YMCA of the Rockies Livery/Estes Park Center
Allen & Julie Jackson

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Horseback Release Form
Hayride Release Form

Application

We appreciate your interest in becoming a member of our summer livery staff. Please complete the following form.

 We will need three (3) completed references in order to consider your application.
Direct your 3 references to this site: www.jacksonstables.com/Reference.htm and ask them to complete and submit this form on-line.

If you are accepted for employment, a copy of your application will serve as a contract between you and Jackson Stables, Inc., YMCA of the Rockies Livery. We expect you to honor that contract as originally signed. For this reason it is very important that you are positively sure of your arrival and departure dates. 

We begin processing applications after January 1st of each year. In order for your application to be considered, ALL three (3) references must be received. If you have any questions, we can be reached at our home office phone number:  (970) 586-6748.  All applicants with completed applications will be notified of their employment status.  We look forward to receiving your application.

Application for Employment

Name:
Social Security#:
Home Address:
Home City:
Home State:  Zip:
Home Telephone:
School Address:
School City:
School State:  Zip:
School Telephone:

What is the highest level of Education Completed?:

Institution Name:
Grade Completed:
City/State
Sex:
Birth date:
Age:
Height:
Weight:
Dates of Employment
Can you arrive by May 10, 2008?:

If earlier, what date:
If later, what date:
Can you remain thru August 23 2008?:
If earlier, what date:
If later, what date::
E-mail

Note: It is VERY important that the dates of employment you indicate cover the actual period you can stay, as we determine our staff needs accordingly. Leaving earlier than your contract date causes a disruption in our service to guests, and YOU FORFEIT YOUR OPPORTUNITY FOR CONTRACT INCENTIVE PAY!!! The official dates for our season are from April 1 to October 31. It is difficult to employ those who cannot remain through most of August. BE SURE YOUR DATES OF ARRIVAL AND DEPARTURE ARE CORRECT. A copy of this application will be returned to you as a contract if you are accepted fro summer employment.

Eligibility for Employment: I understand that, if offered a job, I will be permitted to work only upon providing Jackson Stables, Inc. with documentation establishing my identity and my legal authorization for employment in the United States. Are you a United States citizen?
              If NO,

Are you a national of the U.S., a Lawful Permanent Resident Alien, or an alien otherwise permitted to work in the United States?
 

Have you ever been convicted of violating any laws? (Not including minor traffic violations)
 
If yes, give details:

A "yes" answer does not automatically disqualify you from employment. The date and nature of offense will be considered. 

All employees will be asked to pass a criminal background check.

Work Experience?

1. Job Title:
    Employer:
    Dates:
    Reason for Leaving:
   

2. Job Title:
    Employer:
    Dates:
    Reason for Leaving:
   

3. Job Title:
    Employer:
    Dates:
    Reason for Leaving:
   

4. Job Title:
    Employer:
    Dates:
    Reason for Leaving:
   

Have you read and do you understand the essential functions described in job responsibilities?
 

Are you able to fulfill ALL of the essential functions expected as a wrangler as described in job responsibilities?  

Please review the following pages, Job Responsibilities, Benefits, and More Information.
Comment on your ability to meet job duties, responsibilities, and requirements.

What do you feel qualifies you for the job of wrangler?

What type of experience have you had working directly with horses?

What type of experience have you had working directly with people?

How would you classify yourself as a "RIDER"?

What do you expect to gain/learn from your experience as a wrangler?

Do you have current CPR or Basic First Aid training?
Check all that apply: CPR  Basic First Aid

Have you ever visited the YMCA of the Rockies?
Yes  No

Please add any other information that you think would help us get to know you better:

How did you find out about us? Check all that apply:
YMCA Guest
Magazine
Web site
Other:
    

In case of emergency, please notify:

Name:
Relationship:
Address:
City:
State: Zip:
Telephone: Home:
Telephone: Business:

    
Jackson Stables, Inc. is an equal opportunity employer and your response to any question will not be used as a basis for discrimination, but will be judged on its relevance to the position you are seeking.


I certify that all information provided in this employment application is true and complete.  I understand that any false information or omission may disqualify me from further consideration for employment and may result in my dismissal if discovered at a later date. 

I authorize the investigation of any or all statements contained in this application and also authorize any person, school, law enforcement agency, current employer, past employers and organizations named in this application to provide relevant information and opinions that may be useful in making a hiring decision.  I release such persons and organizations from any legal liability in making such statements.

I have read, understand, and by my signature consent to these statements and this contract.

Signature:    Date: