Summer Camp Application Personal Information Name* Address* Email* Phone Number* Are You 18 Years of Age or Older?* —Please choose an option—YESNO Location * —Please choose an option—Twin Cities Tell us about your climbing history:* Please describe your experience working with children:* Other applicable training or skills:* Education History Years of High School?* Did you Graduate?* —Please choose an option—YESNOIn Progress Years of College? Did you Graduate? —Please choose an option—YESNOIn Progress Years of Graduate School? Did you Graduate? —Please choose an option—YESNOIn Progress Years of Trade School? Did you Graduate? —Please choose an option—YESNOIn Progress What Are You Looking For? Position* Desired Start Date * MonthJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember Day12345678910111213141516171819202122232425262728293031 Year202420252026 How many hours are you looking for?* Up to 1212-2020-3535+ What days are you available to work?* SundayMondayTuesdayWednesdayThursdayFridaySaturday What time of the day are you most available to work?* MorningAfternoonEvening Hourly Pay Expected?* Work Experience Employer Position Dates Employed From: To: Supervisor’s name Phone Number Reason for leaving Responsibilities May we contact YesNo Employer Position Dates Employed From: To: Supervisor’s name Phone Number Reason for leaving Responsibilities May we contact YesNo Employer Position Dates Employed From: To: Supervisor’s name Phone Number Reason for leaving Responsibilities May we contact YesNo References Name* Relationship:* Phone* Name Relationship: Phone Name Relationship: Phone Questionnaire Do you know how to tie a figure eight knot and a back up knot?* —Please choose an option—YESNO Do you know what double backing your harness is?* —Please choose an option—YESNO Do you know what the Yosemite decimal system is?* —Please choose an option—YESNO Do you know the Belay commands?* —Please choose an option—YESNO Do you know how to Top Rope Belay?* —Please choose an option—YESNO Do you know how to Lead Climb?* —Please choose an option—YESNO Do you know how to Lead Belay?* —Please choose an option—YESNO Do you know what a Z Clip is?* —Please choose an option—YESNO Do you know what a Back Clip looks like?* —Please choose an option—YESNO Have you ever applied for employment with us?* —Please choose an option—YESNO Are you legally eligible for employment in the US?* —Please choose an option—YESNO Did you serve in the U.S. Armed Forces?* —Please choose an option—YESNO If “yes”, which branch? Medical Questionnaire All persons are required to furnish health condition information and if necessary, submit to an examination by a company designated physician. This information will be used to determine appropriate job placement. It shall not be used to disqualify an otherwise qualified person who may have a mental or physical disability. These questions pertain to the essential function of the job. Can you perform these functions or tasks? Stand for long periods of time during your shift? * —Please choose an option—YESNO Bend and stoop for long periods of time during the day? * —Please choose an option—YESNO Lift and/or carry up to 50lbs or more if required during your shift? * —Please choose an option—YESNO Work around dust and debris and wear a respirator if required? * —Please choose an option—YESNO Wear proper safety equipment – hard hats, goggles, glasses, respirators, etc.? * —Please choose an option—YESNO Grip, grasp, or twist using your hands and wrists regularly during your shift? * —Please choose an option—YESNO Work a ten-hour shift if required? * —Please choose an option—YESNO Reach over your head with 25-35 lb. loads regularly during your shift? * —Please choose an option—YESNO Climb stairs with loads regularly during your shift? * —Please choose an option—YESNO Understand hazardous communication and safety information? * —Please choose an option—YESNO Employment Status Please carefully read the following: 1. I understand that this is a rotating position, and I will be required to rotate between VE Minneapolis, VE Bloomington and VE St. Paul. 2.I understand that acceptance of an offer of employment does not create a contractual obligation upon the employer to continue to employ me in the future. 3. I understand that an offer of employment from Vertical Endeavors is contingent upon satisfactory completion of a criminal background investigation, medical questionnaire, drug test, and/or proof of work eligibility. 4. I understand that my employment with Vertical Endeavors Inc. is subject to a probationary period of ninety (90) days, during that time my employment will be considered temporary in status. In addition, Vertical Endeavors Inc. resources the right to terminate my positions within this time for any reason. 5. I understand that Part-time employees must be available to work a minimum of three (3) shifts per scheduled week. Not being able to work this minimum could result in loss of employment benefits and /or position. All employees are also required to be available to work special events and competitions. 6. The information provided in this application for employment is true, correct, and complete. If employed, any misstatement or omission of fact on this application may result in my dismissal I understand and agree to the terms above: * —Please choose an option—YESNO Part-time employees must be available to work a minimum of three (3) shifts per scheduled week. Not being available to work this minimum could result in loss of employee benefits and/or position. All employees are required to be available to work special events and competitions. The information requested is needed for legally permissible reasons, including, without limitations, national security considerations, legitimate occupational qualification or business necessity. The Civil Rights Act of 1964 prohibits discrimination in employment because of race, color, religion, sex, or national origin. Federal law also prohibits discrimination based on age, citizenship and disability. The laws of most states also prohibit some or all of the above types of discrimination as well as some additional types such as ancestry, marital status, and sexual preference. Vertical endeavors uses Direct Deposit Payroll. Direct Deposit Payroll Policy allows the company to deposit your payroll check directly into a bank account of your choosing (checking/saving) rather than issuing a paper check. The money will be in your bank account the morning of the scheduled pay dates. By submitting this application, you are submitting an application for employment that is true, correct, and complete. If employed, any misstatement or omission of fact on this application may result in your dismissal. By submitting this application you are authorizing Vertical Endeavors, Inc. to examine any and all criminal records and arrests on file. In doing so, you understand that you are waiving your right of confidentiality. Δ