Employment Application Form

For information regarding employment opportunities at The Nonantum Resort please complete the following form.

Applicant Information

Full name: *

Street: *

Street 2:

City: *

State: *

Zip code: *

Phone number (xxx-xxx-xxxx): *

Email address:

Are you over the age of 17?: *

Yes

Do you hold a valid driver's license?: *

Yes

If so, what state?:

Position applying for: *

Wage expected: *

Date available to start: *

Can you perform the job for which you are applying with or without reasonable accommodations being made?: *

Yes

Have you ever been convicted of a felony within the last 7 years?: *

Yes

If yes, please explain:

Please tell us the name of the School and Grade Level you last completed: *

College degree (if applicable):

Will you be returning to school in the fall and if so, where?:

Employment History

Start with your present or last job

Company One

Company Name:

Phone number (xxx-xxx-xxxx):

Address:

City:

State:

Zip code:

Start of employment:

End of employment (if applicable):

Supervisor:

Weekly pay (start, finish):

Titles and duties:

Reason for leaving:

Company Two

Company Name:

Phone number (xxx-xxx-xxxx):

Address:

City:

State:

Zip code:

Start of employment:

End of employment (if applicable):

Supervisor:

Weekly pay (start, finish):

Titles and duties:

Reason for leaving:

Company Three

Company Name:

Phone number (xxx-xxx-xxxx):

Address:

City:

State:

Zip code:

Start of employment:

End of employment (if applicable):

Supervisor:

Weekly pay (start, finish):

Titles and duties:

Reason for leaving:

Comments:

Please list any special talents; skills and/or additional experience you feel would benefit your position at The Nonantum Resort.

References

Give the name, address, and telephone number of three references who are not related to you or a previous employer.

Reference #1: *

Reference #2: *

Reference #3: *