Employee Interest Form - Bear Lake Reserve

Applicant Information

Applicant Name*

First Last

Applicant Home Address*

Street Address City State / Province / Region ZIP / Postal Code

Best phone number to reach you:*

Email*

Social Security Number (optional now - you may be asked to provide it later)

Desired Hourly Wage

Date you are available to start:

Department you are seeking employment with (check all that apply)*

Are you legally eligible to work in the US?*

Yes
No

Have you ever worked for Bear Lake Reserve before?*

Yes
No

If yes, when (or put Not Applicable)?*

Have you ever been convicted of a felony?*

Yes
No

If yes, please explain:

Education

Name of High School*

Address of High School*

Street Address City State / Province / Region ZIP / Postal Code

Dates Attended (Ex. 2013 - 2017)*

Did you graduate?*

Yes
No

Degree Achieved (or input "Not Applicable")*

Name of College*

Address of College*

Street Address City State / Province / Region ZIP / Postal Code

Dates Attended (Ex. 2013 - 2017)*

Did you graduate?*

Yes
No

Degree Achieved (or input "Not Applicable")*

Other Education and Credentials Not Listed Above

Employment History

Company*

Address*

Street Address City State / Province / Region ZIP / Postal Code

Supervisor Name (and Title, if known)*

Phone*

Responsibilities*

Dates Employed (Ex. June 2018 - July 2019)*

May we contact?*

Yes
No

Company*

Address*

Street Address City State / Province / Region ZIP / Postal Code

Supervisor Name (and Title, if known)*

Phone*

Responsibilities*

Dates Employed (Ex. June 2018 - July 2019)*

May we contact?*

Yes
No

Additional Employment (include phone numbers if we may contact)

References

Please only list references we may contact

Reference #1 Name*

First Last

Company (if Professional) or Relationship (if Personal)*

Phone*

Reference #2 Name

First Last

Company (if Professional) or Relationship (if Personal)

Phone

Employment Disclaimer and Consent*

I certify that the information contained in this application is correct to the best of my knowledge. I understand that to falsify information is grounds for refusing to hire me, or for discharge should I be hired. I authorize any person, organization or company listed on this application to furnish you any and all information concerning my previous employment, education and qualifications for employment (except where "No" was indicated on "May we contact?"). I also authorize you to request and receive such information. In consideration for my employment, I agree to abide by the rules and regulations of the company, which rules may be changed, withdrawn, added or interpreted at any time, at the company’s sole option and without prior notice to me. I also acknowledge that my employment may be terminated, or any offer or acceptance of employment withdrawn, at any time, with or without cause, and with or without prior notice at the option of the company or myself.

Please check below to continue:

I have read, understood, and agree to the above statement describing the Employment Disclaimer and terms of Consent.

Careers at Bear Lake Reserve

We’re Hiring!

Applicant Information

Education

Employment History

References

Bear Lake Reserve

Partners

Resources

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