Application for Employment

Questions marked with an asterisk (*) are required.
Please consider printing a copy of this page for your records before you click Submit.


Personal Information

 

Applicants are always welcomed and encouraged to submit their resume and cover letter.  Please note that some postings require them for full consideration in addition to a complete online application.  (Please note: there is a place within this application to attach a copy of your resume and cover letter.) To email your additional documents instead, send them as attachments to humanresources@crystalmountain.com and it will be included in your submission for the hiring manager to review.

* , :
*
Country:
*
* State or Province:
*
 
 

Yes     No 

*

Yes     No 

*

Yes     No 

 
 
*   14 - 15
  16 - 17
  18 - 20
  21 or over
 

Yes     No 

 
 
 
*

Application Information

* Earliest date you can begin employment:       mm-dd-yyyy
Latest date to end employment:
If you are applying for a seasonal job, please enter the latest date you can end employment.
      mm-dd-yyyy
  Select the positions you are applying for:
*
First Choice
Second Choice
Third Choice
*   Full Time
  Temporary / Seasonal Position
  Part Time
*    Day (Example: 7 a.m. - 5 p.m.)
   Evening (Example: 4 p.m. - 12 a.m.)
   Swing (Example: 2 p.m. - 10 p.m.)
   Third (Example: 12 a.m. - 8 a.m.)
*    Friday
   Monday
   Saturday
   Sunday
   Thursday
   Tuesday
   Wednesday
 

Please complete the following regarding your skills:

 

I have experience with .....

 

Yes     No 

 

Yes     No 

 

Yes     No 

 

Yes     No 

 

Yes     No 

 

Yes     No 

 

Yes     No 

 

Yes     No 

 

I am able to ....

 

Yes     No 

 

Yes     No 

 

Yes     No 

 

Yes     No 

 

Yes     No 

 

Yes     No 

 

Yes     No 

Education Information

 

And Other Information

 
 
 

Yes     No 

 

Yes     No 

 
 
 

Yes     No 

 
 

 

*

Yes     No 

 
 
        mm-dd-yyyy
    Yes
  No
  Not Applicable
 

 

 
 

Work History

*

Yes     No 

 

Most Recent Employer

   Employer Name:
   Position Title:
   Job Duties:
   Salary/Wage:
   Start Date: mm-dd-yyyy
  End Date: mm-dd-yyyy
   Reason for leaving:
   Mailing Address:
  Mailing Address (cont.):
   City:
   State or Province:
   Zip or Postal Code:
   Phone:
   Supervisor:
  Supervisor's E-mail Address:
 

Yes     No 

 
 

Yes     No 

 

Previous Employer

   Employer Name:
   Position Title:
   Job Duties:
   Salary/Wage:
   Start Date: mm-dd-yyyy
  End Date: mm-dd-yyyy
   Reason for leaving:
   Mailing Address:
  Mailing Address (cont.):
   City:
   State or Province:
   Zip or Postal Code:
   Phone:
   Supervisor:
  Supervisor's E-mail Address:
 

Yes     No 

 
 

Yes     No 

 

Previous Employer

   Employer Name:
   Position Title:
   Job Duties:
   Salary/Wage:
   Start Date: mm-dd-yyyy
  End Date: mm-dd-yyyy
   Reason for leaving:
   Mailing Address:
  Mailing Address (cont.):
   City:
   State or Province:
   Zip or Postal Code:
   Phone:
   Supervisor:
  Supervisor's E-mail Address:
 

Yes     No 

 
 

Yes     No 

 
 
 
Upload a .pdf, .doc, .docx, .rtf, .odt,
.jpg, .png, .wps, or .txt file less than 2MB.
 
Upload a .pdf, .doc, .docx, .rtf, .odt,
.jpg, .png, .wps, or .txt file less than 2MB.

References

 

It is helpful to have Reference email addresses. However, if you cannot provide a current email address, please leave the box blank rather than typing in "unknown" or "N/A". Any response without a valid @ will cause an error in submission.

*

First Reference   * excluding former employers or family members

Name:
Occupation:
Relationship:
How long have you known this person?
Mailing Address:
City:
State or Province:
Zip or Postal Code:
Phone:
  E-Mail Address:
 

Second Reference:

   Name:
   Occupation:
   Relationship:
   How long have you known this person?
   Mailing Address:
   City:
   State or Province:
   Zip or Postal Code:
   Phone:
  E-Mail Address:
 

Third Reference:

   Name:
   Occupation:
   Relationship:
   How long have you known this person?
   Mailing Address:
   City:
   State or Province:
   Zip or Postal Code:
   Phone:
  E-Mail Address:

Upon submitting this application, I represent that all of the information now or hereafter given by me in support of my application is true and complete. I authorize you to verify any of the information concerning my employment, education, credit or medical history with the appropriate individuals, companies, institutions or agencies and I authorize them to release such information as you required, including my prior disciplinary employment record without any obligation to give me written notice of such disclosure. I also authorize you to release any information requested by any of my prospective or subsequent employers without any obligation to give me written notice of each disclosure. I hereby release you and them from any liability whatsoever as a result of any such inquiries and disclosures, I agree that any false information support of my application may subject me to discharge at any time during the period of my employment.

I agree that either party may terminate the employment relationship, with or without cause, at any time. and I further agree that this arrangement may only be altered in writing directed to me personally and signed by the president of the firm. I agree that I shall be bound by the other rules, policies, regulations and terms and conditions of employment of the firm as they are from time to time changed and no additional obligations can be imposed on the Company except those which have been acknowledged in writing by the president of his designated representative.

I agree that any action or suit against the firm arising out of my employment or termination of employment, including but not limited to claims arising under State of Federal civil rights status, must be brought within 180 days of the vent giving rise to the claims of be forever barred. I waive any limitation periods to the contrary. I further agree that if I should bring any action or claim arising of out my employment against the firm in which the firm prevails, I will pay the firm any and all costs incurred by the firm in defense of said claims or actions including attorney fees. I further agree that my employment is conditional until such time as the results of my pre-employment physical (if such  physical is required) are known.

I agree with the above information.

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Signature:
Date:

Please be patient while your application is processed.
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