MT

MT. HOOD SUMMER SKI CAMP, INC.

Employment Application
(print neatly)

NAME__________________________________ S.S.#____________________________

PERMANENT MAILING ADDRESS __________________________________________

CITY _________________________ STATE _______ ZIP CODE _________________

HOME PHONE_________________________ CELL PHONE ___________________________

EMAIL _____________________________________________ AGE_________

DRIVERS LICENSE #______________________________________

SOCIAL SECURITY NUMBER _______________________________

JOB APPLIED FOR________________________________________

YOUR AVAILABILITY: Camp starts June 1st and ends September 5th.

STARTING DATE_______________________ ENDING DATE ___________________

CIRCLE ONE

I DO - DO NOT HAVE A FIRST AID CARD

I WOULD - WOULD NOT LIKE TO GUIDE A RAFT

I HAVE - HAVE NOT BEEN A FORMER CAMPER

EDUCATION: Last School Attended.

NAME___________________________________ LOCATION______________________

LAST GRADE COMPLETED______________________ G.P.A.____________________

TWO MOST RECENT JOBS: or references

COMPANY_______________________________LOCATION________________________

POSITION____________________________ PHONE __________________________

SUPERVISOR_________________________

DATES WORKED: FROM_________ TO ___________

REASON FOR LEAVING___________________________________ SALARY_________

COMPANY______________________________LOCATION________________________

POSITION____________________________ PHONE __________________________

SUPERVISOR_________________________

DATES WORKED: FROM_________ TO ___________

REASON FOR LEAVING___________________________________ SALARY_________

PHYSICAL: Do you now have or have you ever had, within the last six months, any contagious or communicable diseases, or gastro-intestinal infections, or have you ever had hepatitis or salmonella?

YES _______ NO _____ If yes, explain _______________________________

SKIING OR SNOWBOARDING GOALS: Give a brief description. _____________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

Tell us why Mt Hood Summer Ski Camp will be a better place if you are hired. _________________________________________________________________

____________________________________________________________________

Why is Mt Hood Summer Ski Camp the best camp on Mt. Hood?

_____________________________________________________________________

What additional training or experiences have you had and what qualities do you possess that will create a more positive experience for our campers._____________________________________________

_____________________________________________________________________

I certify that the information in this application is correct to the best of my knowledge and understand that deliberate falsification of this information is grounds for dismissal in accordance with the policy of MHSSC. I authorize the references listed on the other side of this application to give you any and all information concerning my previous employment and pertinent information they may have, personal or otherwise and release all parties from liability for any damage that may result from furnishing same to you. I acknowledge that, if I become employed, I will be free to terminate at any time for any reason and MHSSC retains the same rights.

Date___________________________ Signature___________________________________

If you are applying for a "camper/staff" or "camper/digger" positions, please fill out and send in both the employment application and camp application forms