Name:
(First)
(Middle)
(Last)
Street Address:
City, State,
Zip Code
Phone:
Email:
Today’s Date
Are you eligible to work in the United States?
Yes
No
Are you under age 16?
Yes
No
Do you have a valid driver’s license?
Yes
No
Have you been convicted of or pleaded no contest to a felony?
Yes
If yes, please list the offense, location, date and sentence and any other relevant details:
POSITION YOU ARE APPLYING FOR:
No
DATE AVAILABLE TO START:
EDUCATION: Starting with High School Complete the following:
Name, City and State Of
Dates Attended
Degree Program
School
Graduation Date
Please List Applicable Skills and Qualifications: Licenses, Skills, Training, Awards, etc
EMPLOYMENT HISTORY: Present or Last Position
Employer:
Address:
Supervisor:
Phone:
Position Title:
Responsibilities:
Email:
From:
To:
Wage/Salary:
Reason for Leaving:
May We Contact Your Present Employer? Yes No
-Continued on page two, or backIt is the established policy of Bearizona Wildlife Park LLC to provide equal employment opportunities to all qualified persons and to administer all
aspects and conditions of employment without regard to race, religion, color, gender, sexual orientation, age, national origin, ancestry, disability, medical
condition, marital status, ethnicity, or any other protected classification in accordance with applicable federal, state and local laws.
EMPLOYMENT HISTORY (Continued):
Employer:
Address:
Supervisor:
Position Title:
Responsibilities:
Wage/Salary:
May We Contact This Employer? Yes
Phone:
To:
Reason for Leaving:
No
Employer:
Address:
Supervisor:
Position Title:
Responsibilities:
Wage/Salary:
May We Contact This Employer? Yes
Email:
From:
Phone:
Email:
From:
To:
Reason for Leaving:
No
PROFESSIONAL REFERENCES:
Name
Address
Title
Phone
Name
Address
Title
Phone
Name
Address
Title
Phone
I certify that information contained in this application is true and complete. I understand that false information may be
grounds for not hiring me or for immediate termination of employment at any point in the future if I am hired. I authorize the
verification of any or all information listed above.
Signature
Date
BACKGROUND TESTING, DRUG TESTING AND TOBACCO FREE WORK POLICY
Notice: Prior to an offer of employment a thorough background check will be conducted on all applicants. If an offer of
employment is made, you will be required to take and pass a drug test before the start of the first official day of work. Not
passing the drug test will result in your elimination as a work candidate. Bearizona practices random drug testing.
Bearizona is tobacco free and does not permit the use of smoking or smoke-less tobacco. Please sign and date that you
have read this notice and understand these policies.
Signature
Date
Parent/Guardian Signature if employee is under 18
Date
It is the established policy of Bearizona Wildlife Park LLC to provide equal employment opportunities to all qualified persons and to administer all
aspects and conditions of employment without regard to race, religion, color, gender, sexual orientation, age, national origin, ancestry, disability, medical
condition, marital status, ethnicity, or any other protected classification in accordance with applicable federal, state and local laws.