Placencia Road, Manatee Bay Estates, Surfside,

Seine Bight, Stann Creek District, Belize

APPLICATION FOR EMPLOYMENT

Please type or print clearly

Date:

FULL-TIME
Position applied for:
PART-TIME

SEASONAL

GENERAL INFORMATION

Name
Last First Middle Maiden

Home address
Number & Street City Country

Telephone ) Date of Birth

Date Month Year
Cellular number ( )

Email address_ ______________________________ Sex: Female Male

Do you have any friends, relatives, or acquaintances working at SBRV? Yes No

If yes, state name & relationship:

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LIST ALL RELEVANT EDUCATION AND QUALIFICATIONS
INSTITUTION LOCATION MAJOR & DEGREE YEAR COMPLETED
(mailing address)

OTHER QUALIFICATIONS OR SKILLS

Use the space below to summarize any additional information to describe your full qualifications for the specific position for which you
are applying including any training, skills, licenses, certifications, and/or other qualifications and the year in which it was
achieved.

Please list the names of at least three (3) persons not related to you by blood or marriage as references.

Name Name
Address Address
Telephone/Cellular ( ) Telephone/ Cellular ( )

Name _____________________________
Address ___________________________
Telephone/ Cellular ( ) ___________

FOR SECURITY POSITIONS ONLY

HAVE YOU EVER BEEN IN THE MILITARY/POLICE? Yes No

Date Entered _ ______________________ Rank/Grade Attained___ _____________________

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EMPLOYMENT EXPERIENCE
Employment Please list your employment experience for the past five years beginning with your most recent. If
Experience you were self-employed, state nature of employment. If more than four employers, attach
additional sheets if necessary.

Name of employer Name of last supervisor Employment dates

Address__ ____________________________
From:
_ ____________________________________
To:
Phone
number_ _____________________________

Your last job title:

Reason for leaving (be specific):

List the positions held, duties performed, skills used or learned, advancements or promotions while you worked at this
company.

Name of employer Name of last supervisor Employment dates

Address__ ____________________________
From:
_ ____________________________________

Phone number_ _____________________________ To:

Your last job title:

Reason for leaving (be specific):

List the positions held, duties performed, skills used or learned, advancements or promotions while you worked at this
company.

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Name of employer Name of last supervisor Employment dates

Address__ ____________________________
From:
_ ____________________________________

Phone number_ _____________________________ To:

Your last job title:

Reason for leaving (be specific):

List the positions held, duties performed, skills used or learned, advancements or promotions while you worked at this
company.

Name of employer Name of last supervisor Employment dates

Address__ ____________________________
From:
_ ____________________________________

Phone number_ _____________________________ To:

Your last job title:

Reason for leaving (be specific):

List the positions held, duties performed, skills used or learned, advancements or promotions while you worked at this
company.

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 PLEASE READ CAREFULLY
APPLICATION FORM WAIVER
Please Read and Sign Below:
I certify that I have not purposely withheld any information that might adversely affect my chances for hiring. I attest to
the fact that the answers given by me are true and correct to the best of my knowledge and ability. I understand that
any omission (including any misstatement) of material fact on this application or on any supporting document used can
be grounds for rejection of application or, if I am employed by SBRV, terms for my immediate expulsion from SBRV.

I permit the SBRV to examine my references, record of employment, education record, and any other information I have
provided. I authorize the references I have listed to disclose any information related to my work record and my
professional experiences with them, without giving me prior notice of such disclosure. In addition, I release the company,
my former employers and all other persons, from any-and-all claims, demands or liabilities arising out of or in any way
related to such examination or revelation.

I also understand that (1) SBRV has a drug and alcohol policy that provides for pre-employment testing as well as testing
throughout my employment; (2) consent to and compliance with such policy is a condition of my employment; and (3)
continued employment is based on the successful passing of testing under such policy.
I understand that, in connection with the routine processing of my employment application, SBRV may request a criminal
and vetting police report of my character, general reputation, and personal characteristics.

Applicant Name (print) __ ________________________________________

Signature of applicant_________________________________________________ Date: ___ ___________

Sirenian Bay Resort & Villas is an equal employment opportunity employer. We adhere to a policy of making employment
decisions without regard to race, color, religion, sex, sexual orientation, national origin, citizenship, age or disability. We
assure you that your opportunity for employment with SBRV is based solely on your qualifications, experience, skills and
knowledge.

972-215-7413 [email protected] www.sirenianbay.com EMPLOYMENT APPLICATION 5|P a g e