Stehekin Outfitters
PO Box 4
Stehekin WA 98852
Application
for Employment
We are an equal opportunity employer, dedicated to a policy
of non-discrimination in employment on any basis including age, sex, color,
race, creed, national origin, religious persuasion, marital status, political
belief, or disability that does not prohibit performance of essential job
function.
Personal Information
Federal law prohibits the employment of unauthorized aliens.
All persons hired must submit satisfactory proof (2 forms) of employment
authorization and identity (valid driver’s license, social security card, birth
certificate, Passport, Green Card, etc.) within three days of being hired. Failure to submit such proof within the
required time shall result in immediate employment termination.
Name:_____________________________________________________ Date: _________
Mailing Address:
_______________________________________________________
Street
_______________________________________________________
City State Zip
Permanent Address (if different than above):
_______________________________________________________
Street
_______________________________________________________
City State Zip
Phone: _____________________________
Email:
___________________________________________________________________
Please state the dates you are available: Start date: _________End date:____________
Note: In most cases
employees MUST be available from June through Sept. 15 or Oct. 1
Do you have any pets?: What?:
Have you been convicted of a felony in the last 7
years? Yes No
If yes, please explain:
__________________________________________________________________________________________________________________________________________________
Why do you desire to work at Stehekin Outfitters?
________________________________________________________________________________________________________________________________________________________________________________________________________________________
Stehekin is a very remote and beautiful area. It is perfect for individuals who enjoy the
outdoors. Have you had any experiences in living in remote areas such as
Stehekin?
________________________________________________________________________________________________________________________________________________
Are you confident that you are capable of living without
electricity, Wi-fi, and other household amenities in the small employee cabin?
________________________________________________________________________________________________________________________________________________
Employment History:
Please include all employment for the last five years.
1. Company name:
______________________________ Position ____________________
Job duties:
________________________________________________________________
What did you enjoy most?
____________________________________________________
Manager/Supervisor: ____________________________ Phone: _____________________
Dates Employed: _____________________________to
____________________________
Pay Rate: ____________________ Reason for leaving:
____________________________
2. Company name:
______________________________ Position ____________________
Job duties:
________________________________________________________________
What did you enjoy most?
____________________________________________________
Manager/Supervisor: ____________________________ Phone: _____________________
Dates Employed: _____________________________to
____________________________
Pay Rate: ____________________ Reason for leaving:
____________________________
3. Company name:
______________________________ Position ____________________
Job duties:
________________________________________________________________
What did you enjoy most?
____________________________________________________
Manager/Supervisor: ____________________________ Phone: _____________________
Dates Employed: _____________________________to
____________________________
Pay Rate: ____________________ Reason for leaving:
____________________________
4. Company name:
______________________________ Position ____________________
Job duties:
________________________________________________________________
What did you enjoy most?
____________________________________________________
Manager/Supervisor: ____________________________ Phone: _____________________
Dates Employed: _____________________________to
____________________________
Pay Rate: ____________________ Reason for leaving:
____________________________
Education History:
Please fill out your education history.
College Name:
________________________________Dates Attended: ______________
Major: ______________________Degree:
_______________ Graduated: _____________
College Name:
________________________________Dates Attended: ______________
Major:
______________________Degree: _______________ Graduated: _____________
Tech Training: ________________________________ Dates
Attended: _______________
Major: ______________________ Degree________________
Graduated: _____________
High School: _______________________________________
Graduated: _____________
References:
Please do not list relatives or former employers.
Name: ______________________________________________
Years known: _________
Occupation:_______________________________________________________________
Address: _______________________________________________________
Street
_______________________________________________________
City State Zip
Phone:________________________ Email: ____________________________________
Name: ______________________________________________
Years known: _________
Occupation:_______________________________________________________________
Address: _______________________________________________________
Street
_______________________________________________________
City State Zip
Phone:________________________ Email: ____________________________________
Name: ______________________________________________
Years known: _________
Occupation:_______________________________________________________________
Address: _______________________________________________________
Street
_______________________________________________________
City State Zip
Phone:________________________ Email: ____________________________________
If you have further
information regarding your skills and past experiences, please use this space to expand on those. If you need more space please use the
backside of this page.
_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Hobbies:
___________________________________________________________________________________________________________________________________________________________________________________________________________________________
By signing below, I
certify that the information I have provided here is accurate to the best of my
knowledge.
Applicant’s
Signature: _____________________________________ Date: ____________
Please sign here to authorize a criminal background check:
Signature:___________________________________________________ Date:
________ (Reports would only be used to assure that past history would
not be in conflict with shared employee housing and/or job responsibilities.)