Position:
Are you willing and available to work: (please check all that apply)
Full-TimePart-TimeDaysNightsTemp/Seasonal
SundayMondayTuesdayWednesdayThursdayFridaySaturday
If offered a position, do you have any responsibilities that will interfere with specific job requirements such as overtime, weekend and/or night work?
Are you at least 18 Years Old?
Do you have a valid drivers license?
We need to know about your last ten years of Employment. If you have never been employed, please write the names of non-relatives who may be contacted for reference. You may include any volunteer work.
Current or Last Employer:
Company:
Address:
Telephone No:
Supervisor Name and Title:
Position:
Start Date:
End Date:
Pay Rate:
Duties:
Reason for Leaving:
Previous Employer:
Company:
Address:
Telephone No:
Supervisor Name and Title:
Position:
Start Date:
End Date:
Pay Rate:
Duties:
Reason for Leaving:
Previous Employer:
Company:
Address:
Telephone No:
Supervisor Name and Title:
Position:
Start Date:
End Date:
Pay Rate:
Duties:
Reason for Leaving:
May we contact all of the employers listed above?

If not, which should we not contact and why:
Edcuation
High School Name:
Address:
Course or Major:
Graduated?:
Please use the space below to summarize any additional information necessary to describe your qualifications:
Please read the following information carefully.
Applicants Certification and Agreement

The distribution or receiving of this application by Mountainshade LLC does not imply or intend to imply an agreement or contract to employ the applicant. The purpose of this application is solely to allow persons a standardized form on which to submit their qualifications.

This application will be considered valid for no longer than three months, after which re-application is necessary.

I authorize all persons, schools, employers, and organizations mentioned in this application to provide Mountainshade LLC with any and all information requested by Mountainshade LLC and I voluntarily release such persons, schools, and organizations from all liability for providing such information.

In the event that I am employed by Mountainshade LLC, I agree to comply with all its rules, regulations and directives. I understand that my employment is for no stated term and is subject to termination at the will of Mountainshade LLC

I certify that all statements made by me on this application are true and complete to the best of my knowledge and that I have withheld nothing that, if disclosed, would affect this application unfavorably. I understand that falsification, misrepresentation, or omission of facts called for in this application may result in denial of employment or immediate dismissal. I hereby acknowledge that I have read, understand and consent to the above statements.

I also understand that if offered any employment, I must prove my identity and my eligibility to work in the United States prior to being employed.

I also understand that any offer of employment for a position that is located within any Mountainshade LLC, Inc. location is contingent upon my successful completion of a company paid background check, driving record check and drug and physical screening exam.

I certify that I am a genuine applicant for employment and this application is being submitted solely for the purpose of seeking employment with Mountainshade LLC. and for no other reason.