Name |
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Street |
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City |
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State |
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Zip Code |
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Email |
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Land-Line Phone |
Cell Phone
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SSN |
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If you are UNDER 18, can you furnish a work permit? |
Yes
No |
What date can you begin working ? |
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Position Applying for? |
Facilitator
(Must have atleasr a Bachelor's Degree)
Sky Chllenge Attendant (Must be 18 years or older)
Rock Wall Staff
(Must be 16 years or older)
Manager (Must be 21 years or older)
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Are you a citizen of the US? |
Yes
No |
Have you ever pled guilty, no contest or been convicted of a crime? |
Yes
No |
If you answered yes to the above, please explain. |
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Who referred you to us or how did you hear about us? |
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Please paste resume here: |
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Please furnish the names, full mailing addresses, email addresses and phone numbers of three people to whom you are NOT related to with at least two being work related. |
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Please furnish the certifications you possess.
Please include type, certifying agency and expiration date. |
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I certify that my answers are true and complete to the best of my knowledge. I authorize NorthStar Adventure to make such investigations and inquiries of my personal, employment, educational, financial or medical history and other related matters as may be necessary for an employment decision. I hereby release employers, schools or persons from all liability in responding to inquiries in connection with my application. In the event I am employed, I understand that false or misleading information given in my application or interviews will result in discharge. |
Yes
No |
| Please enter your name in CAPS to serve as your electronic signature. |
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| Please enter your initials to further verify that you are in agreement with the above statement. |
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