Custer State Park Regency CSP Ventures LP - Employment Application

Email *

Last Name *

First Name *

Middle Initial

Mailing Address *

City *

State *

Zip Code *

Temporary Address, if applicable

City

State

Zip Code

Best Telephone Number to Reach You

Social Security Number

Are you 18 years old or older? *

Are you 21 years old or older? *

YOUR EDUCATION AND TRAINING

High School Name and Location

Did you graduate?

Course of Study

College Name and Location

Did you graduate?

Course of Study

Trade, Business or Other School Name and Location

Did you graduate?

Course of Study

Any other special training, honors or activities?

Military Service Branch

Rank

State any additional information which may be helpful in considering your application

SPECIAL QUESTIONS

Have you read the employment information? *

Complete employment information can be found at http://www.coolworks.com/custer

Are you a US citizen or are you able to provide proof of eligibility to work in the US? *

Do you smoke?

Do you have a valid driver's license? *

Do you have any visible piercings or tattoos?

If yes, how many?

Have you been convicted of a felony or misdemeanor within the last 5 years? *

If so, please explain (NOTE: 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 understand that you may be required to take one of more of the following: a physical examination, a Reed Personality Test, a Random or Reasonable Cause Drug Test? *

Do you consent to take such test(s) at such time as designated by the Company and agree to release the Company, its directors, officers, agents or employees from any claim arising in connection with the use of such tests? *

WORK HISTORY

Most Recent Position *

Business Name

Mailing address

City, State, Zip

Phone Number

Contact Name

Wage

Dates worked from

Reason for leaving

2nd Employer Position

Business Name

Mailing Address

City, State, Zip

Phone Number

Contact Name

Wage

Dates From

Reason for Leaving

3rd Employer Position

Business Name

Mailing Address

City, State, Zip

Phone Number

Contact Name

Wage

Dates from

Reason for Leaving

Employment Desired

Full time (year round)
Part Time
Seasonal 6 day work week
Seasonal 5 day work week

Are you interested in Employee Housing? *

If yes, please note which housing

Dormitory
RV Site

Are you interested in an Internship?

Are you now employed? *

If so, may we inquire of your present employer?

Have you applied to this Company before? *

If so, what year?

Were you offered employment

Do you know anyone who is currently or has in the past worked for this Company?

If so, please note employee name

PERSONAL REFERENCES please list the names of two persons, not related to you, who can provide personal references

Ref #1 Name *

Mailing Address

City, State, Zip

Phone Number

Ref #2 Name

Mailing Address

City, State, Zip

Phone Number

YOUR JOB PREFERENCES

Please consider carefully the dates you note here as these will be your contracted work dates

Date you are able to start *

Last date you can work *

Review the list for positions you feel you would be most interested in. Be sure to read the short job description carefully. NOTE: All jobs offered require excellent guest relations skills; the ability to work quickly and accurately; and the ability to be able to stoop, bend and lift 50 pounds up and down stairs. Other requirements are noted.

Lodge Preference (if you have no specific lodge preference, mark your job location choice as "any". Keep in mind that your flexibility with location improves your chances of being employed

ADDITIONAL INFORMATION

PLEASE NOTE YOUR UNIFORM SIZES BELOW

PANTS WAIST

PANTS INSEAM

PANTS WAIST

PANTS INSEAM

Referral Note (if necessary)

IN CASE OF EMERGENCY, NOTIFY

Name

Phone Number

Relationship to you

"I certify that the facts contained in this application are true and complete to the best of my knowledge. I understand that all statements made herein may be investigated and verified in the course of considering this application. Should I become employed, I understand that false or misleading statements on this application may be the basis for immediate discharge as well as grounds for withdrawal of an offer of employment. Regency CSP Ventures Limited Partnership is an at-will employer and this document, Company handbooks, policy statements and practices are not express or implied contracts or promises that such policies will be applied in every case. I understand that, if hired, my employment is for no definite period and, regardless of the date of payment of my wages and salary, that either myself or the Company can terminate my employment at will, at any time, and without prior notice. Having made application with Regency CSP Ventures Limited Partnership, I hereby authorize the release of information directly to Regency CSP Ventures Limited Partnership and hold harmless past and present employers, references and all persons and institutions whomsoever from any charge because of furnishing said information, and I waive any application of the Family Education Rights and Privacy Act insofar as the same might apply to responding to this request for information. I have read the above statements and understand them fully."

Signature *

Date *

Signature is required for application to be considered