Seaside Inn – Employment Application Form

 Full Name:


Street Address:

City, State, and Zip:,
,
Phone Number:
 E-Mail Address:


Are you over the age
of 17?  

Do you hold a valid driver’s license?  
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? 

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

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:
Phone Number:
Address:
City, State, and Zip:
Dates of
Employment:
Supervisor:
Weekly Pay: Start: Finish: 
Title & Duties:
Reason for Leaving:


Company Two:
Phone Number:
Address:
City, State, and Zip:
Dates of
Employment:
Supervisor:
Weekly Pay: Start:  Finish: 
Title & Duties:
Reason for Leaving:

 

 

 


  

 


Company Three:
Phone Number:
Address:
City, State, and Zip:
Dates of
Employment:
Supervisor:
Weekly Pay: Start:  Finish: 
Title & Duties:
Reason for Leaving:

 


Comments: Please list any special talents, skills and/or additional experience you feel would benefit your position at
The Seaside Inn.




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: 

 

 Submit your form when you have completed all the questions.