Personal Information

First Name*

Last Name*

Email*

Phone*

Birth Date*

Marital Status

Height

Weight

Sex
MaleFemale


Home Address

Street Address*

City*

State*

Zip

Home Phone

School Address

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?* NoYes

If yes, please explain in the space provided, below:

Do you have medical insurance? NoYes

Do you smoke? NoYes

Do you know of anything physically or otherwise that could prevent you from doing the job or jobs that you are applying for?* NoYes

If yes, please explain in the space provided below


Education

High School*

Completed High School*
YesNo

College*

Year or completed*

Major

Vocational or Tech School


Work Experience

Have you ever worked on a dude ranch before?*

NoYes

If so, where?

Do you know anyone who has been on our staff or has been a guest? YesNo

How did you hear about us?

May we contact your past or present employers to obtain a work reference? YesNo

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*

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.