Employment Application

Personal

Name

Mailing Address

City

State

Zip

Email Address

Home Phone

Best Time to Call

Business Phone

Best Time to Call

Type of Employment Desired

Full Time
Part Time
Temporary

Position Desired

Education

High School

Name and Location

From

To

Diploma/Degree

Major

Date Graduated

College

Name and Location

From

To

Diploma/Degree

Major

Date Graduated

Other

Name and Location

From

To

Diploma/Degree

Major

Date Graduated

Special Skills or Training

Employment

List most recent employer first.

Employer 1

Employer

From

To

Phone

City, State

Job Title

Supervisor's Name

Starting Salary/Wages

Final Salary/Wages

Reason For Leaving

Duties

Employer 2

Employer

From

To

Phone

City, State

Job Title

Supervisor's Name

Starting Salary/Wages

Final Salary/Wages

Reason For Leaving

Duties

Employer 3

Employer

From

To

Phone

City, State

Job Title

Supervisor's Name

Starting Salary/Wages

Final Salary/Wages

Reason For Leaving

Duties

Employer 4

Employer

From

To

Phone

City, State

Job Title

Supervisor's Name

Starting Salary/Wages

Final Salary/Wages

Reason For Leaving

Duties

U.S. Military Record

Branch of Service

From

To

Discharge Date

Duties

References

Name

Address

Phone Number

Additional Information

Have you ever been convicted of a felony in the past seven (7) years?
Yes
No
If yes, please explain:

Are you prevented from lawfully becoming employed in this country because of Visa or immigration status?
Yes
No

Applicant's Statement

I certify that the statements made by me on this form are true and correct. I understand that if employed, any false statement on this application can be considered cause for dismisal. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.

I Agree

Statement of Company Policies

Brundage Mountain considers applicants for all positions without regard to race, color, religion, sex, national origin, age, marital or veteran status, sexual orientation, the presence of a non-related medical condition or handicap, or any other legally protected status. Brundage Mountain reserves the right to have grooming standards and expects the employee to follow these standards. In order to protect our public image and our safety record, Brundage Mountain has a dress code and a drug and alcohol testing program. Brundage Mountain does not permit the use of drugs, alcohol, or tobacco at work.

I have read and understand these company policies

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Contact Information

Employment Application