Calleva Paddling: Application Form

Today's Date: ___________

Job(s) you are applying for: (1st choice) ___________________________________

(second choice) ____________________ (third choice) ________________________

Name _________________________________________________ SS#___________________
Last First MI

Current Address _______________________________________________________________
Street Town State/Zip

Home Phone _________________________ Business Phone ___________________________

Are you 21 years of age or older? ___ Do you have a valid driver's license? ___

Have you had any motor vehicle violations?_______

If so, when & what? ____________________________

Have you ever been convicted of a felony?________

If so, when & what? _____________________________

Do you have any restrictions that may effect your job performance? ____________________________

________________________________________________________________________________

What experience do you have working with the public? Please describe:

________________________________________________________________________________

Please describe your outdoor recreation work or experience. ___________________

________________________________________________________________________________

What experience do you have in whitewater raft guiding or paddling instruction?

_______________________________________________________________________________

List any certifications, professional titles or other skills that would be valuable on the job:

_______________________________________________________________________________

Additional Comments: _________________________________________________________

_______________________________________________________________________________

Please list your 3 most recent places of employment.

May we contact these for references? _______

________________________________________________________________________________

Current / Most recent Employer: From: _________ To: __________

Address:

Supervisor:

Phone:

Duties:

Salary:

Reason for leaving:

________________________________________________________________________________

2nd Most recent Employer: From: _________ To: __________

Address:

Supervisor:

Phone:

Salary:

Duties:

Reason for leaving:

________________________________________________________________________________

3rd Most recent Employer: From: _________ To: __________

Address:

Supervisor:

Phone:

Salary:

Duties:

Reason for leaving:

________________________________________________________________________________

Please list three professional references:

Name Company Name Title Phone

________________________________________________________________________________

I certify that the information provided on this application is accurate and true.

I understand that mis-representation of facts will be due cause for termination.

I authorize Calleva Paddling to verify the information provided

herein and to contact previous employers and individuals for references. I agree

not to take any legal action against any former employers who respond to such

inquires by Calleva Paddling

Signature of Applicant: ___________________________________ Date: _____________

Signature of Witness: _____________________________________ Date: _____________

Calleva Paddling is an Equal Opportunity Employer

Please mail your application to:
Calleva Paddling
8 Froude Circle
Cabin John, MD 20818

or email it to:paddle_school@calleva.org