Application For Employment
at Black Butte Ranch

PO Box 8000
Black Butte Ranch
OR 97759
Phone 541-595-1523 | Fax 541-595-1554

Black Butte Ranch is an equal opportunity employer and does not discriminate against its employees or applicants because of race, color, religion, sex, pregnancy, national origin, ancestry, age, marital status, sexual preference, veteran status, disability, or medical condition.

NOTE: When filling out this application tab between each field or use your mouse. Pressing the return key could result in submitting an incomplete application.

Instructions: Answer each question fully and accurately. No action can be taken on this application until all questions have been answered.
 Personal Data
First Name:
 Last Name:
 Middle Name:
Telephone Number(s):
    
Present Address:
 Apartment No.:
City:
 State:
 Zip:
 EMPLOYMENT DESIRED
Position applied for:
Are you applying for:
Are you available for work on weekends?
Yes No 		Would you be available to work overtime, if necessary?
Yes No 		If hired, on what date can you start work?
Please explain your reasons and or interest for wanting to work at Black Butte Ranch:
 PERSONAL INFORMATION
If yes, when?

Have you ever worked for us before?
Yes No   		If yes, when?
If hired, can you present evidence of your U.S. citizenship or proof of your legal right to work in this country?
Yes No  
Have you ever been convicted of a felony?
Yes No 		If yes, give particulars:
 EDUCATION
High School
School Name and Location
 Years Completed

 

Diploma/Degree
 Describe Course of Study
Undergraduate College/University
School Name and Location
 Years Completed
Diploma/Degree
 Describe Course of Study
Graduate/Professional
School Name and Location
 Years Completed
Diploma/Degree
 Describe Course of Study
Do you have any other experience, training, qualifications or skills, including military service, which relate to the position being applied for? If so, please explain:
 EMPLOYMENT HISTORY
List below all past employment starting with your most recent employer:
Employer:
Name & Address:

Telephone Number(s):
or
Dates Employed:
From: To:
Salary/start: Salary/final:
Work Performed:
Job Title:
Supervisor:
Reason for leaving:
Employer:
Name & Address:

Telephone Number(s):
or
Dates Employed:
From: To:
Salary/start: Salary/final:
Work Performed:
Job Title:
Supervisor:
Reason for leaving:
     
 REFERENCES
List below persons you have known at least one year. Do not list relatives or former employers:
Name:
Address:
Occupation:
Telephone No.:
Name:
Address:
Occupation:
Telephone No.:
Affidavit

I certify that, to the best of my knowledge, the information contained in this application is true and complete. I understand that my employment may be denied or terminated if I provide false, misleading, or incomplete information during the hiring process or my employment.

I understand that, if I am hired, I must produce applicable documents showing that I am lawfully authorized to work in the United States, in accordance with the Immigration Reform and Control Act of 1986, as amended.

I understand and agree that my prior employers, educational institutions, and other references, listed or not listed on this application may be contacted by the Company. These references are authorized to give the Company any and all pertinent information they may have. I release all persons or entities involved, including the Company, from all liability arising from this contact and provision of information.

With submission of this form, I agree to allow Black Butte Ranch to use any photographs taken of me for publishing, illustration, advertising, trade or promotion or any other use in any medium for any purpose. I release Black Butte Ranch from any claims and demands coming out of the use of the photographs, including all claims for libel. This release also covers BBR, their representatives and any licenses of these photographs. Photos will be copyrighted in the Ranch's name and may be used in conjunction with others, as part of a composite, or any form.

I agree to submit to any post-offer, Pre-employment testing or physicals, as required by the Company.

I agree to conform to all the Company’s policies, rules, and procedures.

Furthermore, I understand and agree that nothing contained in this employment application, the granting of an interview, or in the offer of employment creates a contract for employment between the Company and myself. If an employment relationship is established, I understand that, unless specifically limited in an express, formally executed contact, I have the right to terminate my employment at any time and for any reason and the Company has the same right.

Your Email Address: