Employment Application

Personal Information
 
Last Name: First Name:
MI: SS#:
Street: City:
State: Zip:
Home Phone: Message Phone:
Email Address:    
Have you been previously employed by Lander's
If Yes, From Date: To:
Location: Position:
       
Are you 18 Years of Age or Older:
If under the age of 18, can you supply a work permit
Can you submit verification of your right to work in the US
Have you ever been convicted of a crime
If yes, date of conviction Convicted of
How did you hear of Job Opening
Desired salary
 

Job Interest
 
First Choice Second Choice
Date Available Required Salary
Availability

 

Education
 
High School College
Skills
 

Work Experience
 
May we contact your present employer
What other name(s) have you worked under

 

List your last or present employer first, including volunteer experience:
 
Employer Your Position
Employed From Employed To
Street Address City
State Phone
Starting Salary Final Salary
Supervisors Name References Name
Your Duties
Reason for Leaving
 
 
Employer Your Position
Employed From Employed To
Street Address City
State Phone
Starting Salary Final Salary
Supervisors Name References Name
Your Duties
Reason for Leaving
 
 
Employer Your Position
Employed From Employed To
Street Address City
State Phone
Starting Salary Final Salary
Supervisors Name References Name
Your Duties
Reason for Leaving
 

Please read the following carefully before signing the application form

I authorize investigation of all statements contained in this application blank if I am considered for employment. I also authorize previous employers motioned or any other person or persons to whom Lander's River Trips may contact, to give any and all information regarding any employment history together with any other pertinent information.

I understand that misrepresentation or omission of the facts requested, the receipt of unsatisfactory references, or an unsatisfactory ability to meet the physical demands which reveals that I can not perform the essential functions of my job with or without reasonable accommodation, will be sufficient reason for dismissal from the company's services. In the absence of a written contract of employment, employment by Landers is employment at the will of each party. The employment relationship may be terminated at any time at the sole discretion of the employee or Landers.

Electronic Signature Date