Application for Employment

Name( First and Last): Dates Available:

Email Address:

Mailing Address:

City, State, Zip: , Country:

Phone:

Date of Birth:

Drivers License#: State of Issuance:

Expiration Date: List CDL or other endorsements:

Age: Height: Weight:

Can you play a musical Instrument?: If yes, what instrument?

How did you hear about Rock Creek Pack Station?

Riding and Camping Experience:	Describe physical limitations or disabilities(if any):

How is your driving record?	Education:

Current First Aid/CPR certification(s), Expiration dates and provider(s)? Please be specific.	If you are Wilderness First Responder Certified, please provide expiration date and specific info.

Previous Employment: Please list your previous employment/experience chronologically.
Dates(from-to)	Where(company)	Description of duties

References:
Name (first and Last)	Phone	Relationship (friend,family,prior employer,etc)

You may print, sign and date this application if sending by USPS Mail.