Careers | FIND Outdoors

First Name

Last Name

Please enter email provided on original application.

Contract Accepted

Please review and accept contract.

Policies Received and Accepted

I have received the CFAIA Employee Handbook - Personnel Policies and Procedures, as well as the Sexual Harrassment and Prohibited Discriminatory Practices and agree to abide by these policies.

Primary Contact

In case of emergency, please use the following as my primary contact. Please list name, relationship and contact information.

Primary Contact Phone

Primary Contact Relationship

Secondary Contact

In case of emergency, please use the following as my secondary contact. Please list name, relationship and contact information.

Secondary Contact Phone

Please put phone number of your secondary contact

Secondary Contact Relationship

Please state relationship to secondary contact

Post Offer Medical Questionnaire

Employee Affirmation:

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.

Height

Please type in your height in feet and inches.

Weight

Please type in your weight.

Sex

Male

Female

Do you now have, or have you ever had, and of the following?

Epilepsy (convulstions, seizures)

Yes

Diabetes

Yes

Cardiac disease

Yes

Meniscectomy (inflamation of cartilage of certain joints - e.g., knee)

Yes

Amputation of foot, leg, arm or hand

Yes

Total loss of sight in one or both eyes, or a partial loss of corrected vision of more than 75% biaterally

Yes

Polio (poliomyelitis)

Yes

Cerebral palsy

Yes

Multiple sclerosis

Yes

Parkinson's disease

Yes

Patellectomy (surgically removed kneecap)

Yes

Ruptured cruciate ligament (knee ligament)

Yes

Hemophilia

Yes

Chronic osteomyelitis (infection in bone)

Yes

Surgical or spontaneous fusion of a major weight-bearing joint (frozen joint)

Yes

Hyperinsulinism

Yes

Muscular dystrophy

Yes

Thrombophlebitis

Yes

Herniated intervertebral disk

Yes

Surgical removal of an interverebral disk, or spinal fusion

Yes

Total deafness

Yes

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

Yes

Obesity (30% overweight)

Yes

Have you previously received workers' compensation for an on-the-job injury?

Yes

If yes, when, why and where?

Have you ever received a disability rating or had one assigned to you by an insurance company or state/federal agency?

Yes

If yes, whate percentage?

Have you ever injured or sprained your back?

Yes

If yes, did you have surgery? If you had surgery please explain.

Have you ever injured or sprained your neck?

Yes

Neck: If yes, did you have surgery? If you had surgery please explain.

Have you ever injured or sprained a knee?

Yes

Knee: If yes, did you have surgery? If you had surgery please explain.

Have you ever had any other type of surgery not mentioned above?

Yes

If yes, please explain:

Do you have arthritis?

Yes

If yes, are you on medication? If yes, which parts of the body are affected:

In order for you to work in a safe and effective manner, please advise of any current physical limitations that need to be accommodated.

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.

Signature for Health Questionnaire

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.

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?

Yes

If yes, then:

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

I Do Not Understand and Acknowledge

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.

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