glacier
Employment Application

If you wish to be considered for a position, please complete and submit the following job application form.

> CLICK HERE FOR PRINTABLE APPLICATION



Name:


Address:


City:


State:


Zip Code:


E-mail Address:


Phone Number (main number):


Additional Phone Number(s) (Optional):


Are you presently employed?
yes no

If yes, may we inquire with your present employer?
yes no



Please fill out the name of schools you have attended.

High School:

Name:

Location:

Years you attended this school:

Did you graduate?
yes no


University / College:

Name:

Location:

Years you attended this school:

What did you study?

Did you graduate?
yes no


Other schools attended:

Name:

Location:

Years you attended this school:

What did you study?

Did you graduate?
yes no


Please list your last three employers, starting with the most recent.

Present / Last Employer:


Phone Number:


Address:


City:


State:


Zip Code:


When were you employed?
From: To:

Job Title:


Salary:


Name of Supervisor:


May we contact your supervisor?
yes no

Description of Work:


Reason for Leaving:



Previous Employer:


Phone Number:


Address:


City:


State:


Zip Code:


When were you employed?
From: To:

Job Title:


Salary:


Name of Supervisor:


May we contact your supervisor?
yes no

Description of Work:


Reason for Leaving:



Previous Employer:


Phone Number:


Address:


City:


State:


Zip Code:


When were you employed?
From: To:

Job Title:


Salary:


Name of Supervisor:


May we contact your supervisor?
yes no

Description of Work:


Reason for Leaving:

Have you ever been convicted of a felony within the last five years?
yes no

If yes, please explain:


A "yes" answer will not necessarily disqualify you from consideration.


Authorization
“I understand that the foregoing is a preliminary questionnaire and that, prior to being considered for employment, I will be required to complete an application.

I certify that the facts contained in this true and complete the best of my knowledge and understand that, if employed, falsified statements on this questionnaire shall be grounds for dismissal.

I authorize investigation of all statements contained herein and the 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 I 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.”


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Promech Air | 1515 Tongass Avenue | Ketchikan | Alaska 99901 | Toll Free: (800) 860-3845 | Local: (907) 225-3845 | Fax: (907) 247-3875

Copyright © 2006 Promech Air, All Rights Reserved
Photographs Copyright © 2003-2008 Chip Porter and Eric Fogelin