Employment Application Flamingo Motel » Employment Application Thank you for your submission. Please correct the following issues: Application For Employment Date of Application* Position Desired* How did you hear about us? Personal Information Name* Street/Apt Number* City* State* Zip Code* Email Home Phone* Work Phone Employment Information If you are under 18 years of age, an offer of employment will be contingent upon you procurement of the appropriate work permit. Such employment will be subject to federal, state and local laws and regulations concerning employment of minors, including any applicable hours of work/times of work restrictions. I have read and understand the Employer's Statement regarding Employment of Minors Please Sign Here* Are you legally eligible for employment in the U.S.?* Proof of identity and eligibility to work in the Unites States, via documents approved for use on USCIS Form I-9, will be required upon employment. Yes No Have you filed an application with us before?* Yes No If yes, when Have you ever been employed by The Flamingo Motel before?* Yes No If yes, when? Date you are available to begin employment* Salary Requirements* "Negotiable" and/or blank responses will not be considered. Type of employment desired* Full Time Part Time Temporary Due to the nature of our industry, we require employees to be able to accept shifts at varying days and times, including weekends, holidays, and all hours or shifts. Please indicate any limitations on your ability to accept shifts.* You are not required to indicate the need for absence due to religious practices on this application. Have you ever been counseled, disciplined, or discharged from any employment regarding one or more incidents in which you fought with, struck, or verbally or physically threatened any other individual, used or possessed a weapon, or otherwise engaged in violent or threatening conduct>* Yes No If yes, state below the date of the counseling, discipline or termination, the name and address of the employer involved, the degree of discipline (including discharge) that was imposed, and explain the circumstances. Have you ever been terminated, asked to resign, or left a job without notice?* Yes No If yes, identify the employer(s) and explain the circumstances. Education High School Name, City & State Course of Study College Name, City & State Course of Study Other Name, City & State Course of Study Work Experience If currently employed, may we contact your present employer? Yes No List your present or more recent employer first. Employer Phone # Dates of Employment Address (include City and State) Position Supervisor Rate of Pay Duties Reason for Leaving Employer Phone # Dates of Employment Address (include City and State) Position Supervisor Rate of Pay Duties Reason for Leaving Employer Phone # Dates of Employment Address (include City and State) Position Supervisor Rate of Pay Duties Reason for Leaving Skills List any skills (for example, computer proficiency, technical knowledge, etc.) relevant to the position(s) for which you are applying: Can you perform the essential job functions required of the position(s) for which you are applying with or without reasonable accommodation?* Yes No Applicant's Statement I certify that the answers given on this application are true and complete. I understand that any falsification, misrepresentation or omission by me on this application may result in rejection of this application or immediate termination of employment. I authorize and request that all of my present and former employers and those individuals I have listed as references or otherwise identified in the application and interview process, furnish information about me and/or my employment record, including a statement of reasons for the termination of my employment and information regarding my work performance, disciplinary reports or action, reprimands, abilities and other qualities and information pertinent to my qualifications for employment, and hereby release them from any and all liability for damages arising from supplying information about me to The Flamingo Motel or its agents. Further, I hereby release from liability and hold harmless The Flamingo Motel and its employees and/or officers for all activities associated with checking references and verifying the information I supply during the application and interview process. I understand this application will be considered active for 30 days, and to be considered for openings beyond that period, I must file a new application. Neither any statements made by the company during the application process, nor anything in this application should be construed as giving rise to any type of contractual agreement. If I am offered employment, I understand that I will be an at-will employee and I understand the at-will employment relationship may not be changed by any written document, oral statement, or by conduct unless such change is specifically acknowledged in writing by the President or Executive Vice President of The Flamingo Motel and the writing mentions this disclaimer. IF EMPLOYED, I understand and agree that my employment shall be for an indefinite period of time and can be terminated at will at any time by me or by the company without notice or cause. I have carefully read the above statements, have asked whatever questions I have, agree to and fully understand these statements. Signature of Applicant* Date*
