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Muddy Bottoms ATV & Recreation Park, LLCC

PRE-EMPLOYMENT APPLICATION

Muddy Bottoms ATV & Recreation Park, LLC is an equal opportunity employer. We do not discriminate in hiring practices because of race, color, religion, national origin, age, sex or disability. The sole decision regarding hiring is based upon your having the skills necessary to perform the job for which you are applying.

Our decision is based upon your telling us that you can perform the required tasks safely and competently. If you have any questions regarding the tasks, or skills required, feel free to discuss them at this time.

After a job offer is made, we will verify the information given and prior to placement any discrepancies will be dealt with up to termination.

Drug Testing: Please note that all employees will be required to undergo blood/urine screening for drugs and all applicants must have negative results as a condition to employment.

Background Checks: Please note that Muddy Bottoms ATV & Recreation Park, LLC reserves the right to perform background checks as a condition of employment.

Employment Application

An Equal Opportunity Employer
Name *

E-mail Address *

Date *

Telephone No. *

Social Security No. *

Present Address (Street, City, State) *

EMPLOYMENT DESIRED
Are you available for work on weekends? *


Would you be available to work overtime, if necessary? *


If hired, on what date can you start work? *

Salary desired: *

PERSONAL INFORMATION
Have you ever applied to or worked for the Company before? *


If yes, when?

Do you have any friends or relatives working for the Company? *


If yes, state name(s) and relationship

If hired, would you have a reliable means of transportation to and from work? *


Are you at least 18 years old? (If under 18, hire is subject to verification that you are of minimum legal age.) *


If hired, can you present evidence of your U.S. citizenship or proof of your legal right to live and work in this country? *


Have you ever been convicted of a felony? *


If yes, state nature of the crime(s), when and where convicted and disposition of the case.

THE JOB/POSITION I AM APPLYING FOR IS *

Do you understand the physical requirements of the job you are applying for? *


Do you have any concerns about your ability to perform the task of the described job for which you are applying without injury to yourself or others? *


If you have concern, describe the nature of your concern and your suggestion of accommodations that might help address your concern

Do you understand the training and skill requirements of the job you are applying for? *


Can you meet these requirements? (NOTE: Employees may be subject to passing a physical review and/or examination.) *


EDUCATION, TRAINING AND EXPERIENCE
Did you graduate from High School? *


If yes, where?

Did you graduate from College/University? *


If yes, where? *

Did you graduate from Vocational/Business? *


If yes, where?

Are you licensed to sell Tobacco in Louisiana through the LATC?


Do you have any other experience, training, qualifications, certifications, or skills which you feel make you especially suited for work at MUDDY BOTTOMS ATV RECREATION PARK, LLC If so, please explain

EMPLOYMENT HISTORY
List below all present and past employment starting with your most recent employer (last 10 years is sufficient)
Name of Employer *

Address *

Type of Business: *

Date Employment: From *

To: *

Telephone No. *

Your Supervisor's Name *

Your Position and Duties *

Pay: Starting *

Ending: *

Reason for Leaving: *

Name of Employer

Address

Type of Business:

Date Employment: From

To:

Telephone No.

Your Supervisor's Name

Your Position and Duties

Pay: Starting

Ending:

Reason for Leaving:

Name of Employer

Address

Type of Business:

Date Employment: From

To:

Telephone No.

Your Supervisor's Name

Your Position and Duties

Pay: Starting

Ending:

Reason for Leaving:

MILITARY SERVICE
Have you obtained any special skills or abilities as the result of service in the military?


If so, describe:

Veteran Status – Check One:

List below three persons who have knowledge of your work performance within the last three years.
Name *

Telephone No. *

Address *

Occupation *

# Years Acquainted *

Name *

Address *

Occupation *

# Years Acquainted *

Name *

Telephone No. *

Address *

Occupation *

# Years Acquainted *

Please Read

I hereby certify that I have not knowingly withheld any information that might adversely affect my chances for employment and that the answers given by me are true and correct to the best of my knowledge. I further certify that I, the undersigned applicant, have personally completed this application. I understand that any omission or misstatement of material fact on this application on any document used to secure employment shall be grounds for rejection of this application or for immediate discharge if I am employed, regardless of the time elapsed before discovery.

I hereby authorize this Company to thoroughly investigate my references, work record, education and other matters related to my suitability for employment and, further, authorize my former employers to disclose to the company any and all letters, reports and other information related to my work records, without giving me prior notice of such disclosure. In addition, I hereby release the company, my former employers and all other persons, corporations, partnerships and associations from any and all claims, demands or liabilities arising out of or in any way related to such investigation or disclosure.

I understand that if I am hired, I will conform to the rules and regulations of the Company. This Company conducts its business with the highest degree of safety and efficiency. Because of this, the Company may require applicants to undergo a physical examination and to undergo blood/urine screening for drugs and all applicants must have negative results as a condition to employment.

I understand that nothing contained in the application or conveyed during any interview, which may be granted, is intended to create an employment contract between the company and me. In addition, I understand and agree that if I am employed, my employment is for no definite or determinable period and may be terminated at any time, with or without prior notice, at the option of either myself or the company, and that no promises or representations contrary to the foregoing are binding on the company unless made in
writing and signed by me and the company's designated representative.