Fill out the application below to be considered for employment at Split Rock Resort

Full Name (First & Last)
Address
City
State
Zip Code
Day Time Telephone
Night Time Telephone
Email
Date Of Birth

Position Applying For:
Full Time/Part Time

Work History
Previous Employer
Employer Telephone
Immediate Supervisor
Position at Company
Summarize the nature of the work performed and job responsibilities
Employment Start Date
(Month/Day/Year)
Employment End Date
(Month/Day/Year)
Reason for Leaving

Previous Employer
Employer Telephone
Immediate Supervisor
Position at Company
Summarize the nature of the work performed and job responsibilities
Employment Start Date
(Month/Day/Year)
Employment End Date
(Month/Day/Year)
Reason for Leaving

Previous Employer
Employer Telephone
Immediate Supervisor
Position at Company
Summarize the nature of the work performed and job responsibilities
Employment Start Date
(Month/Day/Year)
Employment End Date
(Month/Day/Year)
Reason for Leaving

Additional Information (if possible)
List any additional information you would like us to consider including skills and qualifications.

Education
School
Years Completed
Degree/Diploma
GPA/Class Rank
Major

School
Years Completed
Degree/Diploma
GPA/Class Rank
Major

School
Years Completed
Degree/Diploma
GPA/Class Rank
Major

References
Name
Telephone Number
Years Known

Name
Telephone Number
Years Known

Name
Telephone Number
Years Known

Where did you hear about this job?
Where did you hear about this job? (ie: Craigslist, Times Leader, etc)

Background Check Authorization
Former Name(s)
and Dates used.
Current Address
Since Month: Year:
Street
City
State
Zip
Previous Address
Since Month: Year:
Street
City
State
Zip
Previous Address
Since Month: Year:
Street
City
State
Zip
Social Security Number
SS#
Drivers License Information
Issuing State
License Number
by hitting the "submit" button on this form, you are certifying that...

The information contained in this application is correct to the best of my knowledge. I hereby authorize Vacation Charters Ltd. and its designated agents and representatives to conduct a comprehensive review of my background causing a consumer report and/or an investigative consumer report to be generated for employment and/or volunteer purposes. I understand that the scope of the consumer report/ investigative consumer report may include, but is not limited to the following areas: verification of social security number; current and previous residences; employment history, education background, character references; drug testing, civil and criminal history records from any criminal justice agency in any or all federal, state, county jurisdictions; driving records, birth records, and any other public records.

I further authorize any individual, company, firm, corporation, or public agency (including the Social Security Administration and law enforcement agencies) to divulge any and all information, verbal or written, pertaining to me, to Vacation Charters Ltd. or its agents. I further authorize the complete release of any records or data pertaining to me which the individual, company, firm, corporation, or public agency may have, to include information or data received from other sources.

I hereby release Vacation Charters Ltd., the Social Security Administration, and its agents, officials, representative, or assigned agencies, including officers, employees, or related personnel both individually and collectively, from any and all liability for damages of whatever kind, which may, at any time, result to me, my heirs, family, or associates because of compliance with this authorization and request to release.
|