Choose one of the following options:

First Time Applying Reapplying

PERSONAL INFORMATION

Social Security Number
Drivers License #
	State   Exp Date -- mm/dd/yy
Last Name
First Name
Middle Name
Present Address
Address (cont.)
City
State/Province
Zip/Postal code
Home Phone
E-mail
URL of Web Page

Permanent Address:

Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country
Home Phone

Are you 23 years of age or older?:

Yes
No

How did you learn of Lost Creek?

Birthdate: -- mm/dd/yy

EMPLOYMENT DESIRED

Position (1st Choice) Rotator Office Assistant Wrangler/Guide Vet/Wrangler/Guide Head Wrangler Chef Baker Cook/Sous Chef Kitchen Steward/Dishwasher Dining Server Dining Supervisor Facilities Attendant Facilities Supervisor Ranch Hand Maintenance Supervisor Massage Therapist Massage Therapist Assistant Personal Trainer/Aerobic Instructor Spa Instructor Rotator Position (2nd Choice) Rotator Office Assistant Wrangler/Guide Vet/Wrangler/Guide Head Wrangler Chef Baker Cook/Sous Chef Kitchen Steward/Dishwasher Dining Server Dining Supervisor Facilities Attendant Facilities Supervisor Ranch Hand Maintenance Supervisor Massage Therapist Massage Therapist Assistant Personal Trainer/Aerobic Instructor Spa Instructor Rotator

Positions Available (Use "Back" button to return here)

Enter the date you can start work:  -- mm/dd/yy

Enter the date you must leave:          -- mm/dd/yy

High School

Name
Address
City
State/Province
Last Year Completed	1   2   3   4
Did you Graduate?	Yes    No
Subjects Studied Degree(s) Rec'd

College

Name
Address
City
State/Province
Last Year Completed	1   2   3   4
Did you Graduate?	Yes    No
Subjects Studied Degree(s) Rec'd

Trade or Business School

Name
Address
City
State/Province
Last Year Completed	1   2   3   4
Did you Graduate?	Yes    No
Subjects Studied Degree(s) Rec'd

Special Interests and / or job related skills (computers, horseshoeing, river guide, hiking,
guitar, CPR, First Aid, etc.)

List below your last three employers (including military experience), starting with the last one first.

Most Recent Employer

Start Date	-- mm/yy
End Date	-- mm/yy
Name of Employer
Contact Person
Employer Address
Address (cont.)
City
State/Province
Zip/Postal code
Phone
Your Position
Wages upon Leaving	per hour
Reason for Leaving

Second Employer

Start Date	-- mm/yy
End Date	-- mm/yy
Name of Employer
Contact Person
Employer Address
Address (cont.)
City
State/Province
Zip/Postal code
Phone
Your Position
Wages upon Leaving	per hour
Reason for Leaving

Start Date	-- mm/yy
End Date	-- mm/yy
Name of Employer
Contact Person
Employer Address
Address (cont.)
City
State/Province
Zip/Postal code
Phone
Your Position
Wages upon Leaving	per hour
Reason for Leaving

List below two persons not related to you, whom you have known at least two years.

Name
Address
Address (cont.)
City
State/Province
Zip/Postal code
Phone
Years Acquainted

Name
Address
Address (cont.)
City
State/Province
Zip/Postal code
Phone
Years Acquainted

I authorize investigation on all statements contained in this application
including an investigation of my driving record.  I understand that
misrepresentation of information requested is cause for dismissal.  Further,
I understand and  agree that my employment is for no definite period and
may, regardless of the date of payment of my wages, be terminated at any
time without cause and without any previous notice.