Today's Date

Name (First, M.I.,Last)

Social Security #

Email Address

Mailing Address (Number, Street, City, State, Zip)

Phone # (Area Code)

Cell # (Area Code)

High School, City, State

Did you Graduate?

Additional Education

Degree/Course(s)

Did you Graduate?

How did you hear about the position?

Ever applied to work at or worked at the Capital Hotel before? When?

Please list any other names you have used (maiden,etc.)

Have you ever been convicted of a felony? If yes, please explain?

Have you ever been convicted of a misdemeanor or drug related offense involving fraud, false statements or omissions, wrongful taking of property or forgery? If yes, please explain.

Is there anything which would prevent you from performing all of the essential functions of this job?

Briefly state why you want to work for the Capital Hotel:

DateFrom

DateThru

Company Name, Address, Zip Code

Supervisor’s Name Phone Number

Position&Salary

Reason for Leaving

Valid driver’s license?

State

Exp. Date

Driver License #

License ever suspended or revoked? If yes, explain:

For what job are you applying?

Date available for work: Is there any time that you are unable to work? If yes, state when:

What are your wage or salary requirements?

Type of employment desired (FT/PT):

Can you travel if the job requires it?

Do you have the legal right to work in the US?

Are you of legal age to work?

Are you at least 21 or older in order to serve alcohol?

Full Name

Years Known

Business/Occupation

Daytime Phone Number