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- Step 1 of 5

Name *

First

Last

Today's Date

Current Address

Address Line 1

Address Line 2

City

State

Zip Code

How long?

Previous Address

Address Line 1

Address Line 2

City

State

Zip Code

How long?

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

Phone

Cell Phone (if different)

Have you ever been employed by this company?

If yes, when?

Where?

Supervisor's Name

Are any of your relatives employed by this company?

If yes, please list name(s) and relationship(s) to you:

If hired, can you provide proof that you're 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, give date, place, and nature of crime. (Convictions will not necessarily disqualify applicant; each case is considered individually.)

Employment Desired

If applicable to desired position, please complete the information in this box.

Position applying for:

Wage/Salary Desired:

Date Available:

Applying for:

Part-Time
Full-Time

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 Name

Address

Address Line 1

Address Line 2

City

State

Zip Code

Course/Major

List any Diploma or Degree completed Name, City, State of School Course/Major (Please indicate if you are currently attending school.)

College or University Name

Address

Address Line 1

Address Line 2

City

State

Zip Code

Course/Major

List any Diploma or Degree completed Name, City, State of School Course/Major (Please indicate if you are currently attending school.)

Other (Specify)

Address

Address Line 1

Address Line 2

City

State

Zip Code

Course/Major

List any Diploma or Degree completed Name, City, State of School Course/Major (Please indicate if you are currently attending school.)

If currently attending school, what are the days and times of your scheduled classes?

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

Skills & Memberships

Software you use:

Job related skills you have:

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

Typing
Word Processing Equipment
Computers
Other

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

First

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Business

Years Acquainted

Name

First

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Business

Years Acquainted

Name

First

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Business

Years Acquainted

How Were You Referred To Us?

Employee
State or Local Agency
Internet
Newspaper Ad
Employment Agency
Other

In case of emergency, notify:

Name

First

Last

Relationship to you

Address

Address Line 1

Address Line 2

City

State

Zip Code

Cell Phone

Home/Business Phone

Indicate if you have previously been known by another name (through marriage, etc.).

List each name you have been know by and the dates you have gone by that name.

Previous Name

Dates

Previous Name

Dates

Work Experience

Name of Previous Employer

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

From Mo/Yr

To Mo/Yr

Starting Wage

Ending Wage

Describe to work you did (Title):

Reason for Leaving:

Supervisor's Name

First

Last

Name of Previous Employer

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

From Mo/Yr

To Mo/Yr

Starting Wage

Ending Wage

Describe to work you did (Title):

Reason for Leaving:

Supervisor's Name

First

Last

Name of Previous Employer

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

From Mo/Yr

To Mo/Yr

Starting Wage

Ending Wage

Describe to work you did (Title):

Reason for Leaving:

Supervisor's Name

First

Last

Name of Previous Employer

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

From Mo/Yr

To Mo/Yr

Starting Wage

Ending Wage

Describe to work you did (Title):

Reason for Leaving:

Supervisor's Name

First

Last

I hereby give permission to contact the employers listed above concering my prior work experience.

Signed *

First

Last

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 other illegal drugs?

How many days per week would you like to work?

Are there any days that you cannot work?

If yes, explain:

Please indicate your reason for applying for employment.

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

Please explain answer:

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

If yes, list shifts that you currently work:

Front Desk Positions: Check all shifts you and willing to work and indicate shift preference (1, 2, 3)

7:00 a.m. - 3:00 p.m
3:00 p.m. - 11:00 p.m.
11:00 p.m. - 7:00 a.m.

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

Certification of Agreement

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, realted papers or oral interviews. I authorize such investigation and the giving and receiving of any information requested Quality Inn & Suites and I release from liability any person giving or receiving

Signature *

First

Last

Date *