Whitewater Challengers Employment Application Form

Phone: (Home):______________________ Best time to call:____________________________
(Cell):_______________________ Best time to call:____________________________
(Other):______________________ Best time to call:____________________________

email address: ____________________________________@__________________________

Emergency contact person:__________________________ / Relationship:_________________

Address:_________________________________________ Phone:_____________________

EDUCATION:

Name of School	# of Years	Graduated?	Field of Study / Degree Earned

EMPLOYMENT EXPERIENCE (list most recent first):

Employer Name & Dates:
Supervisor's Name:
Position / Title:
Responsibilities:
Starting / Ending Salary
Reason(s) for Leaving:

Employer Name & Dates:
Supervisor's Name:
Position / Title:
Responsibilities:
Starting / Ending Salary
Reason(s) for Leaving:

Employer Name & Dates:
Supervisor's Name:
Position / Title:
Responsibilities:
Starting / Ending Salary
Reason(s) for Leaving:

Employer Name & Dates:
Supervisor's Name:
Position / Title:
Responsibilities:
Starting / Ending Salary
Reason(s) for Leaving:

Please describe any military experience, including dates, rank and duties performed:___________

___________________________________________________________________________

Please check any area(s) of work for which you are applying:

River guide:________     Office/Reservations:________      Marketing:_________________
Store/cashier:______      Bus Driver (CDL):_________      River Equipment Crew:_______
Food Service:______     Biking Guide:_____________       Kayak Instruction:___________
Other:____________     General Maintenance:_______    Campground attendant:_______

Describe any skills or experience that you would bring to the positions checked above:________

___________________________________________________________________________

Desired work: Full time:_______ Part-time:_______ Seasonal:_______ Year-’round:_______

Days of the week you are available to work (circle): Mon Tue Wed Thu Fri Sat Sun

Hours of the day you are available to work: ______ Date you are available to begin work:_______

If there is a time you are unable to be at work, please describe:___________________________

___________________________________________________________________________

If still in high school, do you have the required working papers for employment? Yes___ No___

If still in high school, do you have transportation to and from work? Yes___ No___

Do you have a valid driver’s license? _____ State:_____ License #:________________________

Have you been convicted of any crime? Yes___ No___ If yes, describe in full:_____________

___________________________________________________________________________

Have you ever worked for us before? Yes___ No___ If yes, when and in what capacity:_____

___________________________________________________________________________

Have you ever worked for another rafting company? Yes___ No___

Do you know anyone who is employed at Whitewater Challengers? Yes___ No___

PERSONAL REFERENCES (other than former employers or relatives):

Name	Occupation	Years Known	Address	Phone Number(s)

By signing this application, I authorize Whitewater Challengers to contact the employers and personal references listed above to discuss my background, qualifications, work experience or other matters related to my application for employment. If there is anyone excluded from this authorization, his/her name is listed below:

_____________________________________ __________________________________

By signing below, I also attest that all of the information provided herein is true and accurate, and that if employed, any misleading, incomplete or false statements made herein may be cause for dismissal.

My name (Print):_______________________ (Signature):__________________________

Lehigh River Rafting Center in Northeastern, PA	Hudson River Rafting Center near North River, NY	Moose River Rafting Center near Old Forge, NY	Black River Rafting Center near Dexter, NY
Whitewater Challengers PO Box 8 White Haven, PA 18661	Whitewater Challengers PO Box 49 North River, NY 12856	Whitewater Challengers PO Box 657 Old Forge, NY 13420	Whitewater Challengers PO Box 81 Dexter, NY 13634
570-443-9532	518-251-3746	315-369-6699	315-639-6100

Or, email your application to Info@WhitewaterChallengers.com.

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