Your Name (required)

Your Address (required)

Referred By (required)

Your Cell Phone Number (required)

Your Email (required)

Position Desired (required)

Date You Can Start

Have You Applied Here Before (If So, When?)

Are You Currently Employed? (If So, Can We Speak To Them?)

Employed Contact Name and Number if Applicable? (If No Type NA)

Name/ Location/ Graduation Date of High School (Attended If No Type NA)

Name/ Location/ Graduation Date of High School Attended (If No College Type NA)

Any Special Study, Research or Training?

What Qualities Do You Possess That Best Qualify You For This Position?

What Do You Consider To Be Your Weaknesses?

What Do You Hope To Accomplish As An Employee Of Rocks 21/Inn At Mystic/Haley Mansion?

What Was The Best Job You Ever Had? Why

What Was The Worst Job You Ever Had? Why

REFERENCES please list three personal references, not related to you, that you have known at least 3 years

Reference 1. Name, Phone Number, Name of Business, Business Address

Reference 2. Name, Phone Number, Name of Business, Business Address

Reference 3. Name, Phone Number, Name of Business, Business Address

WORK EXPERIENCE list last four employers, starting with the most recent one first, please fill out completely, even if resume is provided

Work Experience 1. Dates of Employment,Name & Address of Employer, Name of Business, Business Address, If Applicable

Work Experience 2. Dates of Employment,Name & Address of Employer, Name of Business, Business Address, If Applicable

Work Experience 3. Dates of Employment,Name & Address of Employer, Name of Business, Business Address, Reason For Leaving, If Applicable

Work Experience 3. Dates of Employment,Name & Address of Employer, Name of Business, Business Address, Reason For Leaving, If Applicable

AUTHORIZATION AND CERTIFICATION
I certify that the facts contained in this application are true and complete to the best of my knowledge and I understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references and employers listed above give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information.

Electronic Signature, Please Type Name and Date

Attach Resume If You have One