Work Arctic - Job Application

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.

* First Name:

Middle Initial:

* Last Name:

* Country:

* Current Street Address or PO Box:

* City:

* State or Province:

* Zip or Postal Code:

* Primary Phone:

(xxx) xxx-xxxx

Alternate Phone:

(xxx) xxx-xxxx

* Email Address:

* Have you ever interviewed with this organization before?

Yes No

If yes, list date(s), job title(s) & location(s)

* Have you ever been employed by this organization before?

Yes No

If yes, list date(s), job title(s) & location(s)

* Do you have any relatives/friends employed by this organization?

Yes No

If yes, list date(s), job title(s) & location(s)

* How did you learn about the job opening?

* If hired, can you provide proof that you are eligible to work in the United States?

Yes No

State or Federal laws may impose a minimum age requirement on certain positions:

* Are you at least 19 years of age or older?

Yes No

* Are you 21 years of age or older?

Yes No

* Earliest date you can begin employment:

mm-dd-yyyy

Latest date to end employment:

mm-dd-yyyy

If you are applying for a seasonal job, please enter the latest date you can end employment.

Select the positions you are applying for:

First Choice

Second Choice

Third Choice

Check Highest Grade Completed

* High School

College, Trade or Business

Graduate Studies

* Name and Address of High School

Major Studies

* Degree, Diploma, License or Certificate

Name and Address of College/University

Major Studies

Degree, Diploma, License or Certificate

Name and Address of Vocational, Business or Other School

Major Studies

Degree, Diploma, License or Certificate

List Any Professional Designations

Other Special Knowledge, Skills or Qualifications

List all employers for the past 5 years, starting with the most recent position. It is important that ALL information be completed extending back at least 5 years, if applicable. Please explain any gaps in employment at the end of this section.

Current or 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:

(xxx) xxx-xxxx

Supervisor:

Supervisor's E-mail Address:

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:

(xxx) xxx-xxxx

Supervisor:

Supervisor's E-mail Address:

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:

(xxx) xxx-xxxx

Supervisor:

Supervisor's E-mail Address:

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:

(xxx) xxx-xxxx

Supervisor:

Supervisor's E-mail Address:

If you have had more than four employers in the last five years, please enter basic work information in this box.

* Have you ever been convicted of a crime, excluding misdemeanors and summary offenses, which has not been annulled, expunged or sealed by the court? (A yes will not automatically disqualify you from employment, all circumstances will be considered.)

Yes No

* Have you ever been dismissed from employment or resigned to avoid being dismissed?

Yes No

If yes, please explain.

Please explain any gaps in employment here.

* Have you used tobacco in the past 12 months? (A yes will not automatically disqualify you from employment, all circumstances will be considered.)

Yes No

Explain tobacco use.

* Why have you decided to apply for a position with this organization?

* Concerning job performance in the area for which you are applying, what are the most important things to remember?

* Describe your specific skills and experience related to the area of work for which you are applying.

* Please describe the attributes you bring to a work environment that result in an enhanced work experience for the coworkers you are working with.

SKILL INVENTORY

Please rate your abilities from 1 to 10 in the following categories (1 = no abilities; 10 = very high skill level and could role-model for others). It is not necessary for you to have high ratings in every area to be considered for employment. We seek only your honest assessment. Comments may be noted below.

* Get along with others

* Be aware of your emotions and moods

* Follow the leadership of your coworkers

* Communicate effectively with others

* Initiate work even when not requested

* Work as a team member

* Pay attention to details

* Think on your feet and turn a potentially negative situation into a positive one

* Act sensibly in emergencies

* Talk amiably with new acquaintances

* Be cheerful when a guest complains about the weather

* Admit your mistakes

* Coordinate coworkers

* Plan your own work schedule

* Function at 100% in the face of challenges

* Honesty in filling out forms such as these!

Comments regarding the above you wish to add.

Please read carefully before signing.

The above information is true and correct. I understand that, in the event of my employment, I shall be subject to dismissal if any information that I have given in this application is false or misleading or if I have failed to give any information herein requested, regardless of the time elapsed after discovery.

Like most employers in Alaska, and in accordance with Alaska law, we offer employment "at will." Employment "at will" simply means that just as you are legally free to quit at any time, we reserve the right to terminate your employment whenever, in our sole discretion,it is appropriate to do so.

This organization is a Drug Free work place. All co-workers are subject to pre-employment, random, and for cause drug testing.

I hereby acknowledge that I have read and agree to the above statements.

View Privacy Policy

* Signature:

* Date:

Please be patient while your application is processed.

Application for Employment

Personal Information

Application Information

Education Information

Work History

Current or Most Recent Employer

Previous Employer

Previous Employer

Previous Employer

Interests and Knowledge

SKILL INVENTORY

Certification/Authorization