Employment Step 1 of 5 20% Personal InformationName* First Last Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Cell PhoneHome PhoneEmail* Applicants Gender* Male Female Non-binary Are you 18 or older?* Yes No Are you currently employed?* Yes No Have you worked for Adv Rock in the past?* Yes No Which Adventure Rock location are you applying for?* Adventure Rock - Milwaukee (MKE - East Side) Adventure Rock - Walker's Point (WKP) Adventure Rock - Brookfield (BKF) Any/all Are you available for* Part time Full time Full or Part time Are you legally authorized to work in the US?* Yes No Have you ever been convicted of a felony?* Yes No If yes, please describe in detail.When are you available to start? MM slash DD slash YYYY Hourly pay desired in US Dollars ($)What is your weekly availability?Position desired Desk Fitness Instructor Rock Climbing Instructor Portable Wall Lead Staff (Seasonal) Kid's Camp Counselor (Seasonal) Seasonal Yoga Instructor Youth Team Climbing Coach Routesetter Any Education HistoryDid you graduate High School?* Yes No High School Name Years of High School completedPlease enter a number from 0 to 4.Did you graduate College? Yes No College Name Years of College completedPlease enter a number from 0 to 4.Courses studied in CollegeDid you graduate Graduate School? Yes No Graduate School Name Years of Graduate School completedPlease enter a number from 0 to 12.Courses studied in Graduate SchoolDid you graduate Business / Trade School?* Yes No Business / Trade School Name Years of Business / Trade School completedPlease enter a number from 0 to 8.Courses Studied in Business / Trade SchoolGeneral InformationMilitary Service? Yes, currently serving Yes, in past No Please describe any specials skills you have that may be applicable to the position you are applying for. Personal ReferencesReference #1 Name First Last Reference #1 Phone NumberRelationship to applicant Reference #2 Name First Last Reference #2 PhoneRelationship to applicant Reference #3 Name First Last Reference #3 PhoneRelationship to applicant Employment HistoryCompany #1 Name Supervisor's Name First Last PhoneEmployed dates e.g. May, 2009 - Feb, 2012Job Title Job description / dutiesHourly payPlease enter a number from 0 to 50.Reason for leaving Company #2 Name Supervisor's Name First Last PhoneEmployed dates e.g. May, 2009 - Feb, 2012Job Title Job description / dutiesHourly payReason for leaving Climbing Questionaire(Having no climbing ability does not preclude you from working at Adventure Rock.)How long have you been climbing? Are you a member of Adventure Rock?* Yes No Do you know how to tie a figure eight knot and a back up knot?* Yes No Do you know what double backing your harness is?* Yes No Do you know what the Yosemite decimal system is?* Yes No Do you know the Belay Commands?* Yes No Do you know how to Top Rope Belay?* Yes No Are you CWI certified?* Yes No Do you know how to Lead Climb?* Yes No Do you know how to Lead Belay?* Yes No Do you know what a Z Clip is?* Yes No Do you know what a Back Clip looks like?* Yes No Have you ever climbed outside?* Yes No If so, where have you climbed?Other climbing skills Additional InfoAttach Resume' (optional)Max. file size: 256 MB.Is there anything else you'd like us to know about you?