EMPLOYMENT APPLICATION

Name_____________________________________ Date of Birth_________ SS#______________________

Address__________________________________________________________________________________

Physical address if above is a P.O. Box_________________________________________________________

Length of time at this address__________ __________Phone #________________ Married____ Single____

Own_________ Rent_________ Landlord______________________________________________________

Position Applying For: _____________________________________________________________________

 

List Dependents' Names Age

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Nearest Relatives Name & Address___________________________________________________________

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Number of years completed in school_____ Major studies & degree__________________________________

Do you own a computer_____ Model____________________ Do you have Internet Access_______________

Computer experience and programs you are familiar with___________________________________________
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Work Experience - Please list previous or present employers, supervisors name, pay, job description,

dates of employment and reason for leaving.

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Personal references - Name Address Phone
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Interests out side of work, hobbies, clubs, etc.___________________________________________________

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Position you are seeking____________________________________________________________________

Date you can start work___________________________________ Salary desired______________________

Hours you are available to work_______________________________________________________________

Specific times of the day, week or year when you can not be available for work__________________________

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Do you have any physical disabilities or medical conditions which may limit certain work tasks.
If yes, please explain_______________________________________________________________________

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Have you ever received workers compensation. If yes, please explain_________________________________

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Other than traffic violations, have you ever been convicted of a crime. If yes, please explain

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What skills, experience or attributes do you feel you have which will benefit Mountain Sports.

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What are your long term career, education or personal goals________________________________________

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Please answer the following:

What is 63% of $1.00 __________________

If a five dollar item receives a 20% discount, what is the discounted amount _____________

What would you do if you became aware that one of your co-workers was mishandling money,
giving unauthorized discounts or stealing merchandise.

______Confront the co-worker

______Mind your own business

______Report to the police

______Report to the owner/manager

______Talk it over with other co-workers

______Other ____________________________________________________________________________

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I authorize investigation of all statements contained in this application. I understand that misrepresentation of facts called for is
cause for dismissal. I understand and agree that my employment is for no definite period and may, regardless of the date of payment
of my wages and salary, be terminated at any time without any previous notice.

Date_____________________ Signature_________________________________________________