Application Form

Tall Timber Lodge offers partial health and dental insurance, as well as enrollment in a Simple-IRA plan for full-time staff members.

The following is an Application for Employment and a Pre-Employment Questionnaire. Tall Timber is an Equal Opportunity Employer.

Name *

Address

Email *

Phone *

Position Desired *

Are You Employed Now? *

Can We Ask Your Employer?

Education

High School Name *

Did You Graduate High School? *

College Name

Did You Graduate College?

Trade School Name

Did You Graduate Trade School?

Employment

Employer #1 (most recent):

Employer #2:

Employer #3:

References

Reference #1 *

Reference #2 *

Reference #3 *

Date *

Authorization *

"I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information. I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative. This waiver does not permit the release or use of disability-related or medical information in a manner prohited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws."

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