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:__________________________
If you will drive Bearskin vehicles in your job, we will do a
background check that includes your driving record. Do you have
any traffic violations on your record?
If so, provide details:
_____________________________________________________________________________________________
______________________________________________________________________________________________________________
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 provide details:
_______________________________________________________________________________________________
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. We will be contacting previous employers, so
provide accurate information.
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: ________________
Connection to you:
_______________________________________________Occupation:_________________________________________
Name:
___________________________________________________________________________________Years
known:_____________
Address:
________________________________________________________________________________
Telephone: ________________
Connection to you:
_______________________________________________Occupation:_________________________________________
Name:
___________________________________________________________________________________Years
known:_____________
Address:
________________________________________________________________________________
Telephone: ________________
Connection to you:
_______________________________________________Occupation:_________________________________________
Health history:
Many jobs at Bearskin require a great deal of lifting or very physical
activity. If you are applying for one of the jobs that have these
requirements, have you had any back injuries, surgeries, or conditions
that would affect your physical activity at Bearskin Lodge?
_____________________________________
___________________________________________________________________________________________________________________
Our location is far from the nearest tow, in a wilderness environment.
Do you have any health concerns that we should be aware of
while
you are living in this location:
____________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________
A few last pieces of information:
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 or
cover letter
introducing yourself and including any pertinent information about you
is always appreciated. A picture is also helpful when we will
interviewing you from a distance, rather than in-person.)
I believe this
information to be true to the best of my knowledge.
Signature:
_______________________________________ Date: ______________
If Bearskin Lodge is
interested in hiring me, I give Bearskin Lodge permission to check on
my background before I am hired. Yes ______ No ______
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
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