Kokomo Conference Center Employment Application

Kokomo Conference Center Employment Application

Please complete this application form to apply for employment opportunities at Kokomo Conference Center.
First Name:*
Middle Name:
Last Name:*
Street Address:*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Address Line 2:
City:*
State:*
Zip/Postal Code:*
Phone:*
Please enter a valid phone number.Format: (000) 000-0000.
Email Address:*
example@example.com
Date of Birth:*

MonthDayYear
Date
Are you a Student?*

YesNo
Are you Currently Employed?*

YesNo
Position Desired (Select up to 2)*

Director of Sales & MarketingExecutive ChefDirector of OperationsSales & Event CoordinatorChief Maintenance EngineerBartenderLine CookServerSet UpJanitorialDishwasher
Available Start Date:*

MonthDayYear
Date
Availability (Check all days you are available to work)*

SundayMondayTuesdayWednesdayThursdayFridaySaturday
Have you ever been convicted of a felony?*

YesNo
Have you ever applied for employment with us?*

YesNo
Desired status:*

Full TimePart Time
Are you legally eligible to work in the United States?*

YesNo
Are you willing to work weekends?*

YesNo
Other Special Training or Skills:
Education
- College Name:
- College Address:
- Course of Study:
- Years Completed:
- Did you graduate?
  
  YesNo
- Degree or Diploma:
- High School Name:*
- High School Address:*
- Years Completed:*
- Did you graduate?*
  
  YesNo
- Employment History
  
  Start with your most recent employer — list two.
- Employer Name:*
- Employer Address:*
  
  Street Address
  
  Street Address Line 2
  CityState / ProvincePostal / Zip Code
- Employer Phone Number:*
  Please enter a valid phone number.Format: (000) 000-0000.
- Position Held:*
- Supervisor’s Name:*
- Dates Employed (From / To):*
- Starting Wage:
- Ending Wage:
- Reason for Leaving:*
- May we contact this employer?*
  
  YesNo
- Employer Name:*
- Employer Address:*
  
  Street Address
  
  Street Address Line 2
  CityState / ProvincePostal / Zip Code
- Employer Phone Number:*
  Please enter a valid phone number.Format: (000) 000-0000.
- Position Held:*
- Supervisor’s Name:*
- Dates Employed (From / To):*
- Starting Wage:
- Ending Wage:
- Reason for Leaving:*
- May we contact this employer?*
  
  YesNo
- Statement
  
  I certify that the information provided in this application is true and complete to the best of my knowledge.
- Signature:*
- Date:*
  
  MonthDayYear
  Date
- Should be Empty:

Kokomo Conference Center Employment Application

Education

Employment History

Statement