Employment-Application

Name*

First NameLast Name

Date*

Date

Date Available From:*

Date

Date Available To:*

Date

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Apartment/Unit #

Email:*

example@example.com

Phone Number:*

Please enter a valid phone number.

Phone Type*

CellHome

Desired Salary:*

Position Applied For:*

Type of Employment:*

Can you work overtime?*

YesNoType option 3Type option 4

Can you work weekends?*

YesNo

Are you a citizen of the United States?*

YesNo

If not, do you have legal authorization to work in the U.S. ?

YesNo

Are you at least 18 years of age?*

YesNo

If not, please state date of birth:

Date

Have you ever applied for a job with the C&TSRR?*

YesNo

If yes, which company and when?

Have you ever worked for the C&TSRR?*

YesNo

If yes, which company and when?

Do you have any activities, commitments, or responsibilities which might in any way restrict the hours or days you can work?*

YesNo

If yes, please explain:

Have you ever been discharged or asked to resign from a position?*

YesNo

If yes, please explain:

Insitution/Facility:*

Address, City, St:*

Did you graduate?*

Still AttendingYesNo

Degree:

Institution/Facility:*

Address, City, St:*

Did you graduate?*

Still AttendingYesNo

Degree:

Institution/Facility:

Address, City, St:

Did you graduate?

Still AttendingYesNo

Degree:

Other Skills:

Cash HandlingCertifications (Attach Sheet)Reservations systemsComputer Skills

If picked Reservations systems, please list which one:

If picked Computer Skills, please list which one:

Company:

Phone Number:

Please enter a valid phone number.

Address, City & State (Use "," to separate your answers)

Supervisor:

Job Title:

Responsibilites:

Reason for Leaving:

May we contact your previous supervisor for a reference?

YesNo

If not, please initial:

Company:

Phone Number:

Please enter a valid phone number.

Address, City & State (Use "," to separate your answers)

Supervisor:

Job Title:

Responsibilites:

Reason for Leaving:

May we contact your previous supervisor for a reference?

YesNo

If not, please initial:

Company:

Phone Number:

Please enter a valid phone number.

Address, City & State (Use "," to separate your answers)

Supervisor:

Job Title:

Responsibilites:

Reason for Leaving:

May we contact your previous supervisor for a reference?

YesNo

If not, please initial:

Company:

Phone Number:

Please enter a valid phone number.

Address, City & State (Use "," to separate your answers)

Supervisor:

Job Title:

Responsibilites:

Reason for Leaving:

May we contact your previous supervisor for a reference?

YesNo

If not, please initial:

Company:

Phone Number:

Please enter a valid phone number.

Address, City & State (Use "," to separate your answers)

Supervisor:

Job Title:

Responsibilites:

Reason for Leaving:

May we contact your previous supervisor for a reference?

YesNo

If not, please initial:

Full Name:

Relationship:

Company:

Phone Number

Please enter a valid phone number.

Address, City & State

Full Name:

Relationship:

Company:

Phone Number

Please enter a valid phone number.

Address, City & State

Full Name:

Relationship:

Company:

Phone Number

Please enter a valid phone number.

Address, City & State

Branch:

From:

Date

To:

Date

Rank at Discharge:

Type of Discharge:

If other than honorable, explain:

I understand that if I am hired by the Cumbres Toltec Operating, LLC, my employment will be for no definite period of time, regardless of the period of payment of my wages. I further understand that I have the right to terminate my employment for any reason and at any time with or without notice to the Cumbres Toltec Operating, LLC, and that the Cumbres Toltec Operating, LLC has the same right. To the extent that the law permits, I understand that the Cumbres Toltec Operating, LLC reserves the right to require me to submit at any time to a drug, alcohol and/or medical examination. To the extent that the law permits, I also authorize the Cumbres Toltec Operating, LLC to investigate my background, including but not limited to my driving record, my criminal history and my credit history. I further understand that the Cumbres Toltec Operating, LLC may contact my previous employers and I authorize those employers to disclose to the Cumbres Toltec Operating, LLC all records and other information pertinent to my employment with them. I also authorize the Cumbres Toltec Operating, LLC to provide truthful information concerning my employment with the Cumbres Toltec Operating, LLC to my future prospective employers and I agree to hold it harmless for providing such information. I certify that all of the information that I provide on this application and in any interview will be complete, true and accurate to the best of my knowledge. I understand that if I am employed and any such information is later found to be incomplete, false or misleading in any respect, I may be terminated. If employed, I agree that I am responsible for any company property not returned at the end of employment.

I have read the Applicant's Statement and Agreement form.*

Yes

Signature*

Date:*

Date

Signature of Parent/Guardian if under 18 years of age (May be requested.)

Date:

Date

Education

High School

College

Other

Employment History

#1:

#2:

#3:

#4:

#5:

References

Military Service

Disclaimer and Signature