Today’s
date:
First Name: Last
Name:
Date of
Birth: Social Security Number:
Permanent
Address:
Line 1:
Line 2:
City: State: Zip: Country:
Home Phone: Email:
Current/School
Address:
Line 1:
Line 2:
City: State: Zip: Country:
Phone: Email:
Best time
to call:
Which
residence should we send correspondence to?
EDUCATION
High School
graduate? Year graduated:
College?
Major? Degree?
Position(s)
applying for:
1st Choice:
2nd
Choice:
Day you can
start work: Last day you can
work:
How did you hear about Lake Mancos Ranch?
Current First Aid Card? If
yes, valid through:
Current CPR Card? If
yes, valid through:
What qualifies you for the job?
Are you physically or otherwise ABLE to perform the duties
of the job that you are applying?
Tell us about yourself and why you feel you would be an
Asset to Lake Mancos Ranch.
EMPLOYMENT EXPERIENCE: Start with your present or
last job. May we contact your employer?
1)Employer: Job
title:
Supervisor: Describe
duties:
Phone
number: Reason for
leaving:
Dates
employed:
2)Employer: Job
title:
Supervisor: Describe
duties:
Phone
number: Reason for
leaving:
Dates
employed:
3)Employer: Job
title:
Supervisor: Describe
duties:
Phone
number: Reason for
leaving:
Dates
employed:
Have you ever been convicted of a felony? No Yes
(explain)
Valid drivers license number: State: exp.
Date:
Has your license ever been revoked or suspended?
PICTURE: Since a personal interview is
unlikely, you may attach an optional photo of yourself.
Now go to General Application: PART 2
Please include this GENERAL APPLICATION (Parts 1 & 2) with any other materials
or special applications necessary to apply for a particular postition with Lake Mancos Ranch.
Refer to our Application Information for details.