EMPLOYMENT APPLICATION
An Equal Opportunity Employer

Kirkwood Mountain Resort
Human Resources
1501 Kirkwood Meadows Drive
Kirkwood, CA 95646
(209) 258-7385 Fax (209) 258-7368
humanresources@kirkwood.com

If you have a disability and believe you require accommodation for the disability during the selection process, please contact us to make appropriate arrangements.
First name: M.I. Last name:
Mailing Address:
City: State: Zip:
Phone: Alt Phone: Email:

Have you ever been employed by Kirkwood? Yes No
If yes, what department:
Dates employed: List any relatives currently employed by Kirkwood:

POSITION(S) APPLIED FOR

Position Status: Full-Time Part-Time Seasonal On Call Temporary
Please note any days or hours you cannot or prefer not to work:


Date available:
Do you understand the requirements of the job(s) for which you have applied? Yes No
Can you perform the requirements of the job(s) with or without reasonable accommodation? Yes No

How did you hear about us?
Newspaper

Please specify:
Friend/Acquaintance
Employee
Previous Employee
Internet
Job Fair
Other

Certain positions require that applicants meet age requirements: Are you under 18 years of age? Yes No
EDUCATION RECORD

Did you graduate from high school or receive a GED certificate? Yes No

School Name
College/Technical/Vocational/Other		 Location Credits
Earned		 Diploma, Degree
or Certificate		 Major / Field of Study

For positions that require a high school diploma or GED or a college degree, a copy of the high school diploma/GED certificate or college diploma may be required.

CERTIFICATION AND LICENSES

List driver's license and other current licenses, certifications or registrations required for the position(s) for which you are applying.

Type Date Issued Date Expired Entity

 
SKILLS

List any special skills you possess and/or equipment or office machines you can operate (Example: bartending, cashiering, electrical, accounting, management/supervisory, skiing, golfing, etc).

Foreign Language Read/Write/Speak Proficiency
Read Write Speak
Read Write Speak
Read Write Speak
Read Write Speak
Computer Skills Proficiency
Additional Skills Proficiency

 
OTHER INFORMATION

Have you ever been convicted of, pled guilty or nolo contendere to, or been granted deferred adjudication for a felony or any lesser crime, other than a minor traffic infraction? Yes No

If yes, list all such offenses and provide date, name of court, and disposition. You may omit minor violations for which you paid a fine of $50 or less.
A conviction or guilty plea will not necessarily disqualify you from employment.

Have you ever been disciplined in your employment related to workplace violence? Yes No

If yes, please explain:

Do you presently use illegal drugs? Yes No

EMPLOYMENT HISTORY

List employers, starting with the most recent (including all paid military and volunteer work), for the past 10 years.
Use a separate block for each position. DO NOT use references such as "See Resume" in place of completing this section.

May we contact all employers listed? Yes No

Provide an explanation for each exception (as applies)

Employer: Position/Job Title:
Address:
From (Mo/Yr) To (Mo/Yr) Full-Time (40+ hrs/wk) Part-Time (<40 hrs/wk)
Supervisor's Name: Title: Phone: Salary:
Related Duties: Reason for leaving:


Add Additional Employment History »

 

ADDITIONAL INFORMATION

Please state below any other information that would be helpful in determining your qualifications for this position.
You may include significant accomplishments, previous career highlights, or any other information that is not included in this employment application.
REFERENCES

Please list references that are job related (i.e. co-workers), not related to you.

Name Relationship / Occupation Telephone Years Known

 
ACKNOWLEDGMENTS

Please READ ALL of the following statements and CHECK EACH of the boxes to indicate you have read and understand each of the statements. If you have questions, contact Human Resources.

Following an offer of employment, I will submit verification of my legal right to work in the United States.
All offers of employment and all information regarding compensation and other terms and conditions of employment may be made in writing for specific positions.
Employment will be at-will unless specifically stated to be otherwise. At-will means Kirkwood may terminate my employment at any time with no advance notice and for any reason or no reason.
This application is the property of Kirkwood, and will become part of my personnel file if I am hired.

 
PLEASE READ CAREFULLY

I authorize the Kirkwood Mountain Resort to contact any employer or individual that I have listed on my employment application,
resume and or mentioned in job interviews, to obtain from them any relevant information regarding my previous employment,
military service, criminal history, characteristics or traits, or other qualifications for employment and/or continued employment
with Kirkwood Mountain Resort. I further authorize Kirkwood Mountain Resort to contact any entity for job-related information
regarding education, licenses, and/or certificates which I may currently hold or may have held in the past.

In exchange for Kirkwood Mountain Resort's consideration of my employment application, and/or my continued employment with
Kirkwood Mountain Resort, if any, I authorize anyone possessing this information to furnish it to Kirkwood Mountain Resort
upon request, and I release the individual company or institution and all individuals providing the information or acquiring
the information, including Kirkwood Mountain Resort, from all claims, liability, and damages whatsoever in furnishing,
obtaining, or using said information including, but not limited to, claims for defamation, libel, slander, infliction of
emotional distress, and interference with current or prospective economic relations.

I further understand this consent will apply during the course of my employment with Kirkwood Mountain Resort, should I
obtain such employment. I understand and agree this consent shall remain in effect indefinitely.

Additionally, by checking this checkbox, I certify that the information provided is true and correct to the best of my knowledge.
In the event of employment, I understand that false or misleading information given in my application or interview(s) may
result in discharge. I understand I am required to abide by all rules and regulations of Kirkwood Mountain Resort.