GPIHR Application

Driver Application for Summer Employment
Glacier National Park, Montana - Waterton Lakes Park, Alberta - Whitefish, MT

Glacier Park, Inc. (GPI) is a concessionaire of Glacier National Park, as well as an independent
hotel operator committed to giving our personal best in hospitality services. Located in the
northwest corner of Montana, Glacier National Park offers an opportunity to work with and meet
people from all over the world. Amidst the soaring peaks, stunning lakes and lush valleys of North
America’s “Alps” you will experience wildlife, adventure & fun while making friends that will last a lifetime.

GPI operates nine hotels in and around Waterton-Glacier International Peace Park including over
one dozen food & beverage outlets, multiple retail outlets, a golf pro-shop/course, and interpretive
“Red Bus” Tours; all providing a variety of exciting seasonal employment opportunities. Our Park
season is May through September and our Whitefish location operates year round. Our goal is to
employ well-balanced, positive employees with exceptional guest service skills, providing our guests
with a quality and memorable experience during their stay.

Incomplete applications will not be considered.

Applicant Information

Last Name *	First Name *	MI


Present Address
Street Address *	City *	State/Prov.	Zip/Postal Code *

Country *			Phone *


Permanent Mailing Address
Street Address *	City *	State/Prov.	Zip/Postal Code *

Country *			Phone *


Email Address

Position Information

Position Choice
1.	2.	3.
	Location Choice (Need help deciding click Here)

Please check if you are willing to accept other locations
Check here if applying for a management position
Check if are you applying with another individual(s) and requesting assignment at the same location?
Friend(s) Name(s)
Availability Dates (Please indicate the earliest date you can start and the latest date you are willing to work)
Start Date mm/dd/yyyy	End Date mm/dd/yyyy

General Information

Have you previously been employed by Glacier Park, Inc.? If yes, which season(s)?

Are you over 18 years of age?

Do you have a current interstate commercial/chauffer's license (CDL)?

Can you provide documents that establish your right to work in the United States? or in Canada?

If not, do you have a work permit or alien registration card that allows you to legally work in the United States? or Canada?

Have you been convicted of a felony in the past 7 years?

If Yes, please list all convictions in the last 7 years including date of violation.

Do you have restrictions as to which day(s) or hours per day you may work?

If yes, please describe your restrictions

Educational Background

	Graduated	Subjects
High School
Name
Location

Culinary, Food Service or Hotel/Restaurant School
Name
Location
College/University
Name
Location

Professional References

Please provide at least 2 professional references. Professional references include supervisors, coworkers, clergy, teachers/professors, etc…
(Please do not use family members or friends.)
First Reference
Name	Phone	Job Title or Relationship
Second Reference
Name	Phone	Job Title or Relationship
Third Reference
Name	Phone	Job Title or Relationship

Employment History

Previous employers will be contacted
First Employment History
Name of Company	City	State

Job Held	Supervisor	Phone

Date Started	Date Left	Rate of Pay	Reason for Leaving


Second Employment History
Name of Company	City	State

Job Held	Supervisor	Phone

Date Started	Date Left	Rate of Pay	Reason for Leaving


Third Employment History
Name of Company	City	State

Job Held	Supervisor	Phone

Date Started	Date Left	Rate of Pay	Reason for Leaving


Include a text copy of your resume

Accident Record - Past 3 Years or More (If none, write none)

	Dates	Nature of Accident	Fatalities	Injuries	Hazardous
Last Accident
Next Previous
Next Previous

Traffic Convictions and forfeitures for the past 3 years (other than parking violations) if none, write none

Location Date Charge Penalty

Experience and Qualifications - List all driver licenses or permits held in the past 3 years.

State License Number Type Expiration Date

Driver Licenses

A. Have you ever been denied a license, permit or privilege to operate a motor vehicle?
B. Has any license, permit or privilege ever been suspended or revoked?
IF THE ANSWER TO EITHER A OR B IS YES, GIVE DETAILS

Driving Experience

Class of Equipment	Type of Equipment	Dates From (M/Y) To (M/Y)	Approx # of Miles (Total)
Straight Truck
Tractor and Semi-Trailer
Tractor-Two Trailers
Tractor - Three Trailers
Motorcoach - School Bus (+8 passengers)	---
Motorcoach - School Bus (+15 passengers)	---
Other

LIST STATES OPERATED IN FOR LAST FIVE YEARS:
SHOW SPECIAL COURSES OR TRAINING THAT WILL HELP YOU AS A DRIVER:
WHICH SAFE DRIVING AWARDS DO YOU HOLD AND FROM WHOM?

EXPERIENCE AND QUALIFICATIONS – OTHER
SHOW ANY TRUCKING, TRANSPORTATION OR OTHER EXPERIENCE THAT MAY HELP IN YOUR WORK FOR THIS COMPANY

LIST COURSES AND TRAINING OTHER THAN SHOWN ELSEWHERE IN THIS APPLICATION

LIST SPECIAL EQUIPMENT OR TECHNICAL MATERIALS YOU CAN WORK WITH (OTHER THAN THOSE ALREADY SHOWN)

TO BE READ AND SIGNED BY APPLICANT
This certifies that this application was completed by me, and that all entries on it and information in it are true and complete to the best of my knowledge.

Request for Check of Driving Record

I hereby authorize you to release the following information to Glacier Park, Inc. for purposes of investigation as required by Sections 391.25 and
391.27 of the Federal Motor Carrier Safety Regulations. You are released from any and all liability which may result from furnishing such information.

5/18/2012
(Applicant’s Signature) (Date)
……………………………………………………………………………………………………………………………………………………………………..……………………
In accordance with the provisions of Sections 604 and 607 of the Fair Credit Reporting Act, Public Law 91-508, as amended by the Consumer
Credit Reporting Act of 1996 (Title II, Subtitle D, Chapter 1, of Public Law 104-208), I hereby certify the following:

1. The consumer (applicant) has authorized in writing the procurement of this report;
2. The consumer (applicant) has been informed in a separate written disclosure that a consumer report may be obtained for employment purposes;
3. The information requested below will be used for a “permissible purpose” (i.e., information for employment purposes) and will be used for no other purpose;
4. The information being obtained will not be used in violation of any federal or state equal opportunity law or regulation; and
5. Before taking an adverse action based in whole or in part on the report the consumer (applicant) will receive a copy of the requested report and the
summary of consumer rights as provided with the report by the consumer reporting agency.

I also hereby certify that this report request and the above applicant’s release notice meet the definition of “permissible uses” of state motor vehicle records
under the provisions of the Driver’s Privacy Protection Act of 1994 (Public Law 103-322, Title XXX Section 300002(a)).

_____________________________________________________ 5/18/2012
(Signature of Requester) (Date)

TO:

Dear Sir/Madam:
The following named person has made application with our company for the position of .
In accordance with Section 391.23, Federal Department of Transportation Regulations please furnish the undersigned with the applicant’s driving record for
the past three years.
The following named person is employed with our company in the position of . In
accordance with Section 391.25 Federal Department of Transportation Regulations please furnish the undersigned with the employee’s driving record for
the past year.

NAME OF APPLICANT

ADDRESS STATE ZIP

FORMER ADDRESS STATE ZIP

DATE OF BIRTH SSN

DRIVER LICENSE NO. DRIVER LICENSE STATE OF ISSUE
…………………………………………………………………………………………………………………………………………………………………………………………….

REQUESTED BY

Glacier Park, Inc ___________________________________________________________
(Name of Company) (Printed Name)

P.O. Box 147 Human Resource Representative
(Address) (Title)

East Glacier, MT 59434
(City) (State) (Zip)

05/19/09 Rev.

Safety Performance History Records Request

This page MUST be printed, competed and faxed to your previous employer.

Questionnaire

How did you hear about us? if other

Why do you want to work for GPI?

How will you use your free time?

Are you comfortable living in dorm style housing? Comments:

Please add additional comments:

Applicant EEO Survey

Glacier Park, Inc. is an equal opportunity/affirmative action employer. As a federal government contractor, we are required
to keep records and perform certain analyses of our applicants by race, ethnicity and gender. The information is treated
confidentially and is never used in making an employment decision.

Providing the information is voluntary but for any statistical analysis to be meaningful we must have information on as
many applicants as possible and it is just as important to collect this information from men and from non-minorities as it is
to obtain it from women and minority group members. We appreciate that some applicants will find this request intrusive
and we regret this. However, please be advised that we are required by the government to maintain such records and
perform such analyses; your cooperation will allow us to be accurate.

We hope that you will provide the requested information.
If you do not wish to provide this information, please check the "decline to provide" option(s).

The following designations are those currently required by the federal government.
Please mark only one sex and one race or ethnic group.

Gender

Ethnicity (see below for descriptions)

Hispanic or Latino: A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race.
White (Not Hispanic or Latino): A person having origins in any of the original peoples of Europe, the Middle East, or North Africa.
Black, or African American (Not Hispanic or Latino): A person having origins in any of the black racial groups of Africa.
Asian (Not Hispanic or Latino): A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent,
including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.
Native Hawaiian or Other Pacific Islander (Not Hispanic or Latino): A person having origins in any of the original peoples of Hawaii, Guam,
Samoa, or other Pacific Islands.
American Indian or Alaskan Native (Not Hispanic or Latino): A person having origins in any of the original peoples of North and South America
(including Central America), and who maintains tribal affiliation or community attachment.
Two or More Races (Not Hispanic or Latino): All persons who identify with more than one of the above five races.

Important

THE HEALTH AND SAFETY OF OUR EMPLOYEES IS OF THE UTMOST IMPORTANCE TO GLACIER PARK, INC. IF ACCEPTED FOR A SUMMER
POSITION, PLEASE BE AWARE THAT YOU WILL BE WORKING IN A REMOTE ENVIRONMENT AND IN ELEVATIONS IN EXCESS OF 5000 FEET
AT SOME LOCATIONS. MEDICAL FACILITIES MAY BE IN EXCESS OF 40 MILES AWAY. IF YOU HAVE REASON TO BE CONCERNED ABOUT
YOUR HEALTH, OR A MEDICAL CONDITION THAT REQUIRES REGULAR TREATMENT, WE STRONGLY ENCOURAGE YOU TO CONSULT YOUR
PHYSICIAN BEFORE APPLYING FOR EMPLOYMENT.

NOTICE:
PLEASE READ CAREFULLY BEFORE SIGNING

This Company adheres to a policy of non-discrimination with respect to age, sex, race, religion, national origin, marital status, disability, or status as a
disabled veteran, recently separated veteran, other protected veteran, or armed services service medal veteran.
In signing this application, applicant agrees that all information printed here has been read and understood and that the information provided by the
undersigned is true and complete and that any misrepresentation, falsification or willful omission may be sufficient reason for refusal of employment
or dismissal after employment.

NOTICE:

Glacier Park, Inc. desires to provide a safe, efficient and healthy workplace for all its employees. Where permitted by law applicants will be required to
pass a pre-employment drug-screening test. Employment is contingent upon successful completion of a background check.

ELECTRONIC SIGNATURES

In accordance with federal law, the parties shall execute this Agreement electronically – binding the parties to the same degree as a handwritten
signature – by using the following process to create an electronic symbol signifying intent to be legally bound. Each party must fill in the name, and
date below, and mark the box on the line marked “Electronic Signature (Check Here to Enter Into Binding Obligation).” This Agreement shall not be
binding on either party until both parties have electronically executed versions of the Agreement that are identical (apart from the electronic execution)
and delivered the same to the other party by electronic mail as an attachment. Each party shall retain a paper copy of the electronic mail and attached
executed Agreement received from the otherparty.

To Be Read & Signed by Applicant

Iauthorize you to make such investigations and inquiries of my personal, employment, financial or medical history and other related matters as may be

necessary in arriving at an employment decision. (Generally, inquiries regarding medical history will be made only if and after a conditional offer of
employment has been extended.) I hereby release employers, schools, health
care providers and other persons from all liability in responding to inquiries and releasing information in connection with my application.

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I
understand, also, that I am required to abide by all rules and regulations of the Company.

I understand that information I provide regarding current and/or previous employers may be used, and those employer(s) will be contacted, for the
purpose of investigating my safety performance history as required by 49CFR 391.23(d) and (e). I understand that I have the right to:

● Review information provided by previous employers;

● Have errors in the information corrected by previous employers and for those previous employers to resend

the corrected information to the prospective employer; and

● Have a rebuttal statement attached to the alleged erroneous information, if the previous employer(s) and I

cannot agree on the accuracy of the information.

Applicant Signature

Applicant's Electronic Signature* Electronic Signature(Check here to enter into binding obligation) Date 5/18/2012

Always practice safety on the job and in the National Park.