Bromley

EMPLOYMENT APPLICATION
This is a secure document. You can be assured that the information you submit will be protected by encryption while in transit.
Personal Information:
 
Social Security Number
Last Name:
First Name:
Middle Initial:
Present Address:
 
Street:
City:
State:
Zip/Postal Code
Country:

Permanent Address:

  Check here if same as Present Address Same
Street:
City:
State:
Zip/Postal Code
Country:
Contact Information:
 
Home Phone:
Cell Phone:
Email Address:
  Applicant Note: This application form is intended for use in evaluating your qualification for employment. This is not an employment contract. Please answer all appropriate questions completely and accurately. False or misleading statements during the interview and on this form are grounds for terminating the application process, or if discovered after employment, terminating employment.
Availability:
 
For which position are you applying?
Preferred Category:

Full Time     Part Time
Start Date: Seasonal Year Round
End Date:
Schedule Availability:
Check all that apply: 		Weekdays  Weekends   Holidays   Overtime
Job-Related Skills: Note: Do not fill in any part of this section you believe to be non-job related.
 
YES NO  

If the job requires, do you have the appropriate valid drivers license?
Name on license: DL#
Type: State of Issue:

     

Have you had any moving violations within the last seven years?
Please describe:

Please list any other skills, licenses or certifications that may be job-related which you feel would be of value to this job or company.
     
Can you perform the essential functions of this job with or without reasonable accommodations?
Security:
 
    List your States and Counties of residence for the past seven years:
     
YES NO  

Have you been convicted of a crime in the past seven years?
(Conviction will not necessarily be a bar to employment. In accordance with company policy and applicable state and federal laws, factors such as age at time of the offense, remoteness of the offense, time since last conviction, nature of the job sought and rehabilitation effort will be reviewed.)

If so, please describe:

Comments:

 

Previous Bromley Employee?

If yes, please indicate when
Previous Employment:
  Please Note: Your application will not be considered unless every question in this section is answered. Since we will make every effort to contact previous employers, the correct telephone numbers of past employers are critical. Ask for a phone book or call information if necessary.
  Most Recent Employer:
 
Company Name:
City:
State:
Phone Number:
Fax Number:
Dates Employed:
Job Title:
Supervisor Name:
Duties:
Reason for leaving:
  Second Most Recent Employer:
 
Company Name:
City:
State:
Phone Number:
Fax Number:
Dates Employed:
Job Title:
Supervisor Name:
Duties:
Reason for leaving:
  Third Most Recent Employer:
 
Company Name:
City:
State:
Phone Number:
Fax Number:
Dates Employed:
Job Title:
Supervisor Name:
Duties:
Reason for leaving:
References:
  Include only individuals familiar with your work ability. Do not include relatives.
 
Name Address/Phone Years Known/Relationship
1.
2.
3.
Education:
  Please select highest grade completed
 
    Graduated Degree?

High School:

 City/State:
 Yes No Yes No

College:

 City/State:
 Yes No Yes No

Other:

 City/State:
 Yes No Yes No
       
Referral
 

Please specify how you heard about Bromley and/or the position you are applying for.
Please specify:

Certification and Release
  I certify that I have read and understand the applicant note on page one of this form and that the answers given by me to the foregoing questions and the statements made by me are complete and true to the best of my knowledge and belief. I understand that any false information, omissions or misrepresentations of facts called for in this application, whether on this document or not, may result in rejections of my application or discharge at any time during my employment. I authorize Bromley Mountain Ski Resort, including consumer reporting bureaus, to verify any of this information. I authorize all former employers, persons, schools, companies and law enforcement authorities to release any information concerning my background and hereby release any said persons, schools, companies and law authorities from any liability for any damage whatsoever for issuing this information. I also understand that the use of illegal drugs is prohibited during employment. If company policy requires, I am willing to submit to drug testing to detect the use of illegal drugs prior to and during employment.
  By typing your full name in the field below you are acknowledging that the information provided on this form is correct and that you are applying for employment at Bromley.

Signature:

Today's Date:

 

Bromley Mountain • 802-824-5522 • Route 11, Peru, VT 05152