Name:________________________________________________________
Present Address
Street:__________________________________________________________________
City:_______________________________ State:_____________
Zip:_____________
Telephone:__________________________
Email:_____________________________
Permanent Address
Street:__________________________________________________________________
City:_______________________________ State:______________
Zip:_____________
Telephone:__________________________
Are you at least
18? __Yes __ No Are you at least 21? __ Yes __
No
When are you
available to work? Start: ______________ Finish: ___________
Current Drivers
License State: _____________
Number:__________________________
Personal
Information (optional):
Height:
___________ Weight: ____________ Age: __________
Social Security
Number: ________________________________
Federal law
prohibits the employment of unauthorized aliens. All
persons hired must
submit satisfactory proof of employment authorization
and identity (valid
driver's license, birth certificate. Green Card,
etc.) within your
first three working days. Failure to submit such
proof within the
required time shall result in immediate employment
termination.
Position Applied
For: _____________________________________
Is there any
information we would need about your name or use of another name for us to be able to check your
work record? Please specify:
________________________________________________________________________
Do you have any
relatives who are presently or formerly employed by Bearskin Lodge?
________________________________________________________________________
How were you
referred to Bearskin Lodge?
____________________________________
Have you ever
been convicted of a Felony? ___ Yes ___ No If yes,
please explain: ________________________________________________________________________
Education: Where
When Years Completed Degree/Diploma
High
School:
____________________________________________________________
College:
________________________________________________________________
Vocational,
Technical:
_____________________________________________________
Military:
________________________________________________________________
Others:
_________________________________________________________________
Activities and
achievements:
________________________________________________________________________
Hobbies and
interests:
________________________________________________________________________
Employment History: Please
include all employment for the last five
years starting
with most current
Employer:
___________________________ Position Held: __________________
Address:
____________________________ Dates of Employment: Start
_______ End
______
______________________________________ Name of Supervisor: ____________
Telephone:
___________________________ Wage:__________________________
May we contact
employer? ___ Yes ___ No If no, reason________
Reason for
leaving:____________________________________________________
Employer:
___________________________ Position Held:_______________
Address:
____________________________ Dates of Employment: Start
_____ End ______
______________________________________ Name of Supervisor: ___________
Telephone:
___________________________ Wage: __________________________
May we contact
employer? ___ Yes ___ No If no, reason______________
Reason for
leaving: _________________________________________________
Employer:
___________________________ Position Held: __________________
Address:
____________________________ Dates of Employment: Start
_____ End ______
_____________________________________ Name of Supervisor: ____________
Telephone:
___________________________ Wage:____________________________
May we contact
employer? ___ Yes ___ No If no, reason_______________
Reason for
leaving: ___________________________________________________
Employer:
___________________________ Position Held: __________________
Address:
____________________________ Dates of Employment: Start
____ End ______
_____________________________________ Name of Supervisor: ____________
Telephone:
___________________________ Wage: __________________________
May we contact
employer? ___ Yes ___ No If no, reason: _____________
Reason for
leaving: ____________________________________________________
References Please do not
include relatives or former employers.
Name:
_____________________________________ Years known:_____________
Address:
__________________________________ Telephone: ________________
___________________________________________ Occupation:________________
Name:
_____________________________________ Years known:______________
Address:
__________________________________ Telephone:_________________
___________________________________________ Occupation:_______________
Name:
_____________________________________ Years known: ______________
Address:
_________________________________ Telephone: ______________
___________________________________________ Occupation: _______________
I want to work
at Bearskin Lodge
because:______________________________________________________________
______________________________________________________________________
If you could use
only one word to describe yourself, what word would you
use?
________________________________
You may be hired
for a specific position but we all work together in a
resort atmosphere
to cover the responsibilities. At times you may be
called upon to do a
job other than those specifically outlined.
Do you have any
objections to working overtime? ___ Yes ___ No
Can you work
overtime without prior notice? ___ Yes ___ No
Can you work on
Saturday ? ___ Yes ___ No
Can you work on
Sunday ? ___ Yes ___ No
Salary/ Hourly
Rate Requirements: If your application receives
favorable
consideration, what hourly rate would you require?
$____________
per hour
(Is there
anything else you would like us to know about your background,
experience or interest in working for Bearskin Lodge? An e-mail
inroducing yourself and including any pertinent information about you
is always appreciated.)
I believe this
information to be true to the best of my knowledge.
Signature:
_______________________________________ Date: ______________
Please
mail this to: Bob McCloughan, Bearskin Lodge, 124 East Bearskin Road,
Grand Marais MN 55604, or fax 1-218-388-4410. Phone is 1-218-388-2292
if you wish to speak to him in person. Thank you for your interest in
Bearskin Lodge.
We are an equal opportunity employer,
dedicated to a policy of non-discrimination in employment on any basis
including age, sex, color, race, creed, national origin, religious
persuasion, marital status, political belief or disability that
does not prohibit performance of essential job functions. Go back to HOME page
|
