IBP Job Application Form

Job Application
It is the policy of Island Breeze to offer equal employment opportunities to all qualified applicants and employees without regard to race, color, age, religion, sex, sexual orientation, national origin, marital status, disability, veteran status, or any other characteristics protected by law. This policy applies to all areas of employment, including recruitment, hiring, training and development, promotion, transfer, termination, layoff, compensation, benefits, and other terms, conditions and privileges of employment. Applicants are encouraged to request any reasonable form of accommodation that may be required to participate in the application process.

*ALL APPLICANTS ARE REQUIRED TO PROVIDE A HEAD SHOT PICTURE WITH THEIR APPLICATIONS

73-5560 Kopiko St. #C7-161 Kailua Kona, Hawaii 96740(808) 329-8111 info@ibphawaii.com
Head Shot*

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Full Name*

First NameMiddle NameLast Name
Birth Date*

MonthDayYear
Email Address*
example@example.com
Phone Number*
Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Position Applied*
How did you hear about us
Available Start Date*

MonthDayYear
Date
Desired Salary
What is your current employment status?*

EmployedUnemployedSelf-EmployedStudent
Are you a citizen of the United States?*

YesNo
Are you authorized to work in the U.S.?

YesNo
Have you ever applied or worked with this company?*

YesNo
If yes, when?
What days are you available to work?*

SundayMondayTuesdayWednesdayThursdayFridaySaturday
Attach Resume

Cancelof

References
Reference 1 Full Name

First NameLast Name
Company/Relationship
Email
example@example.com
Phone Number
Please enter a valid phone number.
Reference 2 Full Name

First NameLast Name
Company/Relationship
Email
example@example.com
Phone Number
Please enter a valid phone number.
Reference 3 Full Name

First NameLast Name
Company/Relationship
Email
example@example.com
Phone Number
Please enter a valid phone number.

Education
High School/Address
Dates Attended/Degree Received
College/Address
Dates Attended/Degree Received
Other/Address
Dates Attended/Degree Received

Previous Employment
Company Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Job Title & Responsibilities
Dates worked at this company
Reason for leaving
Starting Salary/Ending Salary
May we contact your previous supervisor for a reference?

YesNo
Supervisor

Military
If yes, which branch?
Have you ever served in the military?*

YesNo

Disclaimer and Signature
I certify that all information on this application and any other material provided in conjunction with my application is true and complete and I understand that any misrepresentation or omission of information may disqualify me from employment consideration and will be considered justification for dismissal whenever discovered, if I am employed. I hereby authorize Island Breeze to contact any persons, educational institutions, employers, and other organizations including, but not limited to those named herein (and in your resume, if any) regarding any information contained herein or that may be relative to your employment, and I hereby consent to their providing job related or other relevant information about me and release the company from any damage or liability that may arise from the utilization of such information.

I understand that if I am hired, I will be required to conform to each of the policies and procedures maintained by Island Breeze. Further, I understand that Island Breeze follows an “employment atwill” policy, and that in the event I am hired, I or Island Breeze may terminate the employment relationship at any time, for any reason, with or without prior notice, and that this “employment atwill” policy cannot be changed unless the change is specifically authorized in writing by Island Breeze. I further understand that this application is not a contract of employment, or a contract with respect to the terms of employment.
Signature*

Clear
Date Signed*

MonthDayYear
Date
Should be Empty: