Employment Application

Applicant Information

First Name*

Last Name*

Middle Name

If any of your educational or employment records are under any name(s) other than that shown above, please provide the name(s) under which these records may be located:

Street Address*

Address (line 2)*

City*

State/Province*

Other State/Province

Zip Code*

Home Phone*

Cell Phone*

eMail*

General Information

Position Applying For

Are you at least 18 years of age or older?

How did you learn about this employment opportunity?

Are you available for overtime?

Have you previously applied for employment with Holiday Inn Hartford Downtown Area?

Employment Status Desired (Check all that apply):

Full-Time
Part-Time
Temporary

Are you employed now?

If so, Date available (MM/DD/YYYY)

Salary/Wages Desired

Are you legally authorized to work in the country to which you are applying? (Candidates for employment in the United States, in compliance with federal law, will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire).

SINCE YOUR 18TH BIRTHDAY HAVE YOU EVER BEEN CONVICTED OR PLED GUILTY TO ANY FELONY OR MISDEMEANOR OTHER THAN A MINOR TRAFFIC VIOLATION

When completing this section, do not disclose information regarding convictions that have been judicially sealed, expunged, eradicated, impounded or dismissed. Do not disclose information regarding juvenile court convictions or minor traffic violations. A conviction record does not automatically bar you from employment. All of the job-related circumstances surrounding convictions will be considered.

1. FELONY:
2. MISDEMEANOR:
3. ARE THERE CURRENTLY CHARGES PENDING?
4. ARE YOU CURRENTLY ON PROBATION?
5. IF YOU ANSWERED YES TO ANY OF THE QUESTIONS ABOVE, PLEASE EXPLAIN BELOW

If yes, list dates, location (city, state and county), violation(s) and outcome below (Includes all criminal laws i.e. petty misdemeanors, misdemeanors, gross misdemeanors, felonies, ordinance violations, DWI/DUI/BW, etc.).

Explanation of Convictions (if applicable):

Employment History:

Starting with current or most recent, list all employers past and present. Include self-employment and summer and part-time jobs.

Current or Most Recent Employer

Company Name

Telephone

Type of Business

Street Address

City

State/Province

Other State/Province

Zip Code

May We Contact?

Base Pay (annual)

Start $

Last $

Other Compensation (Shift Premium, Bonus)

Name and Title of Immediate Supervisor

Date Hired (MM/DD/YYYY)

Date Separated (MM/DD/YYYY)

Reason for Leaving

State Current/Last Job Title and Describe Your Work

2nd Previous Employer

Company Name

Telephone

Type of Business

Street Address

City

State/Province

Other State/Province

Zip Code

May We Contact?

Base Pay (annual)

Start $

Last $

Other Compensation (Shift Premium, Bonus)

Name and Title of Immediate Supervisor

Date Hired (MM/DD/YYYY)

Date Separated (MM/DD/YYYY)

Reason for Leaving

State Current/Last Job Title and Describe Your Work

3rd Previous Employer

Company Name

Telephone

Type of Business

Street Address

City

State/Province

Other State/Province

Zip Code

May We Contact?

Base Pay (annual)

Start $

Last $

Other Compensation (Shift Premium, Bonus)

Name and Title of Immediate Supervisor

Date Hired (MM/DD/YYYY)

Date Separated (MM/DD/YYYY)

Reason for Leaving

State Current/Last Job Title and Describe Your Work

Education Information

High School

School Name	Location of School	Years Completed	Diploma or Degree

College or University

School Name	Location of School	Years Completed	Diploma or Degree

College or University

School Name	Location of School	Years Completed	Diploma or Degree

Training in Specialty Areas

Describe any other education, training, skills, language proficiencies, or certificates you possess which are relevant to the position for which you have applied

Do you hold professional licensure/certification?

List all methods, techniques, equipment and computer software applications with which you are proficient and which are relevant to the job for which you have applied

References

List current and former co-workers, colleagues and/or professional acquaintances not related to you (other than those persons listed previously) who can provide first-hand knowledge of your qualifications and abilities. Holiday Inn may contact these references in connection with its consideration of your credentials.

Name	Relationship to You	Occupation and Title	Phone Number	Years Known

Name	Relationship to You	Occupation and Title	Phone Number	Years Known

Name	Relationship to You	Occupation and Title	Phone Number	Years Known

"BY CLICKING SUBMIT BELOW, I CERTIFY THAT ALL THE INFORMATION SUBMITTED BY ME ON THIS APPLICATION IS TRUE AND COMPLETE, AND I UNDERSTAND THAT IF ANY FALSE INFORMATION, OMISSIONS, OR MISREPRESENTATIONS ARE DISCOVERED, MY APPLICATION MAY BE REJECTED, OR IF EMPLOYED, MY EMPLOYMENT MAY BE TERMINATED AT ANY TIME. SCREENING SERVICES TO INCLUDE INTERNET SEARCHES SHALL BE PURSUANT TO A PERMISSIBLE PURPOSE AND IN COMPLIANCE WITH ALL APPLICABLE STATE, FEDERAL AND LOCAL LAWS AND REGULATIONS. IN CONSIDERATION OF MY EMPLOYMENT, I AGREE TO CONFORM TO THE COMPANY’S RULES AND REGULATIONS, AND I AGREE THAT MY EMPLOYMENT AND COMPENSATION MAY BE TERMINATED, WITH OR WITHOUT CAUSE, AND WITH OR WITHOUT NOTICE, AT ANY TIME, AT EITHER MY OR THE COMPANY'S OPTION. I ALSO UNDERSTAND AND AGREE THAT THE TERMS AND CONDITIONS OF MY EMPLOYMENT MAY BE CHANGED, WITH OR WITHOUT CAUSE, AND WITH OR WITHOUT NOTICE, AT ANY TIME BY THE COMPANY. I UNDERSTAND THAT NO COMPANY REPRESENTATIVE, OTHER THAN ITS PRESIDENT, AND THEN ONLY WHEN IN WRITING AND SIGNED BY THE PRESIDENT, HAS ANY AUTHORITY TO ENTER INTO ANY AGREEMENT FOR EMPLOYMENT FOR ANY SPECIFIC PERIOD OF TIME, OR TO MAKE ANY AGREEMENT CONTRARY TO THE FOREGOING.

Just making sure you're human:

In what state is Holiday Inn Hartford located?

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Applicant Information

General Information

Employment History:

Education Information

References