Restaurant Application Form

Application for Employment

94 Plaine Hill Road, Woodstock, CT 06281 Phone 860-928-0528
The Inn at Woodstock Hill is an equal opportunity employer. This application will not be used for limiting or excluding any applicant from consideration for employment on a basis prohibited by local, state, or federal law. Should an applicant need reasonable accommodation in the application process, he or she should contact a company representative.

Pre-Employment Questionnaire
Full Name*

First NameMiddle InitialLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail*
Phone Number*

Area CodePhone Number
Available start date:*

MonthDayYear
Are you authorized to work and remain in the United States?

YesNo
Have you ever been convicted of any violation of the law? (Exclude traffic violations) A conviction will not necessarily disqualify an applicant from the position sought.

YesNo
If Yes, Explain:

Availability, Check the shifts you are available

	AM	PM
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

Position Apply For*
Education:
Are you a High School Graduate?

YesNo
High School Equivalency?

YesNo
Are you presently attending school?

YesNo
Type of Education
Employment History

Beginning with your present or most recent experience, account for all employment during the past five (5) years. To elaborate, a supplemental sheet or resume may be attached, but cannot be substituted for a completed application. Include military service if applicable.
Name of Employer:
Job Title:
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
Supervisor:
Date started

MonthDayYear
Date ended

MonthDayYear
Reason for Leaving:
Description of Duties:
Do you have additional employers to enter?

YesNo
Name of Employer:
Job Title:
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
Supervisor:
Date started

MonthDayYear
Date ended

MonthDayYear
Reason for Leaving:
Description of Duties:
Inquiry may be made of your current and former employers/schools you attended.
May we contact your present employer?

YesNo
May we contact your former employers?

YesNo
Personal References
Full Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Business or Occupation
Phone Number

Area CodePhone Number
Upload Resume

Upload a File

Cancelof
Upload a Self Image
STATEMENT AND ACKNOWLEDGEMENT OF AT-WILL EMPLOYMENT

The relationship between you and the Inn at Woodstock Hill is referred to as "employment at will." This means that, your employment can be terminated at any time for any reason, with or without cause, with or without notice, by you or the Inn at Woodstock Hill. No representative of The Inn at Woodstock Hill has authority to enter into any agreement contrary to the foregoing "employment at will" relationship. You understand that your employment is "at will," and that you acknowledge that no oral or written statements or representations regarding your employment can alter your at-will employment status, except, for a written statement signed by the Innkeeper of The Inn at Woodstock Hill.
Attestation

By signing below, I hereby certify that the statements and information included in my application are true and correct to the best of my knowledge and belief, and I authorize The Inn at Woodstock Hill to investigate all statements or other information contained in this application and any attachments submitted with it. I understand and agree that any misrepresentation, falsification, or material omission of information on this application may result in my immediate termination of employment.
Signature

Clear
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Should be Empty:

Application for Employment

Education:

Employment History

Personal References

STATEMENT AND ACKNOWLEDGEMENT OF AT-WILL EMPLOYMENT

Attestation