EMPLOYMENT APPLICATION

Tell us about yourself Personal Information
Name
Address
City, State Zip	,
Phone
Email
Are you 16 or older? yes no
Are you 18 or older? yes no
Have you ever been convicted of a felony? yes no If yes, please explain:
Can you legally work in this county? yes no
Have you ever worked at Jiminy Peak before? yes no If yes, what department?       When?
What jobs are you interested in:
Alternate:
What shift are you available to work (hours may vary): first shift second shift third shift
Do you have any relatives or friends who now or have in the past worked at Jiminy Peak? if so give details: (name, dates, position)
How were you referred to Jiminy Peak?
Do you have reliable transportation?
Are you fluent in any language other than English?
Employment Information: Is this your first job? yes no
Are you currently employed? yes no
Please list three most recent jobs (starting with most recent or current job):
1. Company:	Position(s)
Dates from: to	Supervisor:
City: State:	Phone:
Last pay rate? Reason for leaving: Resigned with notice Resigned without notice Terminated
Eligible for Re-Hire: yes no
2. Company:	Position(s)
Dates from: to	Supervisor:
City: State:	Phone:
Last pay rate? Reason for leaving: Resigned with notice Resigned without notice Terminated
Eligible for Re-Hire: yes no
3. Company:	Position(s)
Dates from: to	Supervisor:
City: State:	Phone:
Last pay rate? Reason for leaving: Resigned with notice Resigned without notice Terminated
Eligible for Re-Hire: yes no
Please list any additional information you would like us to know about in considering you for employment at Jiminy Peak.

Jiminy Peak is an Equal Opportunity Employer, dedicated to a policy of non-discrimination in employment on any basis including race, creed, color, age, sex religion, national origin, sexual orientation, or handicap.

* I understand it is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment. Any employer who violates this law shall be subject to criminal penalties and civil liability.

* I undertand that if I am employed, any misrepresentations or material omission made by me on this application will be sufficient cause for cancellation of this application or immediate discharge from the employer's service, whenever it is discovered.

* I understand that if I am hired, I will be required to provide proof of identity and legal work authorization before I can start to work. This includes working papers for anyone who is under 18 years of age.

* I understand that it is this company's policy not to refuse to hire a qualified individual with a disability because of that person's need for reasonable accommodations as required by the ADA.

* This employer does not unlawfully discriminate in employment and no question on this application is used for purpose of limiting or excusing any applicant from consideration for employment on a basis prohibited by local, state or federal law.

* This application does not constitute an agreement or contract for employment for any specified period or definite duration. I understand that no representative of the employer, other than an authorized officer, has the authority to make any assurances to the contrary. I further understand that any such assurances must be in writing and signed by an authorized officer.

* In the interest of providing a safe work environment for our employees and guests, any employee(s) involved in an accident while working at Jiminy Peak, will be required to under go a Drug and Alcohol test. The testing will occur at a facility that has been designated by Jiminy Peak.

I represent and warrant that I have read and fully understand the foregoing and seek employment under these conditions.
I accept:       I do not accept
Date:

37 Corey Road
Hancock, MA 01237
Phone: 413-738-5500
e-mail: info@jiminy.com