Join Our Team Mainely Provisions Employment Application Name * First Last * Last Phone Email * Address * Address Address Address City City State/Province State/Province Zip/Postal Zip/Postal Country Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Bulgaria Burkina Faso Burundi Côte d'Ivoire Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Croatia Cuba Curacao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern Mariana Islands Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Saint Barthelemy Saint Helena, Ascension and Tristan da Cunha Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten (Dutch part) Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Korea South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Country Do you have a Drivers License? No Yes License Class * License Number * Any further permissions, restrictions, or endorsements on your license? If so, what are they? How did you hear about us? * Our Website Google Search Job Site (Indeed, ZipRecruiter, etc.) Emails Friends Employee Rafting with Three Rivers Social Media OtherOther Date available to start work * Highest level of education * Highschool / GED Professional or Trade Certificate Some College Associate's Degree Bachelor's Degree Master's Degree High School - Date Graduated College - Date Graduated Special Certifications / Skills What are your hobbies & interests? Attach Resume Drop a file here or click to upload Choose File Maximum upload size: 2.1MB Attach Cover Letter Drop a file here or click to upload Choose File Maximum upload size: 2.1MB Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status? Yes No Are there are any positions for which you should not be considered, or duties you cannot perform due to any impairment, physical, mental, or medical? Yes No May we contact your present employer? Yes No Are you 18 years or older? Yes No Do you consent to a background check if employment if offered? Yes No How did you hear about this job opening? Do you know anyone that works here? I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for Mainely Provisions to hire me. If I am hired, I understand that it is “at will employment.” I attest with my signature below that I have given true and complete information on this application. No requested information has been concealed. I authorize Mainely Provisions to contact references provided for employment reference checks. I understand that I am consenting to a background check if I am offered employment. If any information I have provided is untrue, or if I have concealed material information, I understand that this will constitute cause for the denial of employment or immediate dismissal. I Understand I Do Not Understand If you are human, leave this field blank. Submit
