Apply for Employment with BTI Whitewater

 

Position Applying For?:
Applicant Information:  
*First Name:
*Last Name:
*Address:
*City:
*State:
*Zip:
*Phone:
*Email Address:
*Date Available: mm/dd/yyyy
*Are you a Citizen of the USA? Yes No If no, are you authorized to work in the US? Yes No
*Have you ever worked for BTI Whitewater? Yes No If so, when?
*Have you ever been convicted of a felony Yes No If yes, explain
*Are you a registered sex offender in any state? Yes No

Certifications:  
Are you certified in Professional Rescuer CPR? Yes No / Expires:
Are your certified in first aid? Yes No / Expires:
Are you certified in Swift Water Rescue? Yes No / Expires:
Other Certifications?
   
Education:  
*High School: Address:
*From: To: *Graduate? Yes No:
College: Address:
From: To: Graduate? Yes No    Degree:
Other: Address:
From: To: Graduate? Yes No    Degree:
   
References:  
*Name 1st Ref.: *Relationship:
*Years Known: *Phone #:
*Name 2nd Ref: *Relationship:
*Years Known: *Phone #:
*Name 3rd Ref: *Relationship:
*Years Known: *Phone #:
Previous Employment:  
*Company: *Phone:
*Address: *Supervisor:
*May we contact your previous supervisor? Yes No
*Position: *Salary: Begining -    Ending -
*Employed From: to *Reason for leaving:
*Responsibilities:
   
*Company: *Phone:
*Address: *Supervisor:
*May we contact your previous supervisor? *Yes No
*Position: *Salary: Begining -    Ending -
*Employed From: to *Reason for leaving:
*Responsibilities:
   
*Company: *Phone:
*Address: *Supervisor:
*May we contact your previous supervisor? *Yes No
*Position: *Salary: Begining -    Ending -
*Employed From: to *Reason for leaving:
*Responsibilities:
   
Military Service:  
Branch: Served From: To:
Rank at Discharge: Type of Discharge:
If other than honerable, explain
   

* Please explain why you want to work for BTI Whitewater:

   
Disclaimers:  
*I certify that my answers are true and complete to the best of my knowledge.
*If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release. Today's Date: mm/dd/yyyy
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