only interested in my 1st choice.
Please give details:
Select your work hours preference:*
- Part Time (between 20-30 hours per week)
- Full Time (between 32-40 hours per week) Includes benefits
Are you available to work weekends and holidays on a regular basis?*
All the positions available require you to work weekends and most major holidays. Weekends and most holidays are busiest and need you the most!
- Yes
- No
Availability*
Please select days you are available to work without restrictions between 8:00am and 5:00pm.
- Select All
- Monday
- Tuesday
- Wednesday
- Thursday
- Friday
- Saturday
- Sunday
Please explain any days you are not fully available to work:
(if applicable)
Work Days consist of DAY SHIFTS only, work hours from 8:00-5:00 for most departments.*
- Yes
- No
- Only on selected days.
Tell us about yourself: Why do you feel you're the best candidate for this position? Why do you want to work with us?
Are you in college/school?*
- Yes
- No
- No, but I'm planning on enrolling soon.
Do you have reliable transportation?*
- Yes
- No
Do you have any visible tattoos or piercings (other than on your ears)?*
- Yes
- No
Are you able to lift 30 lbs. (some positions)?*
- Yes
- No
Are you comfortable working outside in the heat on your feet?*
- Yes
- No
Are you comfortable public speaking? (Not all positions require)*
- Yes
- No
Are you comfortable around spiders, different insects and other bugs? (Not all positions require)*
- Yes
- No
Are you comfortable handling birds?*
- Yes
- No
Are you comfortable doing tree trimming, weed-pulling and other plant-related physical labor?*
- Yes
- No
Do you have any experience caring for birds/other animals?*
- Yes
- No
Which languages other than English do you speak fluently?*
How did you hear about this position?*
- Select All
- Craigslist
- Facebook
- Instagram/Other Social Media
- ZipRecruiter
- Word of Mouth
- Saw an ad in Butterfly World
- From a current BW employee
Date Available For Work:*
MM slash DD slash YYYY
Salary Requested:*
Have you applied for any positions before?*
- Yes
- No
Have you worked for Butterfly World before?*
- Yes
- No
Date, Final Position and Reason left:
Date, Final Position and Reason left:
List names and positions of any relatives employed in this company.
Referred By:
WORK EXPERIENCE
Begin with present or most recent first. Please fill out completely, even if you provide a resume.
Name of Employer #1*
Please advise if you do not want this employer contacted at this time.
- Yes, okay to contact.
- No, do not contact.
Street or Post Office Box City State ZIP Code
Supervisor's Name and Title:
Phone Number:
Please advise if you do not want this supervisor contacted at this time.
- Yes, okay to contact.
- No, do not contact.
Position:
- Part Time
- Full Time
Date Employed:
From: To:
Starting Salary: Final Salary:
Specific Job Duties:
Reason for Leaving:
Employer #2
- Yes
- No
Name of Employer #2
Please advise if you do not want this employer contacted at this time.
- Yes, okay to contact.
- No, do not contact.
Street or Post Office Box City State ZIP Code
Supervisor's Name and Title:
Phone Number:
Please advise if you do not want this supervisor contacted at this time.
- Yes, okay to contact.
- No, do not contact.
Position:
- Part Time
- Full Time
Date Employed:
From: To:
Starting Salary: Final Salary:
Specific Job Duties:
Reason for Leaving:
Employer # 3
- Yes
- No
Name of Employer #3
Please advise if you do not want this employer contacted at this time.
- Yes, okay to contact.
- No, do not contact.
Street or Post Office Box City State / Province / Region ZIP / Postal Code Country
Supervisor's Name and Title:
Phone Number:
Please advise if you do not want this supervisor contacted at this time.
- Yes, okay to contact.
- No, do not contact.
Position:
- Part Time
- Full Time
Date Employed:
From: To:
Starting Salary: Final Salary:
Specific Job Duties:
Reason for Leaving:
Employer #4
- Yes
- No
Name of Employer #4
Please advise if you do not want this employer contacted at this time.
- Yes, okay to contact.
- No, do not contact.
Street or Post Office Box City State / Province / Region ZIP / Postal Code Country
Supervisor's Name and Title:
Phone Number:
Please advise if you do not want this supervisor contacted at this time.
- Yes, okay to contact.
- No, do not contact.
Position:
- Part Time
- Full Time
Date Employed:
From: To:
Starting Salary: Final Salary:
Specific Job Duties:
Reason for Leaving:
Resume upload:
Drop files here or

Max. file size: 512 MB, Max. files: 2.
EDUCATION
Please select all that apply.*
- High School
- Jr. College, College or University
- Graduate or Technical School
- Other
Name of High School Address City State / Province / Region ZIP / Postal Code Country
Number of Years Completed:
Did you graduate?
- Yes
- No
Major Subject:
Name of Jr. College, College or University Address City State / Province / Region ZIP / Postal Code Country
Number of Years Completed:
Did you graduate?
- Yes
- No
Major Degrees:
Name of Graduate or Technical School: Address City State / Province / Region ZIP / Postal Code Country
Number of Years Completed:
Did you graduate?
- Yes
- No
Major Degrees:
If other, please give details:
Additional Training, Special Achievements, Certificates of Honors relevant to position applied for:
Special Skills:
CITIZENSHIP / MILITARY SERVICE
Do you have a legal right to work in the United States?*
As a condition of employment, you must possess a legal right to work in the United States.
- Yes
- No
Have you ever been convicted of a felony?*
- Yes
- No
If yes, state details and dates:
Convicted of a crime is not an automatic bar to employment, all circumstances will be considered.
Have you ever served in the United States Armed Forces?*
- Yes
- No
Which Branch?
Which Branch?
Date From: Date To:
Reserve Status:
Reserve Status:
Are you a Vietnam Era Veteran, and do you wish to be considered for the company’s affirmative action plan?
- Yes
- No
Indicate any special training received.
Indicate any special training received.
BUSINESS OR PERSONAL REFERENCES
Reference #1
Name Address City State / Province / Region ZIP / Postal Code Country
Business or Personal Reference #1?
- Business
- Personal
Phone Number:
Reference #2
Name Address City State / Province / Region ZIP / Postal Code Country
Business or Personal Reference #2?
- Business
- Personal
Phone Number:
Reference #3
Name Address City State / Province / Region ZIP / Postal Code Country
Business or Personal Reference #3?
- Business
- Personal
Phone Number:
PLEASE READ THE FOLLOWING BEFORE SUBMITTING THIS APPLICATION:
I understand that Butterfly World requires certain information about me in order to evaluate my qualifications for employment and to conduct its business should I become an employee. Therefore, I authorize Butterfly World to investigate my past employment, criminal background, educational credentials and other employment-related activities. I agree to cooperate in all such investigations, and release those parties supplying such information to Butterfly World from all liability or responsibility with respect to information supplied. I understand that Butterfly World may ask me to provide supplemental information to assist with my background investigation if necessary information is unable to be verified through the standard background investigation process. I understand that any false statements or misrepresentations made by me on this application, or any supplement thereto, may be cause for refusal to hire or will be sufficient grounds for immediate discharge if I am employed. I further understand that my employment will be subject to verification of legal age requirements and may be contingent upon passing a physical examination. I understand that my employment with Butterfly World will not be for any fixed period of time and that, if employed, I may resign at any time for any reason or Butterfly World may terminate my employment at any time for any reason, with or without cause. I agree to submit to a search of my person, or any locker that may be assigned to me, immediately upon request during my employment with this company. If I am employed by Butterfly World, I agree to conform to all rules and regulations of the company and I understand that no manager or representative of Butterfly World, other than the president of the company, may authorize or enter into any agreement of employment for any specified period of time, or make any agreement contrary to the foregoing.
*
- I acknowledge that I have read and agree to the above Terms and Conditions.
By typing my name below, I am electronically signing my application.*
First Last
Date*
MM slash DD slash YYYY
Comments:
Captcha

From:	To:

Starting Salary:	Final Salary:

From:	To:

Starting Salary:	Final Salary:

WORK EXPERIENCE

EDUCATION

CITIZENSHIP / MILITARY SERVICE

BUSINESS OR PERSONAL REFERENCES

PLEASE READ THE FOLLOWING BEFORE SUBMITTING THIS APPLICATION: