Employment Form | Leavenworth Winter Sports Club

Employment Information

Type of Position Desired:

Full Time

Part Time

What date can you begin working with us?

Personal Information

Last Name

First Name

Middle Initial

What is your date of birth?

Email Address

Telephone Number

Permanent Mailing Address

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Temporary Mailing Address

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Have you ever been convicted of a felony?

Yes

No

Please explain:

Are you a previous LWSC employee?

Yes

No

Supervisor:

Dates Worked:

To:

Are you currently enrolled in school (K-12)?

Yes

No

Can you obtain a work permit?

Yes

No

Select the last year of school completed:

Specialized Skills

Indicate Experience

USSA or PSIA Certification

O.E.C. First Aid

First Aid Certification

CPR Certification

Cashiering

Square POS

Data Entry

Microsoft Office Suite

Other Relevant Experience

Heavy Equipment Experience:

Type:

How Long?

Other Experience / Skills / Tools

Do you Alpine ski?

Yes

No

If yes, what is your ability?

Do you Nordic ski?

Yes

No

If yes, what is your ability?

Do you snowboard?

Yes

No

If yes, what is your ability?

Employment History

List most recent employer first. All information must be complete and accurate; incomplete applications will not be considered. References will be checked.

CURRENT / MOST RECENT POSITION

Business Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Supervisor's Name

Telephone Number

Position / Pay Rate

Responsibilities

Dates Worked:

To:

Reason for Leaving

OTHER EMPLOYMENT

Business Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Supervisor's Name

Telephone Number

Position / Pay Rate

Responsibilities

Dates Worked:

To:

Reason for Leaving

OTHER EMPLOYMENT

Business Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Supervisor's Name

Telephone Number

Position / Pay Rate

Responsibilities

Dates Worked:

To:

Reason for Leaving

May we contact your current employer?

Yes

No

Personal References

List two persons, not related to you, who can provide personal references.

Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Telephone Number

Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Telephone Number

Agreement

I hereby certify that all answers herein are true to the best of my knowledge. I further understand that all statements made herein may be investigated and verified in the course of considering this application. Should I become employed I understand that false or misleading information contained herein may be the basis for immediate discharge as well as grounds for withdrawal of an offer of employment. I understand that no employee, manager, or other agent of the company has any authority to enter into any agreement for employment for any specified period of time. I further understand that in the absence of such an agreement, employment can be terminated with or without cause by the company at any time. LWSC is an at-will employer and company handbooks, policy statements and practices are not expressed or implied contracts or promises that such policies will be applied in every case. Having made an application with LWSC I hereby authorize the release of information to LWSC. I release and hold harmless past and present employers, references and all persons and institutions whomsoever from any charge because of furnishing said information. I waive any application of the family education rights and Privacy Act insofar as the same might apply to responding to this request for information. Furthermore, I have read the above statements and understand them fully.

Signature

Sign above

Date

Thank You for your interest in the Leavenworth Winter Sports Club

All qualified applicants will be considered for employment without regard to race, color, sex, sexual orientation, religion, national origin, age, disability or veteran status.