PERSONAL INFORMATION
Date______________________
SOCIAL SECURITY
NAME__________________________________________________NUMBER____________________
Last First Middle
PRESENT ADDRESS_________________________________________________________________
Street City State Zip
PERMANENT ADDRESS_______________________________________________________________
Street City State Zip
PERMANENT PHONE NO.( )_______________ ARE YOU 18 YEARS OR OLDER? ____YES ___NO
SCHOOL PHONE NO.( )__________________ ARE YOU 21 YEARS OR OLDER? ____YES ___NO
SPECIAL QUESTIONS
DO NOT ANSWER ANY OF THE QUESTIONS IN THIS FRAMED AREA UNLESS THE EMPLOYER HAS
CHECKED A BOX PRECEDING A QUESTION, THEREBY INDICATING THAT THE INFORMATION IS
REQUIRED FOR A BONA FIDE OCCUPATIONAL QUALIFICATION OR DICTATED BY NATIONAL
SECURITY LAWS, OR IS NEEDED FOR OTHER LEGALLY PERMISSIBLE REASONS.
___Are you a U.S. Citizen? ___Yes ___No
___What Foreign Languages do you speak fluently?____________Read______Write____
Have you been convicted of a felony or misdemeanor within the last 5 years?**
____Yes____No Describe:_________________________________________________________
________________________________________________________________________________
___I understand and agree that I may be required to take one or more: __physical
examination; __Reed Personality Test; __Drug Screening. I agree to consent to
take such test(s) at such time as designated by the Company and to release the
Company, its directors, officers, agents or employees from any claim arising in
connection with the use of such test(s). ___Yes ___No
**You will not be denied employment solely because of a conviction
record, unless the offense is related to the job for which you have applied.
Do you have a valid driver's license? ___Yes ___No
| EDUCATION | NAME & LOCATION OF SCHOOL | NO OF YEARS |
DID YOU GRADUATE? |
SUBJECTS STUDIED |
| GRAMMAR SCHOOL | . | . | . | . |
| HIGH SCHOOL | . | . | . | . |
| COLLEGE | . | . | . | . |
| TRADE, BUSINESS OR CORRESPONDENCE SCHOOL | . | . | . | . |
EMPLOYMENT DESIRED DATE YOU ARE ABLE TO START___________LAST DATE YOU ARE ABLE TO WORK_____________ ___FULL TIME ___PART TIME ___SEASONAL SALARY DESIRED________ ___I AM INTERESTED IN THE ARE YOU EMPLOYED NOW? __YES __NO SCHOLARSHIP PROGRAM IF SO, MAY WE INQUIRE OF YOUR PRESENT EMPLOYER? ___YES ___NO ___I AM INTERESTED IN THE HAVE YOU EVER APPLIED TO THIS COMPANY BEFORE? __YES __NO INTERNSHIP PROGRAM WHERE?________________________________________ WHEN?________________________________________________ Mail or fax this application to:
CUSTER STATE PARK RESORT COMPANY HC 83 BOX 74 - CUSTER, SD 57730 1-(800)-658-3530 | fax 1-(605)-255-4706