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The Great Alaskan Lumberjack Show
Lumberjack Sports International
	PO Box 23343
	Ketchikan, AK  99901
	888-320-9049
	(907) 247-9050 Fax
	www.lumberjackports.com
	info@lumberjacksports.com
Employment Application
Today's Date	Name (Last)	(First)	(MI)
General Information
Phone Number (please include area code)
Mailing Address
Physical Address
E-Mail Address:		SSN#:
If hired, can you provide proof that you are eligible to work in the United States?
____ YES	____ NO
Position applying for:
Wage Desired:
How did you learn about the job?	___Advertisement                ____ Web page
Employee (Name) __________________________		____ Other
Do you have relatives currently employed with The Great Alaskan Lumberjack Show
or Lumberjack Sports International?
Date available for work	Are you available for _____ Weekend _____Holiday work, if asked?
Start Date	Will you work overtime if asked? ____ Yes  ____No
Complete Date
Have you been convicted of a felony within the past 5 years? ____ Yes  ____ No
If yes, explain date, location and offense. (a YES will not automatically disqualify applicant from employment,
all circumstances will be considered.)
Have you ever been dismissed from employment or resigned to avoid being dismissed? ___ Yes ___ No
If yes, please explain:
Education
SCHOOL NAME	ADDRESS (CITY AND STATE)	MAJOR COURSES	DID YOU GRADUATE?
High School
College (s)
Trade or Business School
Please list any other courses or training you have had relevant to the position you are applying for.
SKILLS
Indicate experience and training you have received that would qualify you for the position for which
you are applying:
Describe other special skills or experience that you have not noted in other parts of this application,
but which you feel would help you in this position.
Tell why you feel that you would be the best candidate for this position.
EMPLOYMENT
PLEASE LIST LAST THREE POSITIONS
COMPANY	TITLE OF LAST POSITION
ADDRESS	DUTIES
PHONE NUMBER
EMPLOYMENT START	EMPLOYMENT END
WAGE AT TERMINATION
SUPERVISOR'S NAME & TITLE	CONTACT NUMBER
REASON FOR LEAVING
COMPANY	TITLE OF LAST POSITION
ADDRESS	DUTIES
PHONE NUMBER
EMPLOYMENT START	EMPLOYMENT END
WAGE AT TERMINATION
SUPERVISOR'S NAME & TITLE	CONTACT NUMBER
REASON FOR LEAVING
COMPANY	TITLE OF LAST POSITION
ADDRESS	DUTIES
PHONE NUMBER
EMPLOYMENT START	EMPLOYMENT END
WAGE AT TERMINATION
SUPERVISOR'S NAME & TITLE	CONTACT NUMBER
REASON FOR LEAVING
If there are any periods unaccounted for, please explain:
MAY WE CONTACT YOUR PRESENT EMPLOYER FOR A REFERENCE? ___YES  ___ NO
_____applicant's initials. For reference checking purposes, please indicate other names used:
PERSONAL REFERENCES
Please give the name of three (3) individuals who are unrelated to you who can provide a reference
as to your qualifications for this job and/or your personal characteristics that may be relevant to this
job (I.e. integrity, reliability, honesty, etc.)
NAME	OCCUPATION	PHONE NUMBER	YEARS KNOWN
Information to the applicant:  As part of our procedure for processing your employment application
your personal and employment references may be checked.  If you have misrepresented or omitted any
facts on this application, and are subsequently hired, you may be discharged from your job.  You may make
a written request for information derived from the checking of your references.
If you are hired, you will be required to: supply your birth certificate or other proof of authorization to
work in the US.
I understand and agree to the information shown above:
Signature		Date
Equal Employment Opportunity:  While many employers are required by federal law to
have an Affirmative Action Program, all employers are required to provide equal employment opportunity
and may ask your national origin, race and sex for planning and reporting purposes only.
This information is optional and failure to provide it will have no affect on your application for employment.
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