Application

Position Applying For:

Type of Employment Desired:

 Full time Part time

May through September?

 Yes No (if No, please list dates)

Are you at least 18 years of age?

 Yes No

Last Name

First Name

Middle Name

Please indicate how you wish to be addressed

Address (Street or P.O. Box, City, State, Zip Code)

Social Security (optional)

Phone Number (Home}

Phone (Business or Messages)

Are you legally entitled to work in the United States?

 Yes No

Do you have a current driver's license?

(if yes, please indicate the state of issue and the number)

 Yes No

Have you ever been convicted of a felony crime?

(if yes, please explain)

 Yes No

Education

Name of School, City and State



Degree Received



Major



GPA



Are you currently attending school?

if yes, dates available:

 Yes No

Which foreign language do you speak fluently?

partially?

Do you hold a current -

 CPR First Aid WFR WFA Other:

List skills such as equipment, operations, trade skills, licenses, certifications etc. Attach another sheet if necessary.



List any outdoor experience that you have that you think we should consider.



Do you sea kayak? Where have you paddled? What other water sports have you participated in?



Are you familiar with North Western intertidal zone habitats, birds and mammals in Southeast Alaska, history of Sitka? (These will be included in our training so don't stress if you don't feel competent in any of these areas, but would like to know what you are already familiar with.)



References (please do not include relatives)

Name



Occupation



Address and Phone Number



Whom do you know in this company?



Employment History (list present or most recent positions first

1. Current or most recent Employer

Address

Type of business

Phone Number

Department

Your Position

Duties:


Name and position of Immediate Supervisor

Supervisor's Phone Number

Date Employed (Mo, Yr)

Date Left (Mo, Yr)

Starting Salary

Final Salary

Reason for Leaving:


2. Previous Employer

Address

Type of business

Phone Number

Department

Your Position

Duties:


Name and position of Immediate Supervisor

Supervisor's Phone Number

Date Employed (Mo, Yr)

Date Left (Mo, Yr)

Starting Salary

Final Salary

Reason for Leaving:


3. Previous Employer

Address

Type of business

Phone Number

Department

Your Position

Duties:


Name and position of Immediate Supervisor

Supervisor's Phone Number

Date Employed (Mo, Yr)

Date Left (Mo, Yr)

Starting Salary

Final Salary

Reason for Leaving:


May we ask your present employer for a reference?

 Yes No

Do you have kayaking experience not detailed above?



Please Read Carefully

I hearby certify that to the best of my knowledge and belief the answers given by me to the forgoing questions and all statements made by me in the application are correct.

I understand that nothing contained in this employment application or in the granting of an interview is intended to create an employment contract between the Company and myself for any term of employment or for the providing of any benefit.

I AUTHORIZE INVESTIGATION OF ALL STATEMENTS CONTAINED IN THIS APPLICATION. I UNDERSTAND THAT MISREPRESENTATION OR OMISSION OF FACTS CALLED FOR IS CAUSE FOR DISMISSAL. FURTHER, I UNDERSTAND AND AGREE THAT MY EMPLOYMENT IS FOR NO DEFINED PERIOD AND MAY, REGARDLESS OF THE DATE OF PAYMENT OF MY WAGES AND SALARY, BE TERMINATED AT ANY TIME WITHOUT PRIOR NOTICE.

This application form complies with all Human Rights Legislation. This application shall be considered active for sixty (60) days.

I understand that this company promotes a drug-free working environment

 

Date

Signature

Your Email (required)

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