Ranch Camp Employment Application

Type of Employment Desired *

*if applying for the Activities & Camper Care Floater, you must have a current Lifeguard certificate or secure one during the training at DHR the weeks of May 28-June 7

Camp Staff Training May 28th - June 7th *

Can attend in person
Can not attend

Name of Person or Referral Source *

Contact Information

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Primary Phone *

Secondary Phone

What is the best time to call?

Email *

Nuts and Bolts

Have you submitted an application to DHR before? *

Yes
No

If you answered yes to the above question, please list dates and positions of employment with DHR

Have you ever been employed by DHR? *

Yes
No

If you answered yes to the above question, please list dates and positions of employment with DHR

Are you legally eligible for employment in the USA? *

Yes
No

Date available for work *

Are you able to meet the attendance requirements of the position? *

Yes
No

Will you work overtime if required? *

Yes
No

If you answered no to the above question, please explain

Have you ever been bonded? *

Yes
No

Have you ever been convicted of any crime, including sex-related or child-abuse related offenses? *

Yes
No

Answering "Yes" to the above question does not constitute an automatic bar to employment. Factors such as date of the offense, seriousness of the violation, rehabilitation and position applied for will be taken into account.

If you answered yes to the above question, please provide date(s) and details

Driver's License Number and State (if driving is an essential job function of the position(s) for which you are applying)

Example: 12345678, Texas

Employment History

Provide the following information of your past and current employers, assignments or volunteer activities, starting with the most recent. Explain any gaps in employment in the comments section below. If additional entries are needed, please upload a document listing additional information.

Employer Name #1 *

Phone *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Job Title *

Summarize the type of work performed and job responsibilities *

Starting Date of Employment *

Please list your start date and end date (if applicable). Example: Jan 1, 2017 - March 1, 2018

Ending Date of Employment *

Hourly Pay Rate/Salary *

Please list your starting and ending pay rate

Immediate Supervisor Name and Title *

May we contact this supervisor for reference? *

Yes
No

Reason for Leaving? *

Employer Name #2

Phone

Address

Address Line 1

Address Line 2

City

State

Zip Code

Job Title

Summarize the type of work performed and job responsibilities

Starting Date of Employment

Ending Date of Employment

Hourly Pay Rate/Salary

Please list your starting and ending pay rate

Immediate Supervisor Name and Title

May we contact this supervisor for reference?

Yes
No

Employer Name #3

Phone

Address

Address Line 1

Address Line 2

City

State

Zip Code

Job Title

Summarize the type of work performed and job responsibilities

Starting Date of Employment

Ending Date of Employment

Hourly Pay Rate/Salary

Please list your starting and ending pay rate

Immediate Supervisor Name and Title

May we contact this supervisor for reference?

Yes
No

Please attach a document showing any additional Employment History

Click or drag a file to this area to upload.

Comments

Please include explanation of gaps in employment in the box above.

Skills and Qualifications

Summarize any special training, skills, licenses and/or certificates that may qualify you as being able to perform job-related functions in the position(s) for which you are applying. Skills include any foreign languages you may speak fluently. *

Educational Background

Please list the last three schools you attended, the number of years completed, degree or diploma earned (if any), GPA and/or Class Rank, Major field of study and Minor field of study. If you're a current student, please note that as well along with your classification (freshman, sophomore, etc).

Please start with the most recently attended school. *

Example: 2014-2018, The University of Elgin - Elgin, TX. BS degree earned in Psychology with a minor in Sociology. GPA: 3.5

Professional Memberships

List professional, trade, business or civic associations and any offices held

Please note organization name, number of years participated and any offices held.

Exclude memberships that would reveal race, color, religion, gender, national origin, citizenship, age, mental or physical disabilities, veteran/reserve, National Guard or any other protected status.

Special Accomplishments, Publications and Awards

List professional, trade, business or civic associations and any offices held

Please note source, date and topic

Exclude memberships that would reveal race, color, religion, gender, national origin, citizenship, age, mental or physical disabilities, veteran/reserve, National Guard or any other protected status.

References

List the name and phone number of three business references who are NOT related to you. If not applicable, list three school or personal references.

Reference #1 *

Phone *

Number of Years Known *

Reference #2 *

Phone *

Number of Years Known *

Reference #3 *

Phone *

Number of Years Known *

Applicant Statement

I certify that all information I have provided in order to apply for and secure work with the employer is true, complete and correct. I understand that any information provided by me that is found to be false, incomplete, or misrepresented in any respect, will be sufficient cause to (i) cancel further consideration of this application or (ii) immediately discharge me from the employer’s service, whenever it is discovered. I expressly authorize, without reservation, the employer, its representatives, employees or agents to contact and obtain information from all references (personal and professional), employers, public agencies, licensing authorities and educational institutions and to otherwise verify the accuracy of all information provided by me in this application, resume or job interview. I hereby waive any and all rights and claims I may have regarding the employer, its agents, employees or representatives, for seeking, gathering and using such information in the employment process and all other persons, corporations or organizations for furnishing such information about me. I understand that the employer does not unlawfully discriminate in employment and no question on this application is used for the purpose of limiting or excusing any application from consideration for employment on a basis prohibited by applicable local, state, or federal law. I understand that this application remains current for only 30 days. At the conclusion of that time, if I have not heard from the employer and still wish to be considered for employment, it will be necessary to reapply and fill out a new application. If I am hired, I understand that I am free to resign at any time, with or without cause and without prior notice, and the employer reserves the same right to terminate my employment at any time, with or without cause and without prior notice, except as may be required by law. This application does not constitute an agreement or contract for employment for any specific period or definite duration. I understand that no supervisor or representative of the employer is authorized to make any assurance to the contrary and that no implied oral or written agreements contrary to the foregoing express language are valid unless they are in writing and signed by the employer’s president. I understand that if I accept housing on the premises of Down Home Ranch, whether as part of my compensation or not, such housing is absolutely and irrevocably contingent upon my continued employment with Down Home Ranch. Upon termination of employment, whether voluntary or involuntary, I will be given a maximum of 72hours to remove myself and my belongings from said housing. I also understand that if I am hired, I will be required to provide proof of identity and legal authority to work in the United State and that federal immigration laws require me to complete an I-9 Form in this regard. If I am offered employment I agree to submit to a medical examination and drug test before starting work if requested to do so. If employed, I also agree to submit to a medical examination or drug test at any time deemed appropriate by the Company and as permitted by law. I consent to such examinations and tests, and I request that the examining doctor disclose to the Company the result of the examination, which shall remain confidential and segregated from my personnel file. I understand that my employment or continue employment, to the extent permitted by law, is contingent upon satisfactory medical examinations and drug tests, and if I am hired a condition of my employment will be that I abide by the Company’s Drug and Alcohol Policy. I understand that filling out this form does not indicate that there is a position open and does not obligate the Company to hire. If hired, I agree to abide by all Company work rules, policies and procedures. The Company retains the right to revise its policies or procedures, in whole or in part, at any time.

Signature *

Please sign your full name in the box above to certify that you have read, fully understand and accept all of the terms of the foregoing "Applicant Statement" listed above.

Today's Date *

Please list any additional information you would like for us to consider.

Would you like to be considered for future opportunities at Down Home Ranch? By checking yes, you are consenting to DHR keeping your application on file for one year. After one year, your application will be destroyed. *

Yes
No

Updating preview…

Ranch Camp Employment Application

6 Weeks of Camp

1st 3 Weeks of Camp

2nd 3 Weeks of Camp

Contact Information

Nuts and Bolts

Employment History

Skills and Qualifications

Educational Background

Professional Memberships

Special Accomplishments, Publications and Awards

References

Applicant Statement