Hourly Employment Application

Position Applying For:

Full Time or Part Time?

Date Available to Work:

Last Name (required)

First Name (required)

Middle Initial

Street Address (required)

City (required)

State (required)

ZIP (required)

Contact Phone Number (required)

Email (required)

Referred By:

Are you a citizen of the United States?

Have you ever been convicted of a felony?

How will you get to and from work?

Are you at least 16 years of age?

Are you at least 18 years of age?

The job for which you are applying may require work on Saturdays, Sundays and holidays. Are you willing to work such a schedule?

Education

Select the highest grade completed.

Elementary School

High School

College

Whom may we contact in case of emergency?

Name

Address

Home Telephone

Work Telephone

Employment Record

Please list every employer, including part time. Start with present or most recent employer. Please explain any gaps in your employment record greater than six months. If you have a resume, it is not necessary to complete this section.

Present Employer or Last Place Worked

Address and Telephone Number

Date Started

Date Left

Position or Positions Held

Immediate Supervisor

Starting Salary

Ending Salary

Reason for Leaving

Second Last Place Worked

Address and Telephone Number

Date Started

Date Left

Position or Positions Held

Immediate Supervisor

Starting Salary

Ending Salary

Reason for Leaving

Third Last Place Worked

Address and Telephone Number

Date Started

Date Left

Position or Positions Held

Immediate Supervisor

Starting Salary

Ending Salary

Reason for Leaving

Fourth Last Place Worked

Address and Telephone Number

Date Started

Date Left

Position or Positions Held

Immediate Supervisor

Starting Salary

Ending Salary

Reason for Leaving

References

Please list the names of three persons familiar with your character, ability or education for more than one year. Please do not include friends or relatives.

Reference 1 Name

Position

Company Name/Address/Phone

Reference 2 Name

Position

Company Name/Address/Phone

Reference 3 Name

Position

Company Name/Address/Phone

I certify that the information contained in this application for employment is true, correct, and complete and I hereby grant Spinnerstown Hotel, Inc. permission to verify the information contained herein. I release Spinnerstown Hotel, Inc. and all previous employers from any and all liability resulting from such investigation. I understand that the giving of false information or the failure to give complete information requested herein shall constitute grounds, among others, for rejection of my application and immediate termination in the event that I am hired. I recognize that my employment is conditioned upon the receipt of satisfactory recommendations from former employers and references.

I understand that this application for employment and any other documents issued by Spinnerstown Hotel, Inc. are not contracts of employment and I recognize that I am free to terminate my employment upon reasonable notice and that I may be terminated by Spinnerstown Hotel, Inc. for any reason. Upon my termination from Spinnerstown Hotel, Inc. I authorize the release of reference information of my work.

I understand that the management of Spinnerstown Hotel, Inc. retains the discretion to add to or change the duties/major functions of my position at any time.

Date

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