EMPLOYMENT APPLICATION

Please complete the entire application.

Employer: Event Services by Marylee, LLC

Address: 56 Three Lakes Drive

City/State/ZIP: Stamford, Connecticut 06902 203-554-6069

It is the policy of Event Services by Marylee, LLC to provide equal employment opportunities to all applicants and employees without regard to any legally protected status such as race, color, religion, gender, national origin, age, disability or veteran status.

Date

Applicant Full Name*

Home Address*

City, State and Zip*

Number of years at this address*

Applicant Email Address*

example@example.com

Daytime phone*

Evening phone*

Mobile phone*

Social Security Number

Driver's License (State/Number)*

3. Job Position Applied for:*

Who referred you to our company?

Do you have any friends or relatives who work here? If yes, please list here

Have you applied to our company previously?*

YesNo

If yes, when?

Are you at least 18 years old?*

YesNo

Are you willing to work any shift, including nights and weekends?*

YesNo

If no, please state any limitations

If you are offered employment, when would you be available to begin work?*

If hired, are you able to submit proof that you are legally eligible for employment in the United States?*

NoYes

11. Are you able to perform the essential functions of the job position you seek with or without reasonable accommodation (lifting up to 50 lbs., standing long periods and carry items while walking?*

YesNo

What reasonable accommodation, if any, would you request?

List any licenses and/or certifications that are required and/or preferred for performing the role i.e. ServeSafe –food safety, TiPS – alcohol awareness, etc

Are you able to provide your own transportation to and from events?*

Yes, I can provide my own transportation to and from eventsNo, I do not have my own transportation.

13. Applicant Employment History

Please include current employment and most recent relevant catering/service experience. Please list your applicable experience for each position you are applying for. If additional space is needed, continue on the back page of this application.

Employer Name*

Supervisor Name*

Address*

City / State/ Zip*

Job Duties*

Reason for Leaving*

Dates of Employment (Month/Year)*

Employer Name

Supervisor Name

Address

City / State / Zip

Job Duties

Reason for Leaving

Dates of Employment (Month/Year)

Employer Name

Supervisor Name

Address

City / State / Zip

Job Duties

Reason for Leaving

Dates of Employment (Month/Year)

College/University Name and Address

Did you receive a degree?

YesNo

Did you receive a degree?

High School/GED Name and Address*

Did you receive a degree?*

YesNo

Other Training (graduate, technical, vocational)

Awards, Honors, Special Achievements

List any two non-relatives who would be willing to provide a reference for you.

Name*

Address*

City/State/ZIP*

Telephone*

Relationship*

Name*

Address*

City/State/ZIP*

Telephone*

Relationship*

I certify that the information provided on this application is truthful and accurate. I understand that providing false or misleading information will be the basis for rejection of my application, or if employment commences, immediate termination. I authorize Event Services by Marylee, LLC to contact former employers and educational organizations regarding my employment and education. I authorize my former employers and educational organizations to fully and freely communicate information regarding my previous employment, attendance, and grades. I authorize those persons designated as references to fully and freely communicate information regarding my previous employment and education.

If an employment relationship is created, I understand that unless I am offered a specific written contract of employment signed on behalf of the organization by its President, the employment relationship will be "at-will." In other words, the relationship will be entirely voluntary in nature, and either I or my employer will be able to terminate the employment relationship at any time and without cause. With appropriate notice, I will have the full and complete discretion to end the employment relationship when I choose and for reasons of my choice. Similarly, my employer will have the right. Moreover, no agent, representative, or employee of Event Services by Marylee, LLC, except in a specific written contract of employment signed on behalf of the organization by its President, has the power to alter or vary the voluntary nature of the employment relationship. Event Services by Marylee, LLC reserves the right to use any anonymous photographs of events for promotional purposes without compensation or acknowledgement.

I HAVE CAREFULLY READ THE ABOVE CERTIFICATION AND I UNDERSTAND AND AGREE TO ITS TERMS.*

Today's Date*

Date

EMPLOYMENT APPLICATION

Employer Information

Applicant Information

Licenses and Certifications

Applicant's Education and Training

References

CERTIFICATION: