Application for Employment

4000 Old Seward Hwy, Anchorage AK 99503

www.farwestak.com

APPLICATION FOR EMPLOYMENT

We do not discriminate on the basis of race, color, religion, national origin, sex, age, disability, or any other status protected by law or regulation. It is our intention that all qualified applicants be given equal opportunity and that selection decisions be based on job-related factors. We reserve the right to make hiring decisions preferential to Native Alaskans and qualified shareholders. Those applicants requiring reasonable accommodation to the application and/or interview process should notify a representative of Far West, Inc.

Employment Experience

List most recent employment first. Be sure all your experience or employment related to this job are listed here, or use an extra sheet of paper if necessary.

Name and Address of Employer

Dates Employed:

From:

To:

Average Hours per Week

Reason for leaving

Supervisor's Name, Title, and Phone

May we contact for references?
YesNoLater

Your Position Title

Summarize the type of work performed and job responsibilities:

Name and Address of Employer

Dates Employed:

From:

To:

Average Hours per Week

Reason for leaving

Supervisor's Name, Title, and Phone

May we contact for references?
YesNoLater

Your Position Title

Summarize the type of work performed and job responsibilities:

Name and Address of Employer

Dates Employed:

From:

To:

Average Hours per Week

Reason for leaving

Supervisor's Name, Title, and Phone

May we contact for references?
YesNoLater

Your Position Title

Summarize the type of work performed and job responsibilities:

Professional References

Please list five (3) professional references; (2) of the references must not be related to you.

Name

Years Known

Type

Relationship

Telephone Number

Name

Years Known

Type

Relationship

Telephone Number

Name

Years Known

Type

Relationship

Telephone Number

Name

Years Known

Type

Relationship

Telephone Number

Name

Years Known

Type

Relationship

Telephone Number

Additional Information

I am skilled in operating the following office equipment and/or software programs (check all that apply). Indicate level of skill by marking L (limited), I (intermediate), or A (advanced) next to the program:

MS Excel

Unanet

QuickBooks

Other Accounting Programs

Typing speed (wpm)

Adobe Pro

Other Computer Systems

Others(list)

What skills or additional training do you have that are related to the job for which you are applying?

List professional, trade, business or civic activities and offices held. (Exclude labor organizations and memberships which reveal race, color, religion, national origin, sex, age, disability, or other protected status.):

If employed, do you expect to be engaged in any additional business or employment outside of our job? If yes, please give details:

Why would you like to work for Far West, Inc.?

Do you have an Alaska Driver's License? YesNo

Do you have a reliable mode of transportation? YesNo

Have you ever been convicted of a felony? YesNo

Have you been convicted of a misdemeanor within the past 5 years? YesNo

If yes to one or both of the above questions, you must explain in detail below. If felony, include a copy of your judgement. Explanation if answered Yes to felony or misdemanor:

Do you have a relative who works for Far West, Inc., or any other subsidiary? YesNo

If yes, please list them:

Do you know anyone, other than a relative, who works for Far West, Inc., or any other subsidiary? YesNo

If yes, please list them:

Upload a resume with cover letter (optional)

CERTIFICATE OF APPLICANT

I hereby certify that all information made on, or in connection with, this application is true and complete to the best of my knowledge and belief. I hereby authorize and request any former employers, personal references including, but not limited to, friends or associates, schools, police and court personnel, credit agencies, and any other person to furnish Far West, Inc. any information or opinions concerning my work habits, reasons for termination, eligibility for rehire, salary information, character information, criminal history, driving records, and credit history or any other relevant information requested by Far West, Inc.

I understand that any misrepresentation or concealment of material fact will be sufficient grounds for rejection of my application, or removal from employment. The Applicant understands that Far West, Inc.'s acceptance of this Application is not an offer, promise or contract of employment. Far West, Inc. does not represent or warrant that Applicant will be able to obtain employment by submission of this Application.

Signature

Date

VOLUNTARY AFFIRMATIVE ACTION STATISTICAL INFORMATION

Our company asks that all applicants and employees fill out this form, but it is not required to obtain employment and it will not subject the applicant or employee to any adverse treatment. It is necessary to record this information in order to comply with federal, state, and local fair employment practice laws. This information will be kept confidential and maintained separately from your application form.

It will be used only in accordance with federal requirements. Subject to the Far West, Inc. shareholder hire policy, all qualified applicants and employees will receive consideration for employment opportunities without regard to race, color, religion, national origin, sex, age, physical handicap, veteran or marital status, pregnancy, or parenthood. Inquiries concerning the application of federal, state, and/or local regulations and this requested information may be directed to this office.

Date

Full Legal Name (including middle initial)

Other names previously worked under:

Address

Position(s) applied for or currently held:

Date of Birth:

Sex: FemaleMale

Please check the appropriate spaces:

Alaska NativeAmerican IndianAsianBlackCaucasianHispanic

Other

Indicate Veteran status, if applicable:

VeteranDisabled VeteranNone

Please check one of the following:

DisabilityNo Disability

Thank you for your assistance with our EEO reporting requirements.

SHAREHOLDER INFORMATION

I am a Far West, Inc. shareholder: YesNo

I am a direct relative of a Far West, Inc. shareholder: YesNo

If yes, who is your relative:

I am a Native shareholder of ______________ Corporation.