Yellowstone General Stores - Employment Application

DNC Parks & Resorts at Yellowstone considers applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, sexual orientation, or any other legally protected status. DNC Parks & Resorts at Yellowstone is an equal opportunity employer. All applicants may be subject to pre-employment drug screening. Incomplete applications will not be considered. The questions on this form are asked to allow us to evaluate your ability and chance for success in the position for which you are applying. Every effort has been made to comply with applicable Federal and State laws.

Name of Specific Referrral Source (if applicable):

PERSONAL INFORMATION

LAST NAME *

FIRST NAME *

Middle Initial

SSN

Mailing Address *

City *

State *

Zip *

Phone

Cell / Alternate Phone

Email address

APPLICATION INFORMATION

Position/Location Applying For *

Please check if you are willing to accept other positions *

Availability Dates (Please indicate the earliest date you can start and the latest date you can work)

Start Date *

End Date *

Check here if you are applying with another individual(s) and requesting the same location. *

Name(s)

Housing

What type of housing do you require? *

Dorm
RV Site

Length (feet)

Number of slide-outs

Have you ever been employed by Delaware North Companies, Incorporated (DNC) or any subsidiary? *

If yes, where? when?

Reason for leaving

Do you have any relatives currently employed by DNC or any DNC subsidiary? *

If yes, where? when?

Specific Skills

Please check any of the following skills pertinent to the position for which you are applying:

Education Information

HIGH SCHOOL

Major / Minor

Did you graduate?

Diploma / Degree

COLLEGE / UNIVERSITY

Major / Minor

Did you graduate?

Diploma / Degree

GRADUATE / PROFESSIONAL

Major / Minor

Did you graduate?

Diploma / Degree

Other (specify)

ADDITIONAL TRAINING Description Degree / Certification / License Date Completed

Military Service

Have you ever served in the United States Armed Services or in a State Militia?

If yes, please name Service Branch/Reserve Orgainzation

Final Rank or Rate

Note to Applicants: Do not answer this question unless you have been informed about the requirements of the job for which you are applying

Are you capable of performing in a reasonable manner or with reasonable accomodations the essential functions of the job or occupation for which you have applied?

Upon request, a description of the essential functions of such a job is available

Work History

List your last three employers starting with the most recent or relevant to position applying for. Previous employers will be contacted.

EMPLOYER (most recent / relevant) *

Position *

Dates of Employment *

to *

City, State *

Supervisor

Phone

Rate of Pay

Reason for Leaving

EMPLOYER #2

Position

Dates of Employment

City, State

Supervisor

Phone

Rate of Pay

Reason for Leaving

EMPLOYER #3

Position

Date of Employment

City, State

Supervisor

Phone

Rate of Pay

Reason for Leaving

References

List names of persons not related to you whom we may contact to verify your qualifications for the job for which you are applying:

NAME *

Nature of Affiliation

Address

Occupation & Company

Telephone # *

NAME

Nature of Affiliation

Address

Occupation & Company

Telephone #

NAME

Nature of Affiliation

Address

Occupation & Company

Telephone #

I certify that the information I have provided is true, correct, and complete in all material respects. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in termination. I also understand that I am required to abide by all rules and regulations of Delaware North Companies Parks & Resorts at Yellowstone. In connection with my application for employment with DNC P&R at Yellowstone I hereby authorize DNC P&R at Yellowstone and any of it's officers, agents, employees, and servants to solicit all relevant information with regard to this application. This authorization includes, but is not limited to, matters of opinion related to my character, ability, reputation, credit history and past conduct. I understand that such information will be used by DNC P&R at Yellowstone in making its decision regarding my employment. I hereby authorize and request all persons, schools, companies, corporations, governmental units, credit bureaus, and law enforcement agencies to release such requested information to DNC P&R at Yellowstone and its agents without restriction or qualification. I voluntarily waive all recourse and release all such providers of said information from liability for complying with this authorization.

I hereby release and discharge DNC P&R at Yellowstone and its agents and servants, their respective parents, subsidiaries, affiliates, contractors, and attorneys from any claim or liability, including attorney's fees, relating to or arising out of, but not limited to, the performance of pre-employment investigation, the ultimate employment determination, and the disclosure of the information as described herein and as required by law, and any termination of my employment because of the falsity, answers or omissions made by me in this application.

Today's Date

Signature

EMPLOYEE AFFIRMATIVE ACTION INFORMATION FORM

PLEASE READ BEFORE COMPLETING FORM Applicants are considered for all positions, and employees are treated during employment without regard to race, color, religion, sex, national origin, age, marital or veteran status, medical condition or handicap. As an employer/government contractor, we comply with government regulations and affirmative action responsibilities. Solely to help us comply with government record keeping, reporting and other legal requirements, please fill out the Applicant Data Record. We appreciate your cooperation. Refusal to provide this information will not subject you to adverse treatment. This data is for periodic government reporting and will be kept in a confidential file separate from the Application for Employment.

Personal Information

Position(s) applied for

Date

Name (Last, First, MI)

Address (Street, City, State, Zip)

Phone

Check one

Male
Female

Check one of the following

Hispanic or Latino -- A person of Cuban, Mexican, Puerto Rican, South of Central American or other Spanish culture or origin regardless of race
White (not Hispanic or Latino) - -- A person having origins in any of the original peoples of Europe, the Middle East or North Africa
Black or African American (Not Hispanic or Latino) -- A person having origins in any of the black racial groups of Africa
Native Hawaiian or Other Pacific Islander (Not Hispanic or Latino) – A person having origins in any of the peoples of Hawaii, Guam, Samoa or other Pacific Islands
Asian (Not Hispanic or Latino) -- A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian Subcontinent, including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands,
American Indian or Alaska Native (Not Hispanic or Latino) -- A person having origins in any of the original peoples of North and South America (including Central America), and who maintain tribal affiliation or community attachment
Two or More Races (Not Hispanic or Latino) -- All persons who identify with more than one of the above five races
Race Missing or Unknown -- Applies to Applicants only, where a resume or application that is screened is received without any racial or ethnic identification and no further contact is made with the applicant.

To the extent we are subject to the Vietnam Veterans Readjustment Assistance Act of 1974 or section 503 of the Rehabilitation Act of 1973, or the Jobs for Veterans Act of 2002, as amended, we comply with requirements to take affirmative action regarding qualified individuals with a disability, disabled veterans, other protected veterans, Armed Forces service medal veterans, and recently separated veterans. If you come within any of those categories, and would like to be included in our affirmative action program, you may tell us now or at any time in the future. We also invite you to tell us now, or at any time in the future, about any reasonable accommodations that you believe we could make which would better enable you to perform the essential functions of the job properly and safely. Submitting this information is voluntary. Providing it or declining to provide it will not affect your employment in any way. The information will be used only in ways consistent with the law. It will be kept confidential, except that it may be used to determine necessary accommodations and to inform first aid/safety personnel or government officials enforcing applicable laws.

You may check any item applicable to you:

Disabled -- Anyone having any physical or mental impairment, which substantially limit one or more major life activities
Disabled Veteran -- Veteran entitled to VA-administered disability compensation for, or discharged from active duty because of, a service-connected disability, or who would be entitled but for receipt of military retired pay
Other Protected Veteran -- Veteran who served on active duty during a war or in a campaign or expedition for which a campaign badge has been authorized
Armed Forces Service Medal Veteran -- Veteran who, while on active duty, participated in a military operation for which an Armed Forces Service Medal was awarded pursuant to Exec. Order No. 12985
Recently Separated Veteran -- Veteran who served on active duty and was discharged or released within the last three years.
Only if you checked Disabled or Disabled Veteran, you may identify any reasonable accommodations we could make that would better enable you to perform the essential functions of the job properly and safely (add note below)

Note:

Today's Date

Signature