All submitted information will be kept strictly confidential with Mtn. ProTek.
	Application For Mtn. Pro Tek Employment
Name
Present Address
Permanent Address
Phone Number
Email Address
	Are you prevented from lawfully becoming employed in this country because of visa or immigration status? No Yes
	Employment Desired
Position	Date you can start?    Salary Desired?
Are You Employed Now?	No Yes     If so, may we inquire with your present employer?  Yes No
Referred By
	Have you ever applied to this company before? No Yes    If Yes,Where?   When?
	Education
Grammar School	Years Attended? 1 2 3 4 5 6 7 8  Did you Graduate? Yes No
High School	Years Attended? 1 2 3 4 5 6 7 8  Did you Graduate? Yes No
College	Years Attended? 1 2 3 4 5 6 7 8 0  Did you Graduate? Yes No N/A
Trade, Business or Correspondence School	Years Attended? 1 2 3 4 5 6 7 8 0  Did you Graduate? Yes No N/A
Are you IICRC certified	No Yes    If Yes!, please list areas of expertise:
	Include IICRC Certified Experience here
General	Subjects of Special Study or Research Work, Special Skills, Activities (Civic, Athletic, Etc.) Please exclude organizations, the name of which indicates the race, creed, sex, age, marital status, color or nation of origin or its members.
US Military or Naval?	Army Navy Air Force Marines N/A    Rank
	Former Employers
Most Recent	Most Recent: Please Include Name and Address of Employer, Salary, Position and Reason for Leaving
	Please Include Name and Address of Employer, Salary, Position and Reason for Leaving
	Please Include Name and Address of Employer, Salary, Position and Reason for Leaving
Least Recent	Least Recent: Please Include Name and Address of Employer, Salary, Position and Reason for Leaving
	What did you like most about this job?
	References
Reference One	Please include Name, Address, Business and Years Acquainted
Reference Two	Please include Name, Address, Business and Years Acquainted
Reference Three	Please include Name, Address, Business and Years Acquainted
Emergency Contact	In Case of Emergency notify; Please include Name, Address and active Phone Number
	**This form has been revised to comply with the provisions of the Americans Disabilities Act and the final regulations and interpretive promulgated by the EEOC and July 6, 1991. All submitted information will be kept strictly confidential with Mtn. Pro Tek.    *By submitting an application for employment to Mtn. Pro Tek you are certifying that all the information is true and complete. By submitting application you agree that if any false information, omissions, or misrepresentations are discovered, your application may be rejected and, if you are employed, you may be terminated at any time.   In consideration of your employment, you agree to conform to the company's rules and regulations, and agree that employment and compensation can be terminated, with or without cause, and with or without notice, at any time, at the company's opinion. By submitting to Mtn. Pro Tek, you also understand and agree that the terms and conditions of your employment may be changed, with or without cause, and with or without notice, at any time by the company. You understand that no company representative, other than it's President, and then only in writing and signed by the President, has any authority to enter into any agreement for employment for any specific period of time, or to make any agreement contrary to the foregoing.   *This form has been designed to strictly comply with State and Federal fair employment practice laws prohibiting employment discrimination. This application for employment was designed by Bulb Design. Bulb Design assumes no responsibility for the inclusion in said form of any questions which, when asked by the Employer of Job Applicant, may violate State and/or Federal Law.

   Bulb Design.
   Copyright © 2004 Mtn. Pro Tek. All rights reserved.
   Revised: March 31, 2008