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49 views

Application

Uploaded by

api-247063038
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as PDF, TXT or read online on Scribd
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!

Employment Application
Name:
Cansino Rosita Arely

COMPANY OR EMPLOYER NAME:


Holiday Inn Express Hotel and Suites
Position applying for: Housekeeping

EMPLOYEE INFORMATION
Victorino

Last Telephone: 1-641-123-1234 Address:

First Email: [email protected]

Middle Alternate telephone: 1-507-123-1234

12 34th St. West, Miami, Florida 4567


If necessary for the job, I am able to: Yes Work overtime? Yes Provide a valid Alaska Driver's License? If so, fill out the following: Issuing state: Type: Endorsement(s):
Hazardous Material Tankers School Bus Yes No Any Split Day Night Other: No No

Are you able to perform the essential functions of the position with or without accommodations?
Yes 14 18 Yes No 15 19 No 16 21 (Check one)

If necessary for the job are you older than:

Passengers

I am legally eligible for employment in the U.S.? I am seeking a permanent position:

Tank with Hazardous Materials Double/Triple trailers Swing Rotating

Work the following shifts: (check all that apply)


Graveyard

I will be able to report to work 3 days after being notified I am hired.

EMPLOYMENT HISTORY
List most recent employment first. Include summer or temporary jobs. Be sure all your experience or employers related to this job are listed here, in the summary following this section or on an extra sheet of paper if necessary. No more than 10 years history recommended.

Employer name and address:


Mr. Taco

Position title/duties, skills:


Waitress and part time cook I know how to take orders, handle money, cook food, and talk to customers

Start date:

End date:

12 34th St. West Candy Land, Wisconsin

Reason for leaving:

Pay: $ 8.00 Per: hour Employer name and address:

Supervisor: Leedle Leedle Position title/duties, skills:

Telephone: 507-123-4567 Start date: End date:

Reason for leaving: Pay: $ Per: Employer name and address:

Supervisor: Position title/duties, skills:

Telephone: Start date: End date:

Reason for leaving: Pay: $ Per: Employer name and address:

Supervisor: Position title/duties, skills:

Telephone: Start date: End date:

Reason for leaving: Pay: Per: $ Supervisor: Telephone:


Employment Application Page 1 of 2

Rev. 8/2010

!
Summarize other employment related to this job:

EDUCATION
Institution name High school College/university Business/technical Additional Years completed
4

Field of study
NA

Graduate or degree
NA

Northwood-Kensett

MILITARY
Are you a veteran? Duty/specialized training: Yes No

SKILLS & QUALIFICATIONS


Other qualifications such as special skills, abilities or honors that should be considered:
I am good at cleaning, I am good with people, I am a fast learner, and I can get the job done.

Types of computers, software, and other equipment you are qualified to operate or repair:
NA

Professional licenses, certifications or registrations:


NA

Additional skills, including supervision skills, other languages or information regarding the career/occupation you wish to bring to the employers attention:
I can speak Spanish

Typing speed:

NA

per minute

REFERENCES
List two personal references who are not relatives or former supervisors.
Diego Victorino Name Paola Coonsonito Name 1234 Bubble Gum Rd, Austin MN 56007 Address 5679 Unicorn St. East, Northwood IA 50459 Address 1-234-5678 Telephone 1-345-6789 Telephone Cooks Occupation Plant Specialist Occupation 2 years Years known 4 years Years known

CONTACT
In case of accident or illness, please contact: Name: Madilloyd Ann Address: 543 Magical Lane, Las Vegas, Nevada Daytime phone: 517-743-1234 Relationship: Friend

INFORMATION TO THE APPLICANT


As part of our procedure for processing your employment application, your personal and employment references may be checked. If you have misrepresented or omitted any facts on this application, and are subsequently hired, you may be discharged from your job. You may make a written request for information derived from the checking of your references. If necessary for employment, you may be required to: supply your birth certificate or other proof of authorization to work in the United States, have a physical examination and/or a drug test, or to sign a conflict of interest agreement and abide by its terms. I understand and agree to the information shown above. Feb. 6, 2014 Rosita Cansino

Signature of Applicant

Date

Equal Employment Opportunity: While many employers are required by federal law to have an Affirmative Action Program, all employers are required to provide equal employment opportunity and may ask your national origin, race and sex for planning and reporting purposes only. This information is optional and failure to provide it will have no affect on your application for employment. Developed at employer request by the Alaska Department of Labor & Workforce Development, Employment Security Division. Rev. 8/2010 Employment Application Page 2 of 2

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