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Job Application Form

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EMPLOYMENT APPLICATION
APPLICANT INFORMATION
* First Name

* Last Name

M.I.

* Street Address

* Apartment/Unit #

* City

* State

* Zip

* Phone

* E-mail Address

How did you hear about us?

Are you seeking part time/full time?

Desired Salary

* Position Applied for

Are you over 18 years old?
YesNo

Are you legally eligible for employment in the United States?
(If offered employment, you will be required to provide documentation to verify eligibility.)
YesNo

Have you ever been employed by us before?
YesNo

If so, when?

Do you have relatives who work/or have worked in the past at Honor’s Haven Resort & Spa?
YesNo

If so, who?

Are you able to perform the essential functions of the job for which you are applying with or without reasonable accommodation?
YesNo

If no, explain

Have you ever been convicted of a criminal offense, felony or misdemeanor?
Note: An affirmative answer will not necessarily result in disqualification for employment.
YesNo

If yes, explain



EDUCATION
Please indicate education or training which you believe qualifies you for the position you are seeking.
High School : Number of Years Completed 1234
Diploma : YesNo
G.E.D. : YesNo

School(s)

City / State

College and/or Vocational School : Number of Years Completed 1234
School(s)

City / State

Major

Degrees Earned

Other Training or Degrees :
School(s)

City / State

Course

Degree or Certificate Earned

PROFESSIONAL LICENSE OR MEMBERSHIP :
Type of License(s) Held :

Other Professional Memberships

(You need not disclose membership in professional organizations that may reveal information regarding race, color, creed, sex, religion, national origin, ancestry, age, disability, marital status, veteran status or any other protected status.)



REFERENCES
Please list three PROFESSIONAL references (not related to you)

* Full Name

* Relationship

* Company

* Phone

Full Name

Relationship

Company

Phone

Full Name

Relationship

Company

Phone



EMPLOYMENT
List last employer first, including U.S. Military Service

* Company

* Phone

* Address

* Supervisor

* Job Title

* Starting Salary

* Ending Salary

* Responsibilities

* From

* To

* Reason for Leaving

Company

Phone

Address

Supervisor

Job Title

Starting Salary

Ending Salary

Responsibilities

From

To

Reason for Leaving

Company

Phone

Address

Supervisor

Job Title

Starting Salary

Ending Salary

Responsibilities

From

To

Reason for Leaving

May we contact your previous supervisor for a reference? YesNo
Explain any gaps in work history:



APPLICANT'S CERTIFICATION AND AGREEMENT

I hereby certify that the facts set forth in the above employment application are true and complete to the best of my knowledge and authorize Honor’s Haven Resort & Spa to verify their accuracy and to obtain reference information on my work performance. I hereby release Honor’s Haven Resort & Spa from any/all liability of whatever kind and nature which, at any time, could result from obtaining and having an employment decision based on such information.

I understand that, if employed, falsified statements of any kind or omissions of facts called for on this application shall be considered sufficient basis for dismissal.

I understand that should an employment offer be extended to me and accepted that I will fully adhere to the policies, rules and regulations of employment of the Employer. However, I further understand that neither the policies, rules, regulations of employment or anything said during the interview process shall be deemed to constitute the terms of an implied employment contract. I understand that any employment offered is for an indefinite duration and at will and that either I or the Employer may terminate my employment at any time with or without notice or cause.

By checking the box, I certify that I have read the above statement and agree to the terms stated herein.

* Name
* Date

Resume


The file size must be less than or equal to 8 MB.


Honor’s Haven Resort & Spa is an equal opportunity employer and does not discriminate against otherwise qualified applicants
on the basis of race, color, creed, religion, ancestry, age, sex, marital status, national origin, disability or handicap, or veteran status.