Application for Employment

Personal Data:

Full Time Part Time Temporary

Position Applying for

Last Name

First Name

Middle Initial

			-
Street Address	City	State/Province	Zip/Postal Code

- -

Telephone:

E-mail Address:

Are you a US citizen?

Yes No

After employment, can you submit a birth certificate or other proof of U.S. citizenship?

Yes No

If not a citizen, are you prevented from lawfully becoming employed because of visa or immigration status?

Yes No

If No, please explain:

Verification of work eligibility is required for all new employees to comply with the Immigration Reform and Control Act. Can you verify elegibility?

Have you ever served in the armed forces of the U.S.? If yes, please give dates

Yes No
to

Type of education and experience in service as it relates to a particular job:

Have you ever been convicted of a crime? If so, when, where and nature of offense? Are there any felony charges pending against you? If yes, give details:

This information will not necessarily disqualify you from employment.

Employment:

Company Name:	Employed - (State month and year): to
Name of Supervisor:	Rate of Pay : to
State Job Title and Describe Your Work:	Reason for Leaving:
Company Name:	Employed - (State month and year): to
Name of Supervisor:	Rate of Pay : to
State Job Title and Describe Your Work:	Reason for Leaving:
Company Name:	Employed - (State month and year): to
Name of Supervisor:	Rate of Pay : to
State Job Title and Describe Your Work:	Reason for Leaving:

Educational Record:

High School Name & Address:
Year Graduated: Graduated?: Yes No Course/Major:
Business or Trade School Name & Address:
Year Graduated: Graduated?: Yes No Course/Major :
College/Univ. Name & Address:
Year Graduated: Graduated?: Yes No Course/Major:
Grad School & Address:
Year Graduated: Graduated?: Yes No Course/Major:
Indicate Highest Grade Completed:	High School 9 10 11 12 College/University 1 2 3 4 5 6 7 8
Awards, honors, etc., not covered elsewhere:

Personal References:

List three persons who are not related to you and who would have knowledge of your qualifications for the position(s) for which you are applying, such as former co-workers, advisors, teachers, etc. Do not repeat names of supervisors listed under Work History.
Name:	Complete Address:
Occupation:	Phone Number: - -
Name:	Complete Address:
Occupation:	Phone Number: - -
Name:	Complete Address:
Occupation:	Phone Number: - -

Employment Application Statement

By submitting this form I hereby represent that each answer is truthful and constitutes a full and complete disclosure of my knowledge with respect to the questions and I understand that any misrepresentation of facts shall constitute cause for dismissal regardless of when discovered by the Resort. In the event that I am employed by Bonneville Hot Springs Resort, I agree to comply with all its rules and regulations.

Reference Release Form

By submitting this form I hereby authorize any individual, employer, or law enforcement agency to furnish Bonneville Hot Springs with any information concerning my employability, my previous work and/or academic record, whether same is of record or not, and do hereby release the individual, employer, or law enforcement agency and all individuals connected therewith from all liability for any damage incurred in furnishing this information.

Signature (type your name)

1252 East Cascade Drive, North Bonneville, WA 98639 1.509.427.7767 Room Reservations: 1.866.459.1678 Spa Reservations: 1.509.427.9720	Bonneville Hot Springs Resort © 2005 *Photos of the Gorge provided by Skamania County Chamber of Commerce
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