Pontiac
 

P.O. Box 495
Mackinac Island, MI 49757

(906) 847-3364


Employment Form
* = Required Fields
Choose at least one position
For job in a Restaurant:
For job in Gift Shops/Hotels:
Date: mm/dd/yy
Social Security#:
Are you 18 or older? 18 or older under 18
First Name:
Middle Name:
Last Name:
Home Phone:
Business Phone:
E-Mail:
Present Address:
City: State:
Zip:

Employment Desired:

Wages Desired:
* Date You Can Start:
Last Date of Employment:
How many hours per week can you work?:
Are you employed now?: Yes ���� No
Who referred you to the hotel?:
Are you a citizen of the United States?: Yes ���� No
Are you authorized to work in the United States?: Yes ���� No
Present Member in National Guard or Reserves? Yes �No


General:

Any particular dates you may need off for this summer, such as weddings, family reunions, school oriented, etc.?
Do you need us to provide housing for you? Yes No
If so, are you a Smoker or Non-Smoker? Smoker ����Non-Smoker
Have you ever spent a summer away from home? Yes �� No
Have you ever worked with the public before? Yes ����No
If so, explain
What qualities and skills do you feel you have that qualify you for this position?
What did you like most about your last job?
Will you be attending College this fall? Yes ���� No
If so, what College will you be attending?
Have you ever been convicted of a felony? Yes ����No
If so, explain
Activities: Civic, Athletic, Etc. (Exclude organizations that relate to race, creed, sex, age, marital status, color or nation of it's members.)



Educational Background:
  Name City/State Years Attended Degree Major
High School
College
Graduate School


Job Experience:
Note:
We will contact the employers listed on this application unless you specifically exclude them below. (List below the last three employers, starting with the last one first)

MM/YR From/To:
Name of Employer:
Address of Employer:
Employers Telephone #:
Type of Business:
Salary:
Position:
Reason for Leaving:
Do not contact this employer:


MM/YR From/To:
Name of Employer:
Address of Employer:
Employers Telephone #:
Type of Business:
Salary:
Position:
Reason for Leaving:
Do not contact this employer:


MM/YR From/To:
Name of Employer:
Address of Employer:
Employers Telephone #:
Type of Business:
Salary:
Position:
Reason for Leaving:
Do not contact this employer:

I authorize investigation of all statements contained in this application. I release from all liability all persons, companies and corporations supplying such information and I indemnify this employer against any liablity that might result from making such investigation. I understand that misrepresentation or omission of facts called for is cause for dismissal. If employed by this employer, I agree to conform to all rules and regulations. I agree that my employment and compensation is for no definite period, and can be terminated with or without cause and with or without notice, at any time at the option of either this employer or myself. I also understand and agree that this employer may change the terms and conditions of my employment, with or without cause, and with or without notice, at any time.

Do you consent to the above?

 


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