Employment

PERSONAL INFORMATION:


First Name	Middle Name	Last Name
Email	Phone Number
Present Address
City	State	Zip Code
Permanent Address
City	State	Zip Code

Date of Application:
Are you 18 years or older? Yes No
If not, can you, after employment, submit a work permit? Yes No

EMPLOYMENT DESIRED:

Position: Kind of work sought: Full Time Part Time	Date Available: Desired Wages:
Specify Hours/Days:
Are you able to perform the essential functions/duties of the position for which you are applying, including regular attendance, with or without a reasonable accommodation? (If you need a description of the essential functions of the position for which you are applying, please contact management of the company or ask for a job description)
Yes With Resonable Accomodation
List reasonable accommodation, if any, which would be necessary to permit you to perform the essential functions of the job.

EDUCATION:

Education	Subject(s) /Courses	Did You Graduate	List Diploma or Degree
Elementary		Yes No
High School		Yes No
College		Yes No
Trade School, Business or Correspondence School		Yes No

List any job-related professional or technical organizations to which you belong:
Describe any specialized training, apprenticeships, skills or extra curricular activities that are relevant to the job for which you are applying :
U.S. Military or Navel Service? Yes No
List any job-related skills that you learned while in the U.S. Military or Naval Service :
Driver's License (for positions that require driving):
Restriction or Suspensions (respond fully if driving is required by the job for which you are applying) :

FORMER EMPLOYERS

: Starting with last employer first, describe all employment for the last four years. You may attach a resume, however, you must provide the information requested herein if said information is not otherwise on your resume.

Name and Address of Company:	From:	To:
Type of Business and Phone Number:	Salary:
Position:	Reason for Leaving:
Supervisor's Name:

Name and Address of Company:	From:	To:
Type of Business and Phone Number:	Salary:
Position:	Reason for Leaving:
Supervisor's Name:

Name and Address of Company:	From:	To:
Type of Business and Phone Number:	Salary:
Position:	Reason for Leaving:
Supervisor's Name:

Name and Address of Company:	From:	To:
Type of Business and Phone Number:	Salary:
Position:	Reason for Leaving:
Supervisor's Name:

REFERENCES:
Give the names of three persons, not related to you, whom you have known for at least one year.

Name:	Phone:
Address:
Type of Business:	Number of Years Acquainted:

Name:	Phone:
Address:
Type of Business:	Number of Years Acquainted:

Name:	Phone:
Address:
Type of Business:	Number of Years Acquainted:

CRIMINAL RECORD:

Have you ever been convicted of a non-marijuana related misdemeanor, felony or a crime? (Conviction will not necessarily disqualify you from employment) Yes No
Have you been convicted of a marijuana related misdemeanor or felony within the last two years? (Do not provide information about marijuana convictions more than 2 years old. Conviction will not necessarily disqualify you from employment) Yes No
If you answered yes to any of the above three questions, please explain:

NOTICE
New employees are required to produce verification of their legal right to work in the United States. If you are offered employment, you will be required to produce sufficient documentation of your identity and right to work in the United States and to attest under penalty of perjury that the documents you have produced are genuine and relate to you.

CONSENT TO COMPANY'S INVESTIGATION OF MY APPLICATION AND VERBAL STATEMENTS

The Company's policy is to fill every position without regard to race, color, religion, creed, sex, sexual orientation, marital status, age, national origin, ancestry, handicap, medical condition, or any other consideration made unlawful federal, state, or local laws. The Company is and equal opportunity employer and selects employees on the basis of ability, experience, training and character. Please contact a person in management at the Company if you have any questions or complaints about this policy.

I authorize the Company, Folsom Lake RV Center, to investigate all of the statements contained in my application and which I verbally convey to the Company during the Company's hiring/investigation process. I authorize the Company, Folsom Lake RV Center, to contact my references. I authorize the Company, Folsom Lake RV Center, to obtain information about my previous work experience, education and work character/attitude form previous and/or current employers, educational institutions and agencies, and I authorize said entities to provide job-related information to the Company, Folsom Lake RV Center. I voluntarily release the Company, Folsom Lake RV Center, and hold it harmless form any liability whatsoever arising form the Company's Investigation of the statements contained in my application and/or my verbal statements I made to the Company, Folsom Lake RV Center, during the Company's hiring/investigation process.

AT-WILL EMPLOYMENT POLICY

If I am employed by the Company, Folsom Lake RV Center, I agree that I must comply with the Company's rules, policies, and regulations. I agree and understand that if I am employed by the Company, Folsom Lake RV Center, I will be an at-will employee which means that either I or the Company may end the employment relationship with or without cause and with or without advance notice at any time. I understand and agree that if employed, I will not be employed for any definite duration because I will be an at-will employee. I also understand and agree that if employed, the Company, Folsom Lake RV Center, has the sole discretion to change my wages, terms, hours and working conditions at any time, with or without good cause, and with or without advance notice. If employed, I understand that there shall be no agreement, express or implied, which restricts the Company, Folsom Lake RV Center, from changing the terms and conditions of my employment in its sole discretion at any time, unless said agreement is made formally in writing and executed by the President/Vice President of the Company.

If employed, I understand that, other than the President/Vice President, of the Company, Folsom Lake RV Center,, no manager, supervisor, employee, agent or representative of the Company, Folsom Lake RV Center, has authority to enter into any oral or written agreement with me for employment for any specific period of time, and/or to make any agreement contrary to my at-will status. If employed, the Company, Folsom Lake RV Center, and I agree that there are no express or implied agreements, which are contrary to my at-will status. I fully understand that only the President/Vice President may change my at-will status and may only do so in writing.

I DECLARE under penalty of perjury that I understand that my falsification, misrepresentation or omission of facts stated in this application or verbally to the Company, Folsom Lake RV Center, will result in immediate dismissal or removal of my application from consideration.

Full Name:

Date: