San Diego Hotel Employment Form

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Employment Form

*required information

* Job Applied For:

* Name of Hotel:

How did you hear about this job?: Referral On-line Job Posting Newspaper Bartell Website

What type of employment are you seeking: Full-time Part-time Temporary or Summer

Personal Data

* First Name:

* Middle Name:

* Last Name:

* Cell/Telephone Number:

Present Street Address:

* Email Address:

City:

State:

Zip Code:

Emergency Contact Name:

Emergency Contact Address:

Emergency Contact Telephone Number:

If hired, can you provide proof that you are a citizen or national of the United States, a lawful permanent resident or an alien authorized to work in the U.S.?: Yes No

References

Please give the name, address, phone and occupation for three references.

Reference 1:

Reference 2:

Reference 3:

Health

Can you perform the essential functions of the job for which you are applying, as described in the applicable job description provided with this application, with or without reasonable accommodation?: Yes No

If no, please explain:

General

Were you ever employed here?: Yes No

If yes, when?:

Have you ever applied here before?: Yes No

If yes, when?:

Have you ever been convicted of a felony?: Yes No

If yes, please provide details. (A conviction will not necessarily disqualify an applicant from employment.):

For Driving Jobs Only:

Do you have a valid drivers license?: Yes No

Drivers License Number:

Class of License:

Have you had your drivers license suspended or revoked in the last 3 years?: Yes No

How many traffic citations have you received in the last two years?:

Education

High School Name, Address and Location (or date GED completed):

Highest Grade Completed:

Did You Graduate?: Yes No

College or University Name, Address and Location:

College Major:

Degree:

Highest Grade Completed:

Did You Graduate?: Yes No

College or University Name, Address and Location:

College Major:

Degree:

Highest Grade Completed:

Did You Graduate?: Yes No

Additional Education and/or Vocational or Technical Training School Name, Address and Location:

Courses Taken:

Did You Complete?:

Additional Education and/or Vocational or Technical Training School Name, Address and Location:

Courses Taken:

Did You Complete?:

Additional Education and/or Vocational or Technical Training School Name, Address and Location:

Courses Taken:

Did You Complete?:

Work History

List your paid or unpaid work experience in consecutive order with present or last employer listed first. Account for all periods of time including military service and any period of employment. If Self-employed, give firm name and supply business references. Please give month and year.

Name, Address and Telephone of Most Recent Employer:

Title:

Duties:

Dates of Employment:

Starting Pay:

Final Pay:

Name of Last Supervisor:

Reason for Leaving:

Name, Address and Telephone of Employer 2:

Title:

Duties:

Dates of Employment:

Starting Pay:

Final Pay:

Name of Last Supervisor:

Reason for Leaving:

Name, Address and Telephone of Employer 3:

Title:

Duties:

Dates of Employment:

Starting Pay:

Final Pay:

Name of Last Supervisor:

Reason for Leaving:

Name, Address and Telephone of Employer 4:

Title:

Duties:

Dates of Employment:

Starting Pay:

Final Pay:

Name of Last Supervisor:

Reason for Leaving:

Is any additional information relative to change of name, use of assumed name, or nickname necessary to enable us to check your work record?: Yes No

If yes, please provide name(s):

Are you presently employed?: Yes No

If yes, may we contact your present employer?: Yes No

Have you ever been fired from a job or asked to resign?: Yes No

If yes, please explain:

Skills And Qualifications

Summarize any training, skills, licenses, and/or certificates that may qualify you as being able to perform job related functions for the position in which you are applying.

:

Employment Form

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4875 North Harbor Drive, 5th Floor
San Diego, CA 92106
Phone: 619-224-1556
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