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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.


(xxx) xxx-xxxx
(xxx) xxx-xxxx
State or Federal laws may impose a minimum age requirement on certain positions:
      mm-dd-yyyy
      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:

Check Highest Grade Completed
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

mm-dd-yyyy
mm-dd-yyyy
(xxx) xxx-xxxx

Previous Employer

mm-dd-yyyy
mm-dd-yyyy
(xxx) xxx-xxxx

Previous Employer

mm-dd-yyyy
mm-dd-yyyy
(xxx) xxx-xxxx

Previous Employer

mm-dd-yyyy
mm-dd-yyyy
(xxx) xxx-xxxx

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.
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.

Please be patient while your application is processed.
©2013 Work Arctic