Lake Superior Employment

EMPLOYMENT

Application for Employment

Last Name:

First Name:

Date:

Street Address:

City:

State:

Zip:

Permanent Address:

City:

State:

Zip:

Telephone Number:

Email:

Position you are applying for:

Type of employment you are seeking:

Part Time

Full Time

Wage Expected:

Dates available to work:

Have you ever been employed here before?

Yes

If referred by an employee, who?

Hours available to work :	Monday	to	Thursday	to
	Tuesday	to	Friday	to
	Wednesday	to	Saturday	to
	Sunday	to

Education & Training

Last year completed:

Technical/Business/College

Graduate School

List last High School all Business, Trade Schools, & Colleges

Name:	Address ( street, city, state, & zip)	Degree Received	Subject

Employment History

Give employment record as completely as possible, starting with your present or latest employer. Include summer employment and any military service. For any unemployed or self employed periods, show dates and location.

Company Name:

Phone:

Address:

City:

State:

Zip:

Rate of pay:		Kind of work:
Immediate Supervisor:		Reason for leaving:

Company Name:

Phone:

Address:

City:

State:

Zip:

Rate of pay:		Kind of work:
Immediate Supervisor:		Reason for leaving:

Company Name:

Phone:

Address:

City:

State:

Zip:

Rate of pay:		Kind of work:
Immediate Supervisor:		Reason for leaving:

Company Name:

Phone:

Address:

City:

State:

Zip:

Rate of pay:		Kind of work:
Immediate Supervisor:		Reason for leaving:

Company Name:

Phone:

Address:

City:

State:

Zip:

Rate of pay:		Kind of work:
Immediate Supervisor:		Reason for leaving:

General Information

Have you ever been convicted of a crime?

Yes

In case of emergency, notify:

Name:

Address:

Phone:

Please use this space to provide any additional information which should be considered in evaluating qualifications for employment:

I authorize the investigation of all statements contained in this application. I understand that misrepresentation or omission of facts called for is cause for dismissal. If employed, I understand the duration, hours, nature, compensation, and benefits may be changed and modified from time to time without limitation or condition. Employment is at will in nature. We are an equal employment opportunity employer.
Notice to Applicants as required by the Fair Credit Reporting Act
As part of our employment process, an investigation may be made with respect to an applicant’s credit status, character, general reputation, and personal characteristics. Additional information as to the nature and scope of such report, if made, will be provided upon written request of the applicant.

Applicant Name:

Date:

Applicant’s Authorization for Information to Be Sought or Obtained.

I consent to and authorize Lutsen Resort Company, and its agents and employees, to obtain in any manner any reference information concerning me, including achievements, wage history, performance, attendance, personal history, disciplinary information and reason for separation of employment, relating to my employment with any former employer. It is expressly understood that any information sought or obtained is to be used for the purpose of determining my acceptability for employment. I also hereby release Lutsen Resort Company, and its agents and employees, from all liability for damages or claims, including but not limited to defamation, interference with contract, or prospective economic advantage and negligent, I have or may have which arise or result from any reference information sought or obtained pursuant to this authorization.

Applicant Name:

Date:

Applicant Name:

Date:

Applicant's former employer:

Applicant's prospective employer:

Lutsen Resort Company

Contact: Clair Nalezny, HR (218) 663-6540 lutsen@lutsenresort.com

Applicant’s Authorization for the Release of Information

I consent to and authorize the above named former employer, and its agents and employees, to furnish any reference information concerning me, including achievement, wage history, performance, attendance, personal history, disciplinary information and reason for separation of employment, relating to my employment with the former employer. It is expressly understood that any information given is to be used for the purpose of determining my acceptability for employment. I also hereby release the above named former employer, and its agents and employees, from all liability for damages or claims, including but not limited to defamation, interference with contract, or prospective economic advantage and negligence, I have or may have which arise or result from any reference information provided pursuant to this authorization or any attempts to comply with this authorization.

Applicant Name:

Date: