307-733-2415

DORNANS ONLINE EMPLOYMENT APPLICATION

Please complete form as thoroughly as possible. Note that fields marked in red are REQUIRED. This form is SECURE. Please check for the "locked" icon in your browser window.

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Personal Information
Date of application: 21 Oct 2017
Name: first
last
Social Security #:
Date of Birth: //
Email Address:
Current Address: street
city
state/province
country
zip/postal code
Current Phone:
Permanent Address (if different): street
city
state/province
country
zip/postal code
Permanent Phone (if different):
Employment Position
Position desired (in order of prefrence): position 1
position 2
position 3
Employment Dates:
(date you are available to start work and the date of your last day of work)
Earliest date available //
Latest date available //
Summer Applicants: Only apply if you can work beginning May or June and stay until September or October.! Give careful consideration to your dates !! These dates will become part of your employment agreement if hired.
How did you hear about us?
HOUSING & MEAL OPTION (if you require it)
Will you require housing & meals? Yes    No
If yes, please provide the following: gender
do you smoke? check if yes Yes
uniform shirt size: Small   Medium   Large   X Large  
EDUCATION
Please fill in the name, city, and state of the institution. Indicate whether or not you have graduated, and if yes, please fill in the date.
High School
graduated? Yes    if yes, fill in date of graduation //
College/University
completed? Yes    if yes, fill in date of completion //
course of study
years completed (if not graduated)
Employment History
(references will be checked)
Employer #1
Name of Company/Employer:
$ Per Hour Wage:
Employer Address:
City:
State/Province, Zip/Postal Code, Country State/Province:   Zip/Postal Code:
Country:
Position(s) Held:
Employment Dates start date: //  end date: //
Supervisor's Name:
Supervisor's Title:
Supervisor's Phone:
Describe your duties:
Reason for leaving:
Employer #2
Name of Company/Employer:
$ Per Hour Wage:
Employer Address:
City:
State/Province, Zip/Postal Code, Country State/Province:   Zip/Postal Code:
Country:
Position(s) Held:
Employment Dates start date: //  end date: //
Supervisor's Name:
Supervisor's Title:
Supervisor's Phone:
Describe your duties:
Reason for leaving:
Employer #3
Name of Company/Employer:
$ Per Hour Wage:
Employer Address:
City:
State/Province, Zip/Postal Code, Country State/Province:   Zip/Postal Code:
Country:
Position(s) Held:
Employment Dates start date: //  end date: //
Supervisor's Name:
Supervisor's Title:
Supervisor's Phone:
Describe your duties:
Reason for leaving:
Personal History
Have you ever been convicted of a crime? Select one: Yes    No
If yes, please explain:
More About You!
Completion of this section is not required but provides an opportunity for you to tell us about yourself. Why do you want to work for Dornan's? What are your expectations or goals for this summer? What activities do you enjoy? Do you have any special skills or work experiences that qualify you for a position?!
(Optional) Upload a photo of yourself (PNG or JPG files only; 100K max files size). A face with a name is always a help.
Emergency Contact Information
Name 1:
Relationship:
Phone:
Work Phone:
Name 2:
Relationship:
Phone:
Work Phone:
Applicant's Statement
  I hereby affirm that the information on this application (and accompanying resume, if any) is true and complete to the best of my knowledge. I also agree that any falsified information or significant omissions may disqualify me from further consideration for employment and may be considered justification for dismissal if discovered at a later date.

I authorize a thorough investigation of my past employment and activities, agree to cooperate in such investigation, and release from all liability or responsibility all persons and corporations requesting or supplying such information, regardless of content.

Any time after a conditional offer of employment or during employment, if hired, I authorize any physician or health care provider to release information advising the Company: (1) whether I am currently able to perform the specific job for which I am being considered or employed with or without reasonable accommodation and the basis for such conclusions; and (2) whether I can perform the job without posing a direct threat to the health or safety of myself or others. I hereby agree to submit to an initial screening test for alcohol and/or drugs. I also understand and agree that, if employed, I may be required to submit to alcohol or drug screening tests at any time, without notice or cause, at the discretion of the Company. I further understand that refusal to submit to such testing during the course of my employment may result in disciplinary action, up to and including discharge.

I understand that personal appearance is of great importance since most employees have constant contact with the visiting public. If employed as a representative of Dornans Moose Enterprises, Inc., I agree to present myself in a clean and well-groomed manner at all times. I understand that both male and female employees that are in front of the house positions (where they meet the public) may not have hairstyles that are extreme (i.e. dreadlocks).! The Terms appearance description (located on our website) is what we will hold you to.! Management reserves the right to approve of employees over all appearance as it relates to our appearance guidelines. In consideration of my employment, I agree to comply with the policies, rules, regulations, and procedures o the Company and understand that my employment is terminable-at-will and can be terminated with or without cause or notice, at any time, at the option of either the company or me. I understand and agree that this application, should I be hired, does not create any contractual rights in favor of me or the company, including contractual rights to employment or in the terms and conditions of my employment. I further understand that no manager or representative of the Company, other than the President of Moose Enterprises, has any authority to enter into any agreement with me for employment for any specified period of time or to make any agreement different from or contrary to any company policy. I further understand that any such agreement, if made, shall not be enforceable unless it is in writing and signed by me and the president. I understand that according to federal law all individuals who are hired must as a condition of employment produce certain documentation to verify their identity and U.S. citizen status or, if aliens, their legal authorization to work in the U.S. As a consequence, I understand that any offer of employment would be contingent on my ability to produce the required documentation within the time period required by law.

Dornans provides equal employment opportunities without regard to race, color, national origin, sex, age, disability or religion to all applicants and employees.! In signing this application, applicant agrees that all information provided in this Application for Employment is true, correct and complete.! I agree to abide by all present and subsequently issued personnel policies and rules.
Do you agree with above terms and conditions? Please check the box for yes. Yes, in lieu of a physical signature, I HEREBY AGREE TO ABOVE TERMS AND CONDITIONS
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Contact Us with questions:
DORNANS MOOSE ENTERPRISES, INC.
TIM MOWREY

P.O. BOX 39
MOOSE, WY 83012

Fax: 307-733-3544
Phone: 307-733-2415 x340

Email: timm@dornans.com