Employment Application

Please fill out application completely. Thank you.

We consider applicants for all positions without regard to race,color, religion, creed,gender, national origin, age, disability, martial or veteran status, or any other legally protected status.

INCOMPLETE OR UNSIGNED APPLICATIONS WILL NOT BE CONSIDERED

Personal Information First Name: Middle Name: Last Name: Mailing Address: City: State: Zip Code: Phone Number: Email Address:

Position Position(s) Applying For: Application Date:

How did you Lean of this Opening?

Friend Inquiry Online Advertising Montana Rockworks Website

Other:

Are you submitting a resume with your application?

Yes No

Have you ever worked for or applied with this company before?

Yes No

If yes, when?

Are you able to provide the essentional job functions of the position for which you are applying for with or without reasonable accommidation?

Yes No

Can you show proof of authorization to work in the United States?

Yes No

Have you been convicted of a felony or misdemeanor in the past 7 years?

Yes No

If yes, please Explain

Earliest date available for work: Latest date available for work:

Are you available for

Full Time- 40 hour work week Part Time- less than 40 hours

How many hours if less than 40?

If required will you work?

Rotating Shifts Overtime Saturdays Sundays

Preferences

Will you need any special days off this season?

Yes No

Dates:

Do you have any additional requests? (For example, assignment preference, location preference, or other request controlling the condition of accepting employment.) Montana Rockworks makes no guarantees that your request or preferences will be accommodated, but will make an attempt to accommodate requests and preferences where appropriate and available

Please use the space below to explain your special requests?

Employment History

Previous employers will be contacted
List in order, current or last employer first.

Employer Name Employer Address Telephone

Dates Employed

Start: End: Position Held Rate of Pay Supervisor's Name/Title: Reason for Leaving: Describe the work you performed in your last job. Including information about the tasks you performed and the equipment you used.

Employer Name Employer Address Telephone

Dates Employed

Employer Name Employer Address Telephone

Dates Employed

Education

	Name and Address of School	Course of Study	Years Completed	Diploma/Degree
High School
Undergraduate College
Graduate Professional
Other (Specify)

Specialized Skills

Describe any other job related specialized training or skills acquired from employment, the United States military or other experience that you believe may help you qualify for the position for which you are applying.

Professional References (Please List Three) If this Information is in your resume and has been submitted with this application check here. Reference Name: Phone: Email: Relationship:

Reference Name: Phone: Email: Relationship:

Attach Resume

Attaching your resume here will include the resume file with your application. This file upload will only accept PDF,DOC,DOCX,RFT Files. Files must be less than 3M to send via this form

If you have a resume please attach it here.

If your resume is not in one of the above formats, we suggest you convert it to a PDF format.

APPLICANT'S STATEMENT

I certify that the information provided herin and attached to this Application for Employment is true and complete.

I authorize Montana Rockworks and its agents to investigate all statements contained in this Application for Employment as may be necessary in arriving at an employment decision.

In the event of employment, I understand that false, misleading information, or material omissions given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all company policies and procedures and that they may from time to time be changed, suspended, revoked, terminated or superseded by Montana Rockworks Management.

By clicking this box and typing your name in the box below marked signature you are authorizing an electronic signature.

Check this checkbox to authorize electronic signature Signature of Applicant Date

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When you Submit this application the contents of this form, and the resume that you may have uploaded will be emailed to our HR department. You will recieve an email conformation of your submittal, and a copy of the data sent.