Employment Application

Please provide the following information:

Name
 Address
City
State
Zip Code
Daytime Phone
Evening Phone
E-mail

Please provide your mailing address:

Street Address
City
State
Zip Code
Work Phone
Home Phone
E-mail
S.S. #

Please put a check in your top TWO choices for employment:

Earliest date available to start working:
Completion date:

Education and Certifications

Please list your High School, Course of Study/Degree/Certification and Dates


Please list your College Information, Major/Minor and Dates


Please list your First Aid Experience


Work Experience #1
Please list Employer, Position Held, Dates of employment, responsibilities, supervisor names, and phone number

Work Experience #2
Please list Employer, Position Held, Dates of employment, responsibilities, supervisor names, and phone number


Work Experience #3
Please list Employer, Position Held, Dates of employment, responsibilities, supervisor names, and phone number


Professional/Scholastic Reference #1

Name
Title
Telephone
Relationship

Professional/Scholastic Reference #2

Name
Title
Telephone
Relationship

Professional/Scholastic Reference #3

Name
Title
Telephone
Relationship

Additional Information

How familiar are you with the Adirondack Mountain Club (ADK) and why are you interested in working with the organization?

What skills, interests and experiences do you feel qualify you for this position?

Describe any employment or volunteer experiences that demonstrate your commitment to customer/public service?

Would you be available for an in-person interview in Lake Placid, NY?

By submitting this application I understand that any omission or misrepresentation of material fact in this application may result in refusal or a separation from employment. I hereby authorize the Adirondack Mountain Club, Inc. to make any investigation of my background deemed necessary.

    

If you do not receive confirmation by email within 48 hours please call the Membership Department at 1-800-395-8080.