Moxie Outdoor Adventures
EMPLOYMENT APPLICATION

Today's Date:___________

Job(s) you are applying for:(1st choice) ___________________________________

(second choice) ____________________ (third choice) ________________________

Name _________________________________________________ SS#___________________
      Last       	 First             MI

Current Address _______________________________________________________________
                Street                   Town                     State/Zip

Home Phone _________________________ Business Phone ___________________________

Are you 18 years of age or older? ___ Do you have a valid driver's license? ___

Have you had any motor vehicle violations?______

If so, when & what? ____________________________

Do you have any restrictions that may effect your job performance?  ____________

________________________________________________________________________________

What experience do you have working with the public?  Please describe: 

________________________________________________________________________________

________________________________________________________________________________


Please describe your outdoor recreation work or experience.  ___________________

________________________________________________________________________________

________________________________________________________________________________


What experience do you have in whitewater raft guiding or paddling instruction?

_______________________________________________________________________________

_______________________________________________________________________________


List any certifications, professional titles or other skills that would be valuable on the job:

_______________________________________________________________________________

_______________________________________________________________________________

Additional Comments:  _________________________________________________________

_______________________________________________________________________________

Please list your 3 most recent places of employment. 

May we contact these for references?  _______


________________________________________________________________________________

Current / Most recent Employer:       		  From: _________ To: __________
Address:                                            
						  Supervisor:
Phone:
Duties:				       	          Salary:


Reason for leaving:
________________________________________________________________________________

2nd Most recent Employer:			  From: _________ To: __________

Address:                                          Supervisor:

Phone:						  Salary:
Duties:

Reason for leaving:
________________________________________________________________________________

3rd Most recent Employer:			  From: _________ To: __________

Address:                                          Supervisor:

Phone:						  Salary:
Duties:

Reason for leaving:
________________________________________________________________________________

Please list three professional references:

Name                 Company Name        Title                 Phone
________________________________________________________________________________

________________________________________________________________________________

________________________________________________________________________________

I certify that the information provided on this application is accurate and true. I understand that misrepresentation of facts will be due cause for termination.  I authorize Moxie Outdoor Adventures to verify the information provided herein and to contact previous employers and individuals for references.  I agree not to take any legal action against any former employers who respond to such inquires by Moxie Outdoor Adventures.

Signature of Applicant: ___________________________________ Date: _____________

	       Moxie Outdoor Adventures is an Equal Opportunity Employer

Please mail, fax, or email your application to:
Moxie Outdoor Adventures	Fax 207-663-4474
HC 63 Box 60			Phone 207-663-2231
The Forks, Maine  04985	Email info@moxierafting.com