Careers Step 1 Step 2 Step 3 Step 4 Step 5 Application for Employment Position Applying for ---Front DeskNight AuditorHousekeepingMaintenanceBreakfast AttendantLaundryOther If you selected other please specify the position applying for here: When would you be available to begin work? How did you hear about applying online at countryinntwoharbors.com/careers? Contact Information Name Street Address City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Zipcode Phone Number Email Next Personal Information Are you legally eligible to be employed in the United States? (Proof of identity and eligibility will be required upon employment) YesNo Are you at least 18 years or older? (If no, you may be required to provide authorization to work) YesNo Have you ever worked for this company before? YesNo Education Give record of all High Schools, Colleges, Universities and Vocational/Technical Schools you have attended. School 1 School Name & Location Did you graduate? YesNo Degree Received Subjects Studied/Major School 2 School Name & Location Did you graduate? YesNo Degree Received Subjects Studied/Major School 3 School Name & Location Did you graduate? YesNo Degree Received Subjects Studied/Major FirstPrevious Next Employment History Employer 1 Employer Name & Address Employer Phone Dates of employment Job Title Supervisor Name and title Responsibilities Reason for Leaving Salary/Hourly Rate (Start & End) May we contact this employer? YesNo Employer 2 Employer Name & Address Employer Phone Dates of employment Job Title Supervisor Name and title Responsibilities Reason for Leaving Salary/Hourly Rate (Start & End) May we contact this employer? YesNo Employer 3 Employer Name & Address Employer Phone Dates of employment Job Title Supervisor Name and title Responsibilities Reason for Leaving Salary/Hourly Rate (Start & End) May we contact this employer? YesNo FirstPrevious Next References Please provide three references (not relatives) Reference 1 Name Relationship Phone Number Reference 2 Name Relationship Phone Number Reference 3 Name Relationship Phone Number FirstPrevious Next Authorization The facts set forth in this application and any supplemental information is true to the best of my knowledge. I understand that, if employed, falsified statements on this application shall be considered sufficient cause for immediate discharge. I hereby authorize investigation of all statements contained herein and employers listed above to give you any and all information concerning my employment, and any pertinent information they may have, and release all parties from all liability for any damage that may result from furnishing the same. I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for the company to hire me. If I am hired, I understand that either the company or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of the company has the authority to make any assurance to the contrary. I understand that I am required to abide by all the rules and regulations of the company. By signing you agree with the statement above Signature Today's Date Attachments Resume FirstPrevious Δ