Within the Wild Application for Employment
2463 Cottonwood Street; Anchorage, Alaska 99508
907-274-2710 / 907-277-6256 (fax)
(Please Print)
We are an equal opportunity employer, dedicated to a policy of non-
discrimination in employment on any basis including age, sex, color,
race, creed, national origin, religious persuasion, marital status,
political belief, or disability that does not prohibit performance of
essential job functions.
Date: ___________________________________
I. Personal Information
Name: _________________________ ______________________ _______________
Last First Middle
______________________________________________________________________
Present Address
______________________________________________________________________
Permanent Address (if different than above)
_______________________________ _____________________________________
Social Security Number Telephone
______________________________________________
Email
Federal law prohibits the employment of unauthorized aliens. All
persons hired must submit satisfactory proof of employment authori-
zation and identity (valid driver's license, birth certificate, Green
Card, etc.) within three days of being hired. Failure to submit such
proof within the required time shall result in immediate employment
termination.
Position Applied For:______________________________________________
1. Is there any information we would need about your name or use of
another name for us to be able to check your work record? Please
specify:
______________________________________________________________________
2. Do you have any relatives who are presently (or have formerly been)
employed by Within the Wild?
______________________________________________________________________
3. How were you referred to Within the Wild? ____________________
4. Have you ever been convicted of a felony? ___ Yes ___ No If yes,
please explain: ______________________________________________________
______________________________________________________________________
II. Educational History
School Years Degree
Name/Location Completed Diploma
Elem/Jr. High_________________________________________________________
High School___________________________________________________________
College_______________________________________________________________
Tech. Training________________________________________________________
Other_________________________________________________________________
III. Employment Record Please include all employment for the last
five years.
1._______________________________________________ ____________________
Company Name (Current or Most Recent Employer) Position Held
______________________________________Dates Employed:_______________
Address From To
______________________________________ ____________________________
Manager / Supervisor Telephone Wage/Salary
____________________________________________________________________
Reason For Leaving
2.______________________________________ ____________________________
Company Name Position Held
______________________________________Dates Employed:_______________
Address From To
______________________________________ ____________________________
Manager / Supervisor Telephone Wage/Salary
____________________________________________________________________
Reason For Leaving
3.______________________________________ ____________________________
Company Name Position Held
______________________________________Dates Employed:_______________
Address From To
______________________________________ ____________________________
Manager / Supervisor Telephone Wage/Salary
____________________________________________________________________
Reason For Leaving
NOTE: Use a separate sheet to list additional employers, if necessary.
We will contact all of the employers listed on this application
unless you specifically exclude them below. Please list any employers
you do not want us to contact and your reason for the exclusion:
________________________________ _____________________________________
(Employer's Name) Reason
________________________________ _____________________________________
(Employer's Name) Reason
IV. References Please do not include relatives or former employers.
1._______________________________________________ ___________________
Name Years Known
_______________________________________________ ___________________
Address Telephone
_______________________________________________
Occupation
2._______________________________________________ ___________________
Name Years Known
_______________________________________________ ___________________
Address Telephone
_______________________________________________
Occupation
3._______________________________________________ ___________________
Name Years Known
_______________________________________________ ___________________
Address Telephone
_______________________________________________
Occupation
V. Work Availability
1. If your application receives favorable consideration, when will
you be available to begin work?____________________________________
2. Do you have any objection to working overtime? ( ) Yes ( ) No
3. Can you work overtime without prior notice? ( ) Yes ( ) No
4. Can you work on Saturday? ( ) Yes ( ) No
5. Can you work on Sunday? ( ) Yes ( ) No
6. Can you travel if required by this position? ( ) Yes ( ) No
VI. Salary / Hourly Rate Requirements
If your application receives favorable consideration, what salary/
hourly rate would you require?
$ ________________ per _______________
Comment Section