Which position are you applying for?
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Seasonal Housekeeper
Seasonal Building & Grounds
Full Name
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First Name
Middle Name
Last Name
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
E-mail
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example@example.com
Day Time Phone
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-
Area Code
Phone Number
Referred By
First Name
Last Name
Date You Are Available to To Work
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-
Month
-
Day
Year
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Hourly Rate Desired:
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Are You Legally Eligible to Work in the U.S.?
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Yes
No
Have you ever been convicted of a felony? (Convictions will not necessarily disqualify an applicant for employment.)
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Yes
No
If yes, please explain:
How Many Hours Do You Want to Work Per Week?
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0-10
10-20
20-30
30-40
40+
Are you available to work weekends?
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Yes
No
Do you have previous experience in this position?
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Yes
No
Are you available to work between the hours of 9:00AM and 4:00PM daily?
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Yes
No
WORK HISTORY / EXPERIENCE
Please list your 3 most current work history/experience
Employer's Name (Most current)
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Position Held
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Supervisor's Name
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Telephone
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-
Area Code
Phone Number
Reason for Departure
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Duties
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Start Date
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-
Month
-
Day
Year
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End Date
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-
Month
-
Day
Year
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May we contact this employer? (please check one)
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YES
NO
If NO, reason why not
(2) Employer's Name
Position Held
Supervisor's Name
Telephone
-
Area Code
Phone Number
Reason for Departure
Duties
Start Date
-
Month
-
Day
Year
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End Date
-
Month
-
Day
Year
Date Picker Icon
May we contact this employer? (please check one)
YES
NO
If NO, reason why not
(3) Employer's Name
Position Held
Supervisor's Name
Telephone
-
Area Code
Phone Number
Reason for Departure
Duties
Start Date
-
Month
-
Day
Year
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End Date
-
Month
-
Day
Year
Date Picker Icon
May we contact this employer? (please check one)
YES
NO
If NO, reason why not
QUALIFICATIONS
Please list any education or training you feel relates to the position applied for that would help you perform the work, such as schools, colleges, degrees, vocational or technical programs, and military training.
Education
School Name
Degree
Address/City/State
School
School
School
REFERENCES
Please list three professional references not related to you, with full name, address, phone number, and relationship. If you don’t have three professional references, then list personal, unrelated references.
Reference (1) Name
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Reference (1) Telephone
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-
Area Code
Phone Number
Reference (1) Relationship to you
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Reference (2) Name
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Reference (2) Telephone
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-
Area Code
Phone Number
Reference (2) Relationship to you
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Reference (3) Name
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Reference (3) Telephone
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-
Area Code
Phone Number
Reference (3) Relationship to you
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I certify that the facts set forth in this Application for Employment are true and complete to the best of my knowledge. I understand that if I am employed, false statements, omissions or misrepresentations may result in my dismissal. I authorize the Employer to make an investigation of any of the facts set forth in this application and release the Employer from any liability. The employer may contact any listed references on this application.
I acknowledge and understand that the company is an “at will” employer. Therefore, any employee (regular, temporary, or other type of category employee) may resign at any time, just as the employer may terminate the employment relationship with any employee at any time, with or without cause, with or without notice to the other party.
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