Bromley - Vermont's Sun Mountain

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APPLICATION FORM
(* fields required)

*

Personal Information

* Social Security Number
* Last Name
* First Name
* Middle Initial

Present Address

* Street
* City
* State
* Zip/Postal Code
* Country

Permanent Address

* Street
* City
* State
* Zip/Postal Code
* Country

Contact Information

* Home Phone
Cell Phone
* Email Address
* Preferred Category

* Duration

* Start Date
* End Date

Schedule Availability

* Weekdays Yes No
* Weekends Yes No
* Holidays Yes No
* Overtime Yes No

Job-Related Skills

If the job requires, do you have the appropriate valid drivers license? Yes No
* Name on license
* DL#
* Type
* State of Issue
* Have you had any moving violations within the last seven years? Yes No
If yes, please explain
Please list any other skills, licenses or certifications that may be job related which you feel would be of value to this job or company
* Can you perform the essential functions of this job with or without reasonable accommodations? Yes No

Security

* List your States and Counties of residence for the past seven years
* Have you been convicted of a crime in the past seven years? Yes No
If yes, please explain. Include Incident, City/State, and Charge
* Previous Bromley Employee? Yes No
If yes, please indicate when

Previous Experience

Most Recent Employer

Company Name
City
State
Phone Number
Fax Number
Job Title
Supervisor Name
Duties
Reason for Leaving
Dates Employed
 

Second Most Recent Employer

Company Name
City
State
Phone Number
Fax Number
Job Title
Supervisor Name
Duties
Reason for Leaving
Dates Employed
 

Third Most Recent Employer

Company Name
City
State
Phone Number
Fax Number
Job Title
Supervisor Name
Duties
Reason for Leaving
Dates Employed

References

Include only individuals familiar with your work ability. Do not include relatives.

* Name
* Phone
* Years Known/Relationship
 
* Name
* Phone
* Years Known/Relationship
 
* Name
* Relationship
* Phone

Education

* Please select highest grade completed
* High School
* City/State
* Graduated? Yes No
* Degree? Yes No
 
* College
* City/State
* Graduated? Yes No
* Degree? Yes No
 
* Other
* City/State
* Graduated? Yes No
* Degree? Yes No
 
* Please specify how you heard about Bromley and/or the position you are applying for





Please specify

Certification and Release

I certify that I have read and understand the applicant note on page one of this form and that the answers given by me to the foregoing questions and the statements made by me are complete and true to the best of my knowledge and belief. I understand that any false information, omissions or misrepresentations of facts called for in this application, whether on this document or not, may result in rejections of my application or discharge at any time during my employment. I authorize Bromley Mountain Ski Resort, including consumer reporting bureaus, to verify any of this information. I authorize all former employers, persons, schools, companies and law enforcement authorities to release any information concerning my background and hereby release any said persons, schools, companies and law authorities from any liability for any damage whatsoever for issuing this information. I also understand that the use of illegal drugs is prohibited during employment. If company policy requires, I am willing to submit to drug testing to detect the use of illegal drugs prior to and during employment.

By typing your full name in the field below you are acknowledging that the information provided on this form is correct and that you are applying for employment at Bromley.


* Signature (Enter your full name)
* Today's Date (MM/DD/YY)