Sockeye Cycle Employment Application

NOTE: All applicants must be at least 23 years of age (for our Tour Van Insurance).

Please fill out all fields of the application.

Name: (first middle, last, maiden (if any))
Address for past three years:

Address: City: State: Zip: How long at address?:

Address: City: State: Zip: How long at address?:

Phone:
Email:
D.O.B.:
SSN:
Referred by:

Position applying for:

Shop Manager
Bike Guide/Driver
Mechanic/Sales
Tour Operations Manager
Office Administration
Other

Are you interested In Full-time or Part-time work?

Are you available to work May through September? Yes No

If not, when can you start? End Work?

Education

Work Experience/References

Current or most recent employer:
Supervisor's Name:
Dates Employed (start to finish):
Position Held:
Reason for Leaving:
Address and Phone Reference: (Required)

Next most recent employer:
Supervisor's Name:
Dates Employed (start to finish):
Position Held:
Reason for Leaving:
Address and Phone Reference: (Required)

Next most recent employer:
Supervisor's Name:
Dates Employed (start to finish):
Position Held:
Reason for Leaving:
Address and Phone Reference: (Required)

Driving Record

State where licensed to drive?
Driver's License Number:
License Type:
License Expiration:
Number of years licensed?
If you have additional driver's licenses, please provide the same details for each additional license in the field below:

Driving Experience

Class Of Equipment
Type Of Equipment (Van, Tank, Flat, Etc)
Dates - From To
Approx No. Of Miles (Total)
If you have additional driving experience, please provide the same details for each additional type of vehicle in the field below:

Accident Record For Past 3 Years Or More

Dates:
Nature Of Accident (Head-On, Rear-End, Upset, Etc.):
Fatalities:
Injuries:
Provide the same information any other accidents:

Traffic Convictions And Forfeitures For The Past 3 Years (Other Than Parking Violations)

Location:
Date:
Charge:
Penalty:
Provide the same information any other convictions:


A. Have You Ever Been Denied A License, Permit Or Privilege To Operate A Motor Vehicle?
Yes No

B. Has Any License, Permit Or Privilege Ever Been Suspended Or Revoked?
Yes No

If The Answer To Either A Or B Is Yes, provide details:

Certifications Received (with dates of expirations):

First Aid
CPR
Emergency Health Technician
Emergency Trauma Training
Commercial Drivers License
Other

Other Experience/Job Related Skills


Personal References
Provide 3 personal references: Name, Address/Phone, Relationship, Years aquainted

Personal Statement


Authorization
I authorize investigation of all statements contained in this application. I understand that misrepresentation of information requested is cause for dismissal. Further, I understand and agree that my employment is for no definite period and may, regardless of the date of payment of my wage or salary, may be terminated at any time without any previous notice.

Applicants for positions that require driving a commercial motor vehicle (CMV) at any time will be required to undergo controlled substance and, at our discretion, alcohol testing prior to employment and will be subject to further testing throughout their period of employment. Applicants will also be asked to sign forms for release of information from previous employers in all cases where driving a CMV was one of your functions. Failure to sign will prevent this employer from using you as a CMV driver.

I accept:

In case of emergency, notify:
Phone:
Address:

How did you find out about us?