Application Form Step 1 of 6 0% Name* First Last Current Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone Number*Email Address* Are you legally eligible for employment in the United States?* Yes No Social Security NumberAge (Only if under the age of 18)Position(s) applying for*Desired Hourly Pay RateNumber of Hours Available to Work Each Week*(Ex: Minimum of 20 hours, Maximum of 40)Availability*List days and times available to work. Be Specific.SunMonTuesWedThurFriSat Are you available to work overtime, if asked?* Yes No Date Available to Begin*Summer only dateIf only available for summer employment, please provide dates. What is your means of transportation to work?*Do you have a driver's license?* Yes No Driver's License NumberState of IssueExpiration Date Month Day Year Type Operator Commercial (CDL) Have you had any accidents in the past three years? If yes, how many?Have you had any moving violations in the past three years? If yes, how many?Have you ever been convicted of a crime?* Yes No If yes, please explain the conviction(s), nature of offenses) leading to conviction(s), date of offense(s), sentence(s) imposed, and type(s) of rehabilitation. Education & Military HistoryEducation*High School, College/University, Business or Trade School, Advanced/Professional School Type of SchoolName of SchoolAddress of SchoolNumber of Years CompletedMajor & Degree EducationHigh School, College/University, Business or Trade School, Advanced/Professional School Type of SchoolName of SchoolAddress of SchoolNumber of Years CompletedMajor & Degree Have you served in the U.S. Armed Forces?* Yes No If yes, what branch?Describe any training received relevant to the position for which you're applying. Skills & CertificationsWhat year did you begin rock climbing?Years of Climbing ExperienceIndoorOutdoorSport LeadTrad LeadAnchor Building Have you taught any indoor climbing classes? Yes No Have you done any outdoor guiding? Yes No Describe your guiding experience.List & describe any relevant rock climbing course that you have taken.Examples: CWI, AMGA, NOLS etc.What year did you start practicing yoga?Have you taught any yoga classes? Yes No Describe your experience instructing yoga classes.What classes have you taught, where and for how long?List & describe any yoga course or certifications that you have.List relevant certifications & expiration datesExamples: Current CPR, First Aid, WFA, WFR, SPI etc. Office SkillsExperience with: Rock Gym Pro Canva Social Media Posts Microsoft Word Microsoft Excel Adobe Photoshop Other Office SkillsEmployment HistoryPlease give accurate, complete employment info. Start with your most recent employer. Current/Most Recent EmployerCompany NameAddressPhoneSupervisor Name Job Title & DescriptionDates of EmploymentStart DateEnd Date Hourly Pay RateReason for LeavingMay we contact this employer? If "No", please explain.Employer #2Company NameAddressPhoneSupervisor Name Job Title & DescriptionDates of EmploymentStart DateEnd Date Hourly Pay RateReason for LeavingMay we contact this employer? If "No", please explain.Employer #3Company NameAddressPhoneSupervisor Job Title & DescriptionDates of EmploymentStart DateEnd Date Hourly Pay RateReason for LeavingMay we contact this employer? If "No", please explain.Professional ReferencesList three references that are not related to you. Reference*NamePhone Number Reference*NamePhone Number Reference*NamePhone Number Tell us more about yourselfAn application form sometimes makes it difficult for an individual to adequately summarize a complete background. Use the space below to provide any additional information to describe your full qualifications for the specific position for which you're applying.What is your one year plan?What is your five year plan? I understand that acceptance of an offer of employment does not create a contractual obligation upon the employer to continue to employ me in the future.* Yes I understand that my employment with Santa Fe Climbing Ltd Co. is subject to a probationary period of ninety (90) days, during that time my employment will be considered temporary in status. In addition, Santa Fe Climbing Center Ltd Co. reserves the right to terminate my position within this time period for any reason.* Yes I understand that Part-time employees must be available to work a minimum of three (3) shifts per scheduled week. Not being available to work this minimum could result in loss of employee benefits and/or position. All employees are also required to be available to work special events and competitions.* Yes I understand that applicants may be tested for illegal drugs.* Yes By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.* I consent and wish to electronically sign this form. CAPTCHA Δ
