Employment Application

Employment Application

Bar Lazy J is an equal opportunity employer and selects the best qualified individual for the job based on job related qualifications, regardless of race, sex, creed, color, religion, age or disability. We want to offer our guests the best vacation they ever had and to this we need a high quality staff. We have high standards of excellence and expect that of our staff. We look forward to receiving your completed application.

*Required Fields

Personal Information

*First Name:
*Last Name:
*E-mail:
Social Security #:
*Birth Date:
Marital Status:
Height:
Weight:
Sex:
 Male  Female

Home Address

School Address

*Street Address:
*City:
*State:
*Zip:
Home Phone:
Street Address:
City:
State
Zip:
School Phone:

Emergency Contact
Person to notify in case of illness or accident

Name:
Phone:
Street Address:
City:
State:
Zip:

Additional Information

*Have you ever been convicted of a felony?   Yes   No
If yes, please explain in space provided, below:
Valid State Drivers License #:
Exp. Date:
Has your license ever been revoked or suspended?
 Yes   No
Do you have medical insurance?
 Yes   No
Do you smoke?
 Yes   No
*Do you know of anything physically or otherwise that could prevent you from doing the job or jobs that you are applying for?
 Yes   No
If yes, please explain in space provided below:

Education

*High School:
*Completed High School?
 Yes   No
Vocational or Tech School:
*College:
*Year or completed
Major:

Work Experience

*Have you worked on a Dude Ranch before?
 Yes   No
If so, where?
Do you know anyone who has been on our staff or has been a guest?   Yes   No
How did you hear about us?
May we contact your past or present employers to obtain a work reference?   Yes   No

Employer 1
Name of Employer:
Address:
Phone:
Position:
Dates:
Supervisor:
Reason for leaving:

Employer 2
Name of Employer:
Address:
Phone:
Position:
Dates:
Supervisor:
Reason for leaving:

Employer 3
Name of Employer:
Address:
Phone:
Position:
Dates:
Supervisor:
Reason for leaving:

Position(s) of Interest
Wait Staff, Housekeeping Staff, Office Assistant, Chef, Cooks Helper, Dishwasher, Yard and Maintenance, Children's Counselors, Wrangler and Farrier

*Position Desired: First Choice:
*Second Choice:
Other:
*Date you can start:
*Date you must leave:
Do you have a current CPR card?   Yes   No
First aid:   Yes   No
What talents do you have that could be used to entertain our guests?
Musical Talents:
Other:

*Tell us why you feel like you would be an asset to Bar Lazy J:
*I certify that the answers given herein are true and complete to the best of my knowledge. In the event of employment, I understand that false or misleading information given in my application could result in discharge. I understand, also that I am required to abide by all Bar Lazy J Rules and Regulations.