Employment Interest Form Are you interested in a job at Bear Lake Reserve? Fill out the form below and someone will get back with you as soon as possible. Applicant InformationApplicant 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 WageDate you are available to start: Date Format: MM slash DD slash YYYY Department you are seeking employment with (check all that apply)* Select All Housekeeping Greeter's Cottage Food Service Lifestyle/Activities Kids Camp Marina Office Staff Landscaping/Grounds Crew Retail Associate Are you legally eligible to work in the US?*YesNoHave you ever worked for Bear Lake Reserve before?*YesNoIf yes, when (or put Not Applicable)?*Have you ever been convicted of a felony?*YesNoIf yes, please explain:EducationName of High School*Address of High School* Street Address City State / Province / Region ZIP / Postal Code Dates Attended (Ex. 2013 - 2017)*Did you graduate?*YesNoDegree 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?*YesNoDegree Achieved (or input "Not Applicable")*Other Education and Credentials Not Listed AboveEmployment HistoryCompany*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?*YesNoCompany*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?*YesNoAdditional Employment (include phone numbers if we may contact)References Please only list references we may contactReference #1 Name* First Last Company (if Professional) or Relationship (if Personal)*Phone*Reference #2 Name First Last Company (if Professional) or Relationship (if Personal)PhoneEmployment 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.