Online Application – Quality Inn Bellville

Name *

First

Middle

Last

Current Address *

Address Line 1

Address Line 2

City

State

Zip Code

How Long Have You Been at Your Current Address? *

Please list all other states and counties you have lived in over the last 5 years. *

Home Phone

Cell Phone *

Email *

Have you ever applied or been employed by this company?

Are any of your relatives currently employed by this company?

If Yes: list name(s) and relationship(s)

If hired, can you provide proof that you are eligible to work in the United States?

Are you at Least 18 years old?

If not, do you have a work permit?

Have you ever been convicted of a crime?

If Yes: list date, place, and nature of crime. (Convictions will not necessarily disqualify applicant; each case is considered individually.)

Employment Desired

Position Applied For

Desired Wage/Salary

Date Available to Start

Applying for:

If Part Time: How many hours per week?

Are you willing to work overtime as required?

Nights?

Weekends?

Holidays?

If hired would you be willing to commit to work with us for at least 9 months?

Education

*Please omit any information that would disclose race, age, ethnic origin, handicap status, or sexual, religious, or political persuasion.

High School

School Name

Address

Address Line 1

Address Line 2

City

State

Zip Code

Course/Major

Diploma/Degree

College/University

School Name

Address

Address Line 1

Address Line 2

City

State

Zip Code

Course/Major

Dipolma/Degree

Other Education

School Name

Address

Address Line 1

Address Line 2

City

State

Zip Code

Dipolma/Degree

If you're currently attending school, what are the days and times of your classes?

School activities (athletics, student government, offices, committees, etc.)

Skills and Memberships

Software you use:

Job related skills:

If job related, indicate the work of which you have done:

Typing
Computers
Word Pressing
Other

If other, please explain:

Why do you want this job? *

References

Give the name of 3 persons not related to you, whom you have known at least one year.

Name #1 *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Business *

Years Acquainted *

Name #2 *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Business *

Years Acquainted *

Name #3 *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Business *

Years Acquainted *

How Were You Referred to Us?

If Other: please specify

In case of Emergency, please notify:

Name *

First

Last

Relationship *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Alternate Phone

Work Experience

Please note: If you were known by another name at a previous place of employment, please state the other name and date of use.

Most Recent Company Name *

Company Address *

Address Line 1

Address Line 2

City

State

Zip Code

Company Phone *

Start and End Dates *

Start and End Wages *

Reason(s) for Leaving: *

Supervisor *

Please describe the work you did (title): *

Previous Company Name *

Company Address *

Address Line 1

Address Line 2

City

State

Zip Code

Company Phone *

Start and End Dates *

Start and End Wages *

Reason(s) for Leaving: *

Supervisor *

Please describe the work you did (title): *

Previous Company Name

Company Address

Address Line 1

Address Line 2

City

State

Zip Code

Company Phone

Start and End Dates

Start and End Wages

Reason(s) for Leaving:

Supervisor

Please describe the work you did (title):

Previous Company Name

Company Address

Address Line 1

Address Line 2

City

State

Zip Code

Company Phone

Start and End Dates

Start and End Wages

Reason(s) for Leaving:

Supervisor

Please describe the work you did (title):

Previous Company Name

Company Address

Address Line 1

Address Line 2

City

State

Zip Code

Company Phone

Start and End Dates

Start and End Wages

Reason(s) for Leaving:

Supervisor

Please describe the work you did (title):

If there is a particular employer(s) you do not wish to contact, please indicate which one(s):

Other Information

If you have dependent children, has child care been arranged?

Do you have reliable transportation?

Do you use tobacco?

Do you drink alcoholic beverages?

Do you use narcotics or any illegal drugs?

How many days per week would you like to work?

Selected Value: 1

Are there any days that you cannot work?

If yes, please explain:

Please indicate your reason for applying for employment.

Wish to change employment
Have experience in the lodging industry
Unemployed
Other

If other, please explain:

Are you currently working any other job that you plan to keep?

If yes, please list shifts that you currently work:

Front Desk Positions: Check all shifts you are willing to work

7:00 AM – 3:00 PM
3:00 PM – 11:00 PM
11:00 PM – 7:00 AM

Housekeeping Positions: Do you have any back or knee injuries that will hinder your ability to perform typical housekeeping duties?

Certification of Agreement

By entering the date and my name below, I certify that all information on this application is true and correct. I also certify that I have accounted for all of my work experience and training on this application. It is my understanding that Quality Inn & Suites may make a thorough investigation of my entire work and personal history and may verify all data given in my application for employment, related papers, or oral interviews. I authorize such investigation and the giving and receiving of any information requested by Quality Inn and I release from liability any person giving or receiving.

Today's Date *

Name *

First

Middle

Last