Application for Employment Name * First Name Last Name Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Date of Birth * MM DD YYYY Email * Phone Number * Country (###) ### #### Are you currently enrolled in school? If "No" put "-" on all other questions Yes No If yes, where? * What days are you in school? What time? * Are you in any extracurricular activities? * If "No" put "-" on all other questions Yes No If yes, what? * Have you been employed previously? * If "No" put "-" on all other questions Yes No Currently Employed If yes, where and how long? * Do you have any climbing experience? * None Climbing Only Top Rope Belay Lead Belay How many years have you been climbing? * 0 <1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 Indoor & Outdoor? * None Indoor Outdoor Hardest Redpoint to date? * *Most difficult climb* None 5.5 5.6 5.7 5.8 5.9 5.10 5.11 5.12 5.13 5.14 5.15 5.16 Have you ever given climbing instruction? * Yes No Have you worked for another climbing gym? * If "No" put "-" on all other questions Yes No If yes, where? * Do you have any routesetting experience? * Yes No What hours can you work? * When can you begin? * How long would you like to work here? * What do you wish to get out of this job? * Thank you! We will be in touch with you soon!