Mystic Miner Ski Resort at Deer Mountain

Name (Last, First, MI)

Telephone Number

Cell Phone

Business or Other Phone

Personal E-mail Address

Current Address (Street, City, State, Zip)

County of Current Address

Permanent Address (Street, City, State, Zip)

List names of relatives employed by Mystic Miner Resort or Affiliate Companies

Have you been convicted of a felony?

Yes No

If yes to above, please explain

Have you served in the armed forces?

Yes No

If yes to above, which branch

Are you authorized to work in the United States permanently?

Yes No

Position of type of work desired:

I am interested in:

Full Time Part Time Seasonal

Hours Available: ( Day and Evening )

Date Available:

How did you hear about the position at Mystic Miner Ski Resort?

Requested wage or salary:

Have you ever been employed by Mystic Miner Resort or Affiliates? If yes, when and where?

Have you applied to Mystic Miner Resort or Affiliates in the last 2 years?

Are you able to perform the essential functions of this position, with or without reasonable Accommodation?

Yes No

Are you willing to submit to a physical examination by a medical professional, to determine your ability to perform functions of this position?

Yes No

Highest last grade completed:

Please list high school and all business, trade schools, and colleges attended:

Name and Location of School:

Major/Minor:

Degree Achieved:

Add Additional School

Certificates/Training

Type

State

License #

Date

If you are currently employed, may we contact your employer?

Yes No

List your last four employers, starting with the most recent first:

Employer:

Dates Employed:

Address:

Telephone:

Position Title

Name of Supervisor and Title

Summary of Duties

Reason for Leaving

Starting Salary

Ending Salary

Add Additional Employer

Important, Read Before Submitting Application

I certify that the statements I have made in this application are true and complete. I authorize investigation of all statements contained in this application which Mystic Miner Ski Resort, or affiliate, may deem relevant to my employment and authorize my previous employers or other persons having information concerning me or my record to report such information to Mystic Miner Ski Resort or affiliate. I understand and agree that if it is subsequently discovered that the information herein is untrue or that I have failed to disclose a material fact, any offer of employment made to me by Mystic Miner Ski Resort, or affiliate, may be immediately withdrawn or if I am already employed by Mystic Miner Ski Resort,or affiliate, I may be subject to immediate dismissal at Mystic Miner Ski Resort, or affiliate's option. In such event, the withdrawal of any offer of employment made to me or the termination of employment shall be without any obligation or liability to me by Mystic Miner Ski Resort, or affiliate, other than for payment of wages at the rate agreed upon for any work I have actually performed for Mystic Miner Ski Resort or affiliate.

If I become employed by Mystic Miner Ski Resort, or affiliate, I understand that I have the right to terminate my employment at any time, for any reason, and Mystic Miner Ski Resort, or affiliate, retains a similar right to terminate my employment at any time, for any reason. I further agree that no promises have been made to me by anyone from Mystic Miner Ski Resort, or affiliate, which are not consistent with the above and that no promises, representations or guarantees concerning the terms or any employment offered me by Mystic Miner Ski Resort, or affiliate, are binding upon Mystic Miner Ski Resort, or affiliate, unless made in writing and signed by an authorized representative of Mystic Miner Ski Resort or affiliate.

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Employment Application