Employment Step 1 of 5 20% Personal InformationName* First Last Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Cell PhoneHome PhoneEmail* Applicants Gender*MaleFemaleAre you 18 or older?*YesNoAre you currently employed?*YesNoHave you worked for Adv Rock in the past?*YesNoAre you available for*Part timeFull timeFull or Part timeAre you legally authorized to work in the US?*YesNoHave you ever been convicted of a felony?*YesNoIf yes, please describe in detail.When are you available to start? Hourly pay desired in US Dollars ($)What is your weekly availability?Position desiredDeskFitness InstructorRock Climbing InstructorPortable Wall Lead Staff (Seasonal)Portable Wall CoordinatorKid's Camp CounselorSeasonalYoga InstructorYouth Team Climbing CoachRoutesetterAny Education HistoryDid you graduate High School?*YesNoHigh School NameYears of High School completedPlease enter a value between 0 and 4.Did you graduate College?YesNoCollege NameYears of College completedPlease enter a value between 0 and 4.Courses studied in CollegeDid you graduate Graduate School?YesNoGraduate School NameYears of Graduate School completedPlease enter a value between 0 and 12.Courses studied in Graduate SchoolDid you graduate Business / Trade School?*YesNoBusiness / Trade School NameYears of Business / Trade School completedPlease enter a value between 0 and 8.Courses Studied in Business / Trade SchoolGeneral InformationMilitary Service?Yes, currently servingYes, in pastNoPlease 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 applicantReference #2 Name First Last Reference #2 PhoneRelationship to applicantReference #3 Name First Last Reference #3 PhoneRelationship to applicantEmployment HistoryCompany #1 NameSupervisor's Name First Last PhoneEmployed datese.g. May, 2009 - Feb, 2012Job TitleJob description / dutiesHourly payPlease enter a value between 0 and 50.Reason for leavingCompany #2 NameSupervisor's Name First Last PhoneEmployed datese.g. May, 2009 - Feb, 2012Job TitleJob 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?*YesNoDo you know how to tie a figure eight knot and a back up knot?*YesNoDo you know what double backing your harness is?*YesNoDo you know what the Yosemite decimal system is?*YesNoDo you know the Belay Commands?*YesNoDo you know how to Top Rope Belay?*YesNoAre you CWI certified?*YesNoDo you know how to Lead Climb?*YesNoDo you know how to Lead Belay?*YesNoDo you know what a Z Clip is?*YesNoDo you know what a Back Clip looks like?*YesNoHave you ever climbed outside?*YesNoIf so, where have you climbed?Other climbing skills Additional InfoAttach Resume' (optional)Is there anything else you'd like us to know about you? This iframe contains the logic required to handle Ajax powered Gravity Forms.