New River Whitewater Rafting
West Virginia

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EMPLOYMENT APPLICATION

NAME:
(Last, First, Middle)
School or Business Address:
(Street, City, State, Zip)
School or Business Phone:
Home Phone:
Home or Permanent Address:
(Street, City, State, Zip)

The following questions are asked on a voluntary basis only.
The info provided is used to meet any special needs you may have.
It WILL NOT be used to determine employment eligibility.


Height:
(ex. 5'6)
Weight:
(in lbs)
Date of Birth:
(ex. 01/01/01)
Are you a US citizen?:
YES:
NO:
Are you available to work:
Full Time:
Part Time:
Weekends:
Temp:
Have you ever been convicted of a felony within the last 7 years?:
(conviction will not necessarily disqualify an applicant)
YES:
NO:


EDUCATION
High School:
Years:
Date Graduated:
Degree/Major:
College:
Years:
Date Graduated:
Degree/Major:
Other:
Years:
Date Graduated:
Degree/Major:
Please describe any specialized training, certifications, apprenticeships or skills you have:
What outdoor recreational activities are you currently involved in?:
EMPLOYMENT HISTORY
Employer #1:
Job Title:
Supervisor:
Dates Employed:
Rate/Salary:
(start/finish)
Phone :
Reason for leaving:


Employer #2:
Job Title:
Supervisor:
Dates Employed:
Rate/Salary:
(start/finish)
Phone :
Reason for leaving:


Employer #3:
Job Title:
Supervisor:
Dates Employed:
Rate/Salary:
(start/finish)
Phone :
Reason for leaving:


PERSONAL REFERENCES
Reference #1
Phone
Relationship
Reference #2
Phone
Relationship
Reference #3
Phone
Relationship


By hitting this submit button I certify that answers given herein are true and complete to the best of my knowledge. I authorize the Rivermen,Inc. to investigate the statements contained in this application for employment as may be necessary in arriving at an employment decision. I understand that this application is not intended to be a contract of employment. I also understand that any false and misleading information given in the application and or interviews will result in my immediate discharge.
 

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For Reservations and other information, contact:
RIVERMEN WHITEWATER
e-mail: raftinfo@rivermen.com
PO Box 360 ~ US 19 & Laurel Creek Rd ~ Fayetteville, WV 25840
1-800-545-7238 tel ~ (304) 574-3538 fax