Custer Application

FORMER EMPLOYERS (LIST BELOW LAST THREE EMPLOYERS, STARTING WITH LAST ONE FIRST)

DATE\ MONTH & YR	NAME	PHONE	SALARY	POSITION	REASON FOR LEAVING
FROM	.	.	.	.	.
TO
FROM	.	.	.	.	.
TO
FROM	.	.	.	.	.
TO

REFERENCES: GIVE THE NAMES OF THREE PERSONS NOT RELATED TO YOU, WHOM YOU HAVE KNOWN AT LEAST ONE YEAR.

NAME	BUSINESS	PHONE NUMBER	YEARS ACQUAINTED
.	.	.	.
.	.	.	.
.	.	.	.

PLEASE LIST HERE YOUR APPROPRIATE UNIFORM SIZE IN ALL AREAS:

MEN:	POLO SHIRT:	___SM	___MED	___LG	___XLG	___XXL
	DRESS SHIRT:	___SM	___MED	___LG	___XLG	___XXL
	VEST:	___SM	___MED	___LG	___XLG	___XXL
	PANTS:	___WAIST	___INSEAM

WOMEN:	POLO SHIRT:	___SM	___MED	___LG	___XLG	___XXL
	DRESS SHIRT:	___SM	___MED	___LG	___XLG	___XXL
	SKIRT:	___SM	___MED	___LG	___XLG	___XXL
	VEST:	___SM	___MED	___LG	___XLG	___XXL
	PANTS:	___WAIST	___INSEAM

IN CASE OF EMERGENCY,
NOTIFY__________________________________________________________________________
          NAME                ADDRESS                             PHONE NO.

"I certify that the facts contained in this application are true and complete to the best of my knowledge and 
understand that, if employed, falsified statements on this application shall be grounds for dismissal.

I authorize investigation of all statements contained herein and the references listed above to give you any and 
all information concerning my previous employment and any pertinent information they may have, personal or 
otherwise, and release all parties from all liability for any damage that may result from furnishing same to you.

I understand and agree that, if hired, my employment is for no definite period and may, regardless of the date of 
payment of my wages and salary, be terminated at any time without prior notice."

DATE____________________SIGNATURE_______________________________________________

REFERRED BY: ___INTERNET  ___JOB SERVICE ___ON MY OWN  ___NEWSPAPER AD
             ___PAST EMPLOYEE  (who):___________________________________________
             ___CURRENT EMPLOYEE (who):_________________________________________
             ___COLLEGE PLACEMENT OFFICE (college):_____________________________
             ___OTHER __________________________________________________________

FOR PERSONNEL DEPARTMENT USE ONLY

LEGION LAKE RESORT * BLUE BELL LODGE & RESORT * SYLVAN LAKE RESORT * STATE GAME LODGE & RESORT
are operated by Custer State Park Resort Company, an authorized concessionaire of South Dakota's
Department of Game Fish and Parks.  Custer State Park Resort Company is owned and operated by:
WILD PHIL'S, INC.
HC 83 Box 74 * Custer, South Dakota 57730
(605) 255-4189