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Apply to Contract - MVR

Please enter email provided on original application.
Please review your attached contract or hiring letter of intent.
Emergency Contacts
In case of emergency, please use the following as my primary contact. Please list name, relationship and contact information.
In case of emergency, please use the following as my secondary contact. Please list name, relationship and contact information.
Please put phone number of your secondary contact
Please state relationship to secondary contact
Policies
The following are CFAIA Policies.
Sexual Harassment Policy
• Unwelcome sexual advances • Requests for sexual acts or favors • Insulting or degrading sexual remarks or conduct directed against another employee • Threats, demands or suggestions that an employee’s work is contingent upon toleration or acquiescence to sexual advances • Retaliation against employees for complaining about such behaviors • Any other unwelcome statements or actions based on sex that are sufficiently severe or pervasive so as to unreasonably interfere with an individual’s work performance or create an intimidating, hostile or offensive work environment
Prohibited Discriminatory Policy
its customers, employees, and applicants for employment on the bases of race, color, national origin, age, disability, sex, gender identity, religion, reprisal, and where applicable, political beliefs, marital status, familial or parental status, sexual orientation, or all or part of an individual's income is derived from any public assistance program or protected genetic information in employment or in any program or activity conducted or funded by the CFAIA. (Not all prohibited bases will apply to all programs and/or employment activities.)
Pet Liability Release Form
CFAIA employees, including campground and recreation area hosts, may be accompanied by a pet only when fulfilling those duties that allow the employee to provide full-time, hands-on restraint by an appropriate restraint system (e.g. leash, harness, etc.). With prior written approval by a CFAIA Director, Supervisor, or Manager, pets with special needs may be safely maintained in a pen or crate in a work environment on a case by case basis.
Will you be bringing a pet? *
I warrant and represent that any pet is current on required shots and immunizations, and I agree to abide by recreation area/campground pet rules and local leash laws. I assume and bear all the risk of loss, injury and damage of any kind to my pet while at or on the recreation area or campground property, whether caused through my negligence, the actions of other guests or employees, or the actions of other pets or wild animals, and shall hold the CFAIA harmless for any such claims. I assume and shall bear all risk of loss, injury and damage of any kind or nature to any employee or property of the CFAIA and other recreation area/campground guests caused by my pet, and I agree to indemnify and defend the CFAIA and hold it harmless for any such claims.
Family/Guest Release Form
If you have Family/Guests staying with you, then: *
I understand and acknowledge that I am fully aware of and assume the risks, including but not limited to the risk of serious bodily injury, property loss or damage to family members or guests staying at my site during my contract term with the CFAIA, including days on site during pre-orientation, training, and post-contract transition. I understand that the CFAIA shall have no responsibility to pay for medical treatment and related costs if a family member or guest is injured. I understand that my family members and guests are expected to abide by CFAIA policies at all times.
Acceptance of Attached Documents
I acknowledge that I have received a copy of the Cradle of Forestry in America Interpretive Association’s (CFAIA) Employee Handbook, Personnel Policies and Guidelines, which contains important information, policies, practices and regulations intended to serve as general information concerning CFAIA and my employment. I understand it is my responsibility to read and understand such policies and I agree to comply with same (including any amendments) during my employment with the CFAIA. I understand this handbook is not intended to be an exhaustive list of all the policies, practices, regulations and benefits and that CFAIA reserves the exclusive right to alter, amend, modify, change or terminate policies, procedures and benefits set forth in this handbook
This was attached to the email. Please review and let us know you received it.
Post Offer Medical Questionnaire
I herewith affirm that the employer has made me an offer of employment, conditioned on the satisfactory completion of this questionnaire. The purpose of this inquiry is: to determine whether I currently have the physical qualifications necessary to perform the job that has been offered; to determine whether and what accommodations may be necessary; and to determine whether I can perform the essential functions of the job, without posing a significant direct threat to the health and safety of myself and others. This information will be kept strictly confidential. I hereby affirm that the questions in the medical questionnaire have not been asked of me by anyone with the employer until after I have signed this statement and been offered a conditional job.
Please type in your height in feet and inches.
Please type in your weight.
Sex *
Do you now have, or have you ever had, and of the following?
Epilepsy (convulstions, seizures) *
Diabetes *
Cardiac disease *
Meniscectomy (inflamation of cartilage of certain joints - e.g., knee) *
Amputation of foot, leg, arm or hand *
Total loss of sight in one or both eyes, or a partial loss of corrected vision of more than 75% biaterally *
Polio (poliomyelitis) *
Cerebral palsy *
Multiple sclerosis *
Parkinson's disease *
Patellectomy (surgically removed kneecap) *
Ruptured cruciate ligament (knee ligament) *
Hemophilia *
Chronic osteomyelitis (infection in bone) *
Surgical or spontaneous fusion of a major weight-bearing joint (frozen joint) *
Hyperinsulinism *
Muscular dystrophy *
Thrombophlebitis *
Herniated intervertebral disk *
Surgical removal of an interverebral disk, or spinal fusion *
Total deafness *
One or more back or neck injuries, or a disease process of the back or neck, substantiated by a doctor's opinion and resulting in disability over a total of 120 or more days *
Obesity (30% overweight) *
Have you previously received workers' compensation for an on-the-job injury? *
Have you ever received a disability rating or had one assigned to you by an insurance company or state/federal agency? *
Have you ever injured or sprained your back? *
Have you ever injured or sprained your neck? *
Have you ever injured or sprained a knee? *
Have you ever had any other type of surgery not mentioned above? *
Do you have arthritis? *
Please advise your manager of any work restrictions as soon as you become aware of this need.
The information on this form shall not be used to discriminate against a qualified individual with a disability in regard to the following: job application procedures; hiring, advancement or discharge of the employee.
Under penalty of perjury, I declare that I have read the foregoing and that the facts alleged are true to the best of my knowledge and belief.
Motor Vehicle Record Disclosure and Release Form
In connection with my ongoing employment or my application for employment, should I have or secure a position with the Cradle of Forestry in America Interpretive Association, I understand that a motor vehicle record, which contains public record information, may be requested. I further understand that such report(s) will contain personal information and public record information concerning my driving record from federal, state and other agencies that maintain such records, as well as independent services that provide driving record information.
I hereby authorize procurement of my motor vehicle report. If hired, this authorization shall remain on file and shall serve as ongoing authorization for you to procure such reports at any time during my employment. Cradle of Forestry in America’s commercial auto insurer and agent will also use this information in conjunction with loss and control safety review efforts.
Please enter the State in which your license was issued.
Please list your Driver's License Number