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Contact Information: Last Name: First Name: M.I.: Address: City: State: select one N/A ALABAMA ALASKA ALBERTA ARIZONA ARKANSAS BRITISH COLUMBIA CALIFORNIA COLORADO CONNECTICUT DELAWARE DISTRICT OF COLUMBIA FLORIDA GEORGIA HAWAII IDAHO ILLINOIS INDIANA IOWA KANSAS KENTUCKY LOUISIANA MAINE MANITOBA MARYLAND MASSACHUSETTS MICHIGAN MINNESOTA MISSISSIPPI MISSOURI MONTANA NEBRASKA NEVADA NEW BRUNSWICK NEW HAMPSHIRE NEW JERSEY NEW MEXICO NEW YORK NEWFOUNDLAND NORTH CAROLINA NORTH DAKOTA NOVA SCOTIA NUNAVUT NWT OHIO OKLAHOMA ONTARIO OREGON PENNSYLVANIA PRINCE EDWARD ISLAND QUEBEC RHODE ISLAND SASKATCHEWAN SOUTH CAROLINA SOUTH DAKOTA TENNESSEE TEXAS UTAH VERMONT VIRGINIA WASHINGTON WEST VIRGINIA WISCONSIN WYOMING YUKON Zip Code: Phone Number: Email Address: I am available to work (please check all that apply): mon tue wed thurs fri sat sun days nights holidays full time part time short term seasonal year round weekends If hired, can you provide proof that you are eligible to work in the United States?: yes no Date you are available to start work (mm/dd/yyyy): Have you ever been convicted of a felony?: yes no If yes, please explain and give dates of conviction: Have you ever worked at Attitash?: yes no If yes, Dates of Employment: If yes, Job Duties: If yes, Name of Supervisor(s): If yes, Dates of Employment: If yes, Job Duties: If yes, Name(s) of Supervisor(s): How did you find out about a job at Attitash?: select one The Daily Sun The Independant JobsinNH.com Jobsinmwv.com a friend Attitash website referred by other (if referred or other, please specify): Why do you want to work at Attitash? Please check the jobs that you are most interested in: First Choice: Second Choice: Other: Education and Special Training: Name of High School: City: State: select one N/A ALABAMA ALASKA ALBERTA ARIZONA ARKANSAS BRITISH COLUMBIA CALIFORNIA COLORADO CONNECTICUT DELAWARE DISTRICT OF COLUMBIA FLORIDA GEORGIA HAWAII IDAHO ILLINOIS INDIANA IOWA KANSAS KENTUCKY LOUISIANA MAINE MANITOBA MARYLAND MASSACHUSETTS MICHIGAN MINNESOTA MISSISSIPPI MISSOURI MONTANA NEBRASKA NEVADA NEW BRUNSWICK NEW HAMPSHIRE NEW JERSEY NEW MEXICO NEW YORK NEWFOUNDLAND NORTH CAROLINA NORTH DAKOTA NOVA SCOTIA NUNAVUT NWT OHIO OKLAHOMA ONTARIO OREGON PENNSYLVANIA PRINCE EDWARD ISLAND QUEBEC RHODE ISLAND SASKATCHEWAN SOUTH CAROLINA SOUTH DAKOTA TENNESSEE TEXAS UTAH VERMONT VIRGINIA WASHINGTON WEST VIRGINIA WISCONSIN WYOMING YUKON Degree? yes no Special Certification(s): College: City: State: select one N/A ALABAMA ALASKA ALBERTA ARIZONA ARKANSAS BRITISH COLUMBIA CALIFORNIA COLORADO CONNECTICUT DELAWARE DISTRICT OF COLUMBIA FLORIDA GEORGIA HAWAII IDAHO ILLINOIS INDIANA IOWA KANSAS KENTUCKY LOUISIANA MAINE MANITOBA MARYLAND MASSACHUSETTS MICHIGAN MINNESOTA MISSISSIPPI MISSOURI MONTANA NEBRASKA NEVADA NEW BRUNSWICK NEW HAMPSHIRE NEW JERSEY NEW MEXICO NEW YORK NEWFOUNDLAND NORTH CAROLINA NORTH DAKOTA NOVA SCOTIA NUNAVUT NWT OHIO OKLAHOMA ONTARIO OREGON PENNSYLVANIA PRINCE EDWARD ISLAND QUEBEC RHODE ISLAND SASKATCHEWAN SOUTH CAROLINA SOUTH DAKOTA TENNESSEE TEXAS UTAH VERMONT VIRGINIA WASHINGTON WEST VIRGINIA WISCONSIN WYOMING YUKON Degree? yes no if yes, Name of Degree: Employment History: Starting with present or most recent, list your last two previous employers. Please include self employment, seasonal, part time jobs and volunteer work. In addition to completing the following information, a current resume may be submitted with this application. Employer #1 Name: Phone: City: State: select one N/A ALABAMA ALASKA ALBERTA ARIZONA ARKANSAS BRITISH COLUMBIA CALIFORNIA COLORADO CONNECTICUT DELAWARE DISTRICT OF COLUMBIA FLORIDA GEORGIA HAWAII IDAHO ILLINOIS INDIANA IOWA KANSAS KENTUCKY LOUISIANA MAINE MANITOBA MARYLAND MASSACHUSETTS MICHIGAN MINNESOTA MISSISSIPPI MISSOURI MONTANA NEBRASKA NEVADA NEW BRUNSWICK NEW HAMPSHIRE NEW JERSEY NEW MEXICO NEW YORK NEWFOUNDLAND NORTH CAROLINA NORTH DAKOTA NOVA SCOTIA NUNAVUT NWT OHIO OKLAHOMA ONTARIO OREGON PENNSYLVANIA PRINCE EDWARD ISLAND QUEBEC RHODE ISLAND SASKATCHEWAN SOUTH CAROLINA SOUTH DAKOTA TENNESSEE TEXAS UTAH VERMONT VIRGINIA WASHINGTON WEST VIRGINIA WISCONSIN WYOMING YUKON Employed from to Salary: Supervisor: Job Title: Job Duties: Reason for leaving: May we contact?: yes no Employer #2 Name: Phone: City: State: select one N/A ALABAMA ALASKA ALBERTA ARIZONA ARKANSAS BRITISH COLUMBIA CALIFORNIA COLORADO CONNECTICUT DELAWARE DISTRICT OF COLUMBIA FLORIDA GEORGIA HAWAII IDAHO ILLINOIS INDIANA IOWA KANSAS KENTUCKY LOUISIANA MAINE MANITOBA MARYLAND MASSACHUSETTS MICHIGAN MINNESOTA MISSISSIPPI MISSOURI MONTANA NEBRASKA NEVADA NEW BRUNSWICK NEW HAMPSHIRE NEW JERSEY NEW MEXICO NEW YORK NEWFOUNDLAND NORTH CAROLINA NORTH DAKOTA NOVA SCOTIA NUNAVUT NWT OHIO OKLAHOMA ONTARIO OREGON PENNSYLVANIA PRINCE EDWARD ISLAND QUEBEC RHODE ISLAND SASKATCHEWAN SOUTH CAROLINA SOUTH DAKOTA TENNESSEE TEXAS UTAH VERMONT VIRGINIA WASHINGTON WEST VIRGINIA WISCONSIN WYOMING YUKON Employed from to Salary: Supervisor: Job Title: Job Duties: Reason for leaving: May we contact?: yes no Attach your resume: Accepted file formats: .doc References: Please provide name, address and phone # of three references not related to you and not listed above. Reference #1: Reference #2: Reference #3: Applicant's Certification & Agreement: I voluntarily give Attitash the right to make a thourough investigation of my past employment activities as well as personal history that is job related, agree to cooperate in such investigation, and release from all liability or responsibility all persons, companies and corporations supplying such information. I agree to wear or use protective clothing, or devices as required by the company and to comply with all work and safety rules. I understand that if I accept employment at Attitash I can terminate employment at any time and can be terminated at any time, with or without cause, and that there is no contract, expressed or implied, for continued employment. I certify that the above information and information on my resume is true and accurate to the best of my knowledge. I understand that if I misrepresent or deliberately leave out a fact in my resume or application, I may be refused employment or, if I am employed, I may be terminated immediately. Date: Signature:

Please use this for for online submission only -- do not print and mail or fax. If you would like a printed application sent to you, please email jobs@attitash.com