* First Name

Middle Name

* Last Name

* Current Address

* City, State, Zip

* Permanent Address

* City, State, Zip

* E-mail

Phone (Home)

Phone (Cell)

* Are you over 21?

Health Considerations

* Do you own a car?

Position Desired (1st choice) (Please select...) Front Desk Dining Room Kitchen Housekeeping

Position Desired (2nd choice) (Please select...) Front Desk Dining Room Kitchen Housekeeping

Position Desired (3rd choice) (Please select...) Front Desk Dining Room Kitchen Housekeeping

Type(s) of Employment Desired

* Have you previously been employed at the Rustler Lodge?

* Do you have any friends or relatives employed at the Rustler Lodge?

If so, please describe

* I am available to work from
DECEMBER 1st until MID-APRIL

If no, please describe limitations in your availability

High School (name)

High School (city, state)

Diploma/Degree (Please select...) No Yes

Date Last Attended

College (name)

College (city, state)

Diploma/Degree (Please select...) No Yes

Date Last Attended

Other Education (name)

Other (city, state)

Diploma/Degree (Please select...) No Yes

Date Last Attended

Special Skills or Training

Previous Employer

City, State

Employer Phone #

Supervisor Name

Dates Employed

Job Title

Reason for Leaving

Are you eligible for rehire?

Previous Employer #2

City, State

Employer Phone #

Supervisor Name

Dates Employed

Job Title

Reason for Leaving

Are you eligible for rehire?

Previous Employer #3

City, State

Employer Phone #

Supervisor Name

Dates Employed

Job Title

Reason for Leaving

Are you eligible for rehire?

Reference #1 (Name)

Address

Phone Number

Relationship

Reference #2 (Name)

Address

Phone Number

Relationship

Special Interests

* Emergency Contact (Name)

* Emergency Contact (Phone)

Agree to terms