Vessels For Honor Rafting Co.

27077 Hwy. 50 suite 4

Texas Creek, CO 81223

Application For Employment

Contact Information

Last Name: _______________________ First: ___________________ MI: ___ Date of Application: _____________________

Street Address: ______________________________________City: _________________ State: _______ZIP: ______________

Position you are applying for: _____________________________________________________

Social Security number: ___________________ Home telephone: _________________ Work telephone: _____________________

Mobile Phone: ___________________________ E-mail address: _____________________________________________________

How did you hear about us? ___________________________________________________________________________________

Provide All Information Requested. Your complete application form will be maintained in our active files for six (6) months from the date of application. You may submit a new application at any time.

EMPLOYMENT RECORD

Starting with present or the most recent, list previous employers. Include self-employment, summer and part-time jobs. If more space is required, please continue on a separate sheet. You may attach a resume, but complete this application as well.

Company: __________________________________________________________________________________________________

Type of Business: ____________________________________________________________________________________________

Job Title: ___________________________________________________________________________________________________

Street Address: ____________________________________________ City: ________________State: ________ZIP: ____________

Phone number: _______________________________________________________________________________________________

Brief Description of Job Duties: ___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Supervisor's Name: __________________________________ Phone number: __________________________________________________

Base salary: __________________ Dates worked: From___________ To____________

Reason for leaving: _________________________________________________________________________________________________

Company: __________________________________________________________________________________________________

Type of Business: ____________________________________________________________________________________________

Job Title: ___________________________________________________________________________________________________

Street Address: ____________________________________________ City: ________________State: ________ZIP: ____________

Phone number: _______________________________________________________________________________________________

Brief Description of Job Duties: ___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Supervisor's Name: __________________________________ Phone number: ____________________________________________

Base salary: __________________ Dates worked: From___________ To____________

Reason for leaving: ________________________________________________________________________________________________

Company: __________________________________________________________________________________________________

Type of Business: ____________________________________________________________________________________________

Job Title: ___________________________________________________________________________________________________

Street Address: ____________________________________________ City: ________________State: ________ZIP: ____________

Phone number: _______________________________________________________________________________________________

Brief Description of Job Duties: ___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Supervisor's Name: __________________________________ Phone number: ____________________________________________

Base salary: __________________ Dates worked: From___________ To____________

Reason for leaving: ___________________________________________________________________________________________

EDUCATIONAL HISTORY

School Name: ________________________________Location (city, state): __________________________________

Major or Course of study:__________________________________

Dates Attended: From _____________ To _______________ Graduated: Yes ____________ No ___________

Degree/Certificate: __________________________________

School Name: ________________________________Location (city, state): __________________________________

Major or Course of study:__________________________________

Dates Attended: From _____________ To _______________ Graduated: Yes ____________ No ___________

Degree/Certificate: __________________________________

Whitewater Raft Guide experience: # Seasons ______ # Hours_____ # River miles_______ Royal Gorge Qualified? _____

If you are applying for a Whitewater Rafting Guide position please include a copy of your river log and a current CPR and First Aid card.

Bus Drivers: Commercial Drivers License Yes_____ No _____ Type _______Since_________________________________

Other experience related to the position desired:

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

REFERENCES:

List three individuals who have knowledge of your qualifications for the position you are interested in.

Name: _________________________________________Title/Relationship: _____________________________________________

Street Address: ______________________________________ City: ________________State: _________ZIP:__________________

Phone no. (include area code)______________________ Occupation: __________________________________________________

Name: _________________________________________Title/Relationship: _____________________________________________

Street Address: ______________________________________ City: _________________State: ________ZIP:_________________

Phone no. (include area code)______________________ Occupation: __________________________________________________

Name: _________________________________________Title/Relationship: _____________________________________________

Street Address: ______________________________________ City: _________________State: ________ZIP:_________________

Phone no. (include area code)______________________ Occupation: __________________________________________________

May We Contact Your Present Employer? Yes ________ No _________ Wage or Salary Required: _________________

Date Available to begin work: _________________

I hereby certify that the answers and other information on this application are true and correct and that I understand any misrepresentation or omission of facts on my part will be justification for separation from the company's service, if employed. I understand that my employment may be contingent upon receipt of an alien registration number, verification of birth, and any other pertinent information bearing upon my employment, and that my continued employment depends upon the will of the company or myself.

Signature_________________________________________________ Date: __________________________________

An Equal Opportunity Employer

We are an equal opportunity employer, and we do not and will not discriminate on the basis of race, religion, national origin, sex, age, handicap, marital status, or status as a disabled veteran.