Create Staff Application | Adventure Links

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_{I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.}

Application

First name: *

Last Name: *

Middle Initial:

Email: *

D.O.B.: *

Month: *

Day: *

Year: *

Gender:

Are you a U.S. citizen?:

Are you authorized to work in the U.S. ?:

Have you ever been convicted of a felony?:

Explain the felony charge(s):

Have you ever worked for this company?:

If so, what years?:		Order
	Year:

Date Available

From date: *

To date:

Picture:

Attach Resume:

Education

Education

Street:

Additional:

City:

State / Province:

Country:

Postal code:

High School:

From::

Year:

To:

Year:

Did you Graduate?:

College:

Street:

Additional:

City:

State / Province:

Country:

Postal code:

From:

Year:

To:

Year:

Academic accomplishments and other accolades of dorkdom:

References

1.) Reference Full Name:

1.) Company:

1.) Email Address:

Address name:

e.g. a place of business, venue, meeting point

Street:

Additional:

City:

State / Province:

Postal code:

Phone:

Fax:

2.) Reference Full Name:

2.) Company:

2.) Work Email:

Address name:

e.g. a place of business, venue, meeting point

Street:

Additional:

City:

State / Province:

Postal code:

Phone:

Fax:

3.) Reference Full Name:

3.) Company:

3.) Work Email:

Address name:

e.g. a place of business, venue, meeting point

Street:

Additional:

City:

State / Province:

Postal code:

Phone:

Fax:

Previous Employment

Address name:

e.g. a place of business, venue, meeting point

Street:

Additional:

City:

State / Province:

Country:

Postal code:

Phone:

Fax:

1.) Job Title:

1.) Supervisor:

1.) Period of Employment:		Order
	1.) Period of Employment Empty 'To date' values will use the 'From date' values. From date: Year: Month: To date: Year: Month:

1.) Responsibilities:

1.) Reason for Leaving:

1.) May we contact previous supervisor for a reference?:

2.) Company:

Address name:

e.g. a place of business, venue, meeting point

Street:

Additional:

City:

State / Province:

Country:

Postal code:

Phone:

Fax:

Job Title:

2.) Supervisor:

2.) Period of Employment:		Order
	2.) Period of Employment Empty 'To date' values will use the 'From date' values. From date: Year: Month: To date: Year: Month:

2.) Responsibilities:

2.) Reason for Leaving:

2.) May we contact previous supervisor for a reference?:

3.) Company:

3.) Job Title:

3.) Supervisor:

3.) Period of Employment:		Order
	3.) Period of Employment Empty 'To date' values will use the 'From date' values. From date: Year: Month: To date: Year: Month:

3.) Responsibilities:

3.) Reason for Leaving:

3.) May we contact your previous supervisor for reference?:

Driving

Do you feel comfortable driving a standard (stick shift) vehicle?:

Do you feel comfortable backing a trailer?:

Do you feel comfortable driving a mini bus with 15 passengers?:

Are you interested in earning a commercial drivers license at Adventure Links?:

Essay Questions

Why do you want to lead Adventure Links style programs?:

What about your personality helps you teach/instruct others?:

What about your personality helps you build rapport with kids, peers and adults?:

Relevant Experience

Rock climbing experience:

Separate out Personal Experience and leadership (work) experience. We want to know both. What type of training have you recieved? Belay, Top Rope Anchor, Knots. Who did the training?

Ropes Course Experience:

Type of facilitator training recieved. Facilitation experience. Courses worked on: Static, high low etc. Years worked, ages of students led.

Caving experience:

Separate out Personal Experience and leadership (work) experience. We want to know both. What type of training have you recieved? Belay, Top Rope Anchor, Knots, rescue? Who did the training?

Flat water canoe and kayak experience:

Type of facilitator training recieved. Facilitation experience. Bodies of water you've used. Years experience, ages of groups led.

Sailing, mountain biking, backpacking, rafting, whitewater rafting, kayaking:

Separate out Personal Experience and leadership (work) experience. We want to know both. What type of training have you recieved? Who did the training?

Wilderness medicine and first aid experience:

Separate out Personal Experience and leadership (work) experience. We want to know both. What type of training have you recieved? WFR, WFA, WEMT? Who did the training?

Signature: *