What Position are you applying for: Maintenance/Ranch hand, House Keeping/Food Service, Wrangler

 1st Choice     2nd Choice

 What specifically could you offer to the position you are applying for? 

 When are you available to work? (Give the earliest possible date, do not include travel time). 

 1st Day of work Last day of work

 If you are applying for a Wrangler position, describe your horse experience. 

 Address (Current)City

 State Zip Country

 Contact Phone     Work Phone

 E-mail Address

 Best times to call

 Address (Home/Parents)City

 State Zip Country

 Parents Phone

 Are you a US citizen?  Yes No   If no please explain below:

 Do you have a Valid: 

          First Aid Card  Yes No     

          CPR Card        Yes No     

  Drivers License:  State: Number:  Valid to:

  I do not have a drivers license:

 Have you ever been convicted of a felony, or pled no contest to one:  No Yes (If yes, explain below)

 How many motor vehicle accidents/violations have you had in the past 3 years: 

 Please explain the above:

 Optional fields

 -Please send a photograph of yourself that doesn't have to be returned, a copy is fine. 

 Date of Birth Height Weight Age Sex

Education

 High School - Name/City/State Yrs. Completed Graduate? No Yes    

 College - Name/City/State Yrs. Completed Graduate? No Yes

 Course of College Study  

Employment

 A) List the last three jobs you held and give your supervisor's name and phone number.

1. Employer       Dates Employed

    Address

   Position         Hours Worked

    Duties

    Supervisor Phone

    What did you like most & least about this job?

        2. Employer       Dates Employed

    Address

   Position         Hours Worked

    Duties

    Supervisor Phone

    What did you like most & least about this job?

3. Employer       Dates Employed

    Address

   Position         Hours Worked

    Duties

    Supervisor Phone

    What did you like most & least about this job?

 B) Describe any outdoor related jobs not listed above

1. Employer       Dates Employed

    Address

   Position         Hours Worked

    Duties

    Supervisor Phone

    What did you like most & least about this job?

2. Employer       Dates Employed

    Address

   Position         Hours Worked

    Duties

    Supervisor Phone

    What did you like most & least about this job?

Personal Qualities

 C) Please write short answers to the following:

1) What do you hope the people you worked with at your last job will remember about you?

2) Do you have any definite goals for yourself for the next year or two?  If so, please describe them and how you plan to achieve them. 

3) What individual characteristics do you possess that help you the most and set you apart from other people?

D) What are your hobbies? 

E) Do you play a musical instrument? No Yes . If so what do you play?

F) Do you speak any other languages? No Yes . If so what?

G) Do you smoke? No Yes     Ranch is a non-smoking facility.

H) Do you have any health problems which could affect your ability to perform the duties of the position applied for ?  No Yes

Please describe 

I) Comments or other pertinent information 

J) Personal Reference (not family or work).

Name Phone Relationship

Name Phone Relationship

Name Phone Relationship

Agreement

By submitting this application the applicant understands that ranch work is very demanding both physically and mentally.  The applicant understands they are expected to handle the intensive physical workload from the start of their contract to the end.  The applicant understands the work week at the Ranch normally exceeds 40 hours per week, and accepts this as part of the work agreement.

Equal Opportunity Employer

Mule Creek Outfitters/M Lazy C Ranch is an equal opportunity employer and selects the best qualified individual for the job based upon job-related qualifications regardless of race, color, religion, sex, national origin, age or disability.

The applicant declares all answers to the questions on this application and any attachment, (i.e. Resume, etc.) to be true and accurate, and furthermore gives Mule Creek Outfitters/M Lazy C Ranch the right to investigate all references given.  The applicant also understands that any false statement, misrepresentation and/or omissions will be sufficient cause for refusal to hire or immediate dismissal after hiring.  The applicant understands that this document does not constitute an employment contract.