Apply for a Job with a View of Glacier National Park

Johnson's of St. Mary Employee Application Form
Print, fill out, and mail this form to Johnson's of St. Mary, HC 72 Box 10, St. Mary, MT 59417-9701

Name: ____________________________________ Social Security No: __________________

Present Address: ______________________________________________________________

Permanent Address: ____________________________________________________________

Telephone: _____________________ Date of Birth: _________________ Height: _______

Uniform Size: _________ Health Status: __________ Email Address: ____________________

Please list any health problems: ___________________________ Male/Female ____________

Position applied for: ______________________ Will you accept another position? ___________

Date available for work: ____________________ Last day of work: ______________________

Do you have use of a car? ________ How would you arrive for work? ____________________

Education (last year completed): ___________________________________________________

List below your present and past employment history, including addresses and phone numbers of
previous employers: (use additional paper if necessary)

_____________________________________________________________________________

Please use the back of this form to tell us a little bit about yourself, and why you would like to work at
Johnson's. How did you learn about Johnson's? ______________________________________

List any friends or relatives who have worked for us: ____________________________________

Person to be notified in case of emergency (name, address, and phone number):

_____________________________________________________________________________

The facts set forth above in my application for employment are true and complete. I understand that if
employed, false statements on this application shall be considered sufficient cause for dismissal.

________________________________________________ _________________________
Signature Date