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ALL QUESTIONS MUST BE ANSWERED
An Equal Opportunity Employer:
All qualified applicants will receive consideration without discrimination due to sex,
martial or veteran status, race, age, creed, religion, national origin or the presence
of disabilities.

Application for Employment
Job Description:
Date: 
 		 
Last Name:
 		First:
 		Middle Int.
Street address:
 		Apt#
City/Town:
 		State:
 		Zip:
Home #
 		Work #
 		Email
Person to Contact in Case of Emergency
Full Name:
Address:
 		Telephone #
Position (s) Applied for:
 		Salary Desired
   per hour
Please check the box to the right that you understand an offer of employment and continued employment
with Chatham Bars Inn are contingent upon satisfactory proof of authorization to work in the United States.
Have you ever been employed by Chatham Bars Inn?   yes no if yes, please specify dates:
Have you ever applied for a position with Chatham Bars Inn? yes no if yes, please specify dates:
How were you referred to Chatham Bars Inn?
If required, would you be willing to work:
 Full time Part time Weekends
 Days: Nights Overtime
 Holidays Rotating work schedule
 7am-3pm 3pm-11pm 11pm-7am		 Seasonal 
from: to:

Do you need housing?   yes no
 		Are you 18 years of age or over? yes no
When could you begin work?
 		 
Type of
School		 Name & Location
of School		 # of years completed

Graduated
yes / no

 Type of Degree,
Diploma/Certificate		 Major/Minor Field
of Study
High
School		 yes no
College
or University 		yes no
College
or University 		yes no
Other
Education		 yes no
Are you fluent in 
a foreign language? yes no		 Language 1.
 speak write		 Language 2.
 speak write
Are you a veteran of any branch
 of the U.S. Armed Forces? yes no		 If yes, please describe any skills you acquired that would be relevant to the position for which you are applying:
Licensure: License#
 		State:
 		Expiration date:
Please list your employment history for the past ten years (or last four employers). Start with your present status and note any periods in which you were not employed. Include U.S. military service, previous Chatham Bars Inn experience, summer/part time jobs, volunteer work and cooperative education assignments.
1. Dates Worked
from to 		May employer be contacted at this
time for a reference? yes no		 Salary:
starting final
Employer's Name:
 		Supervisor' Name and title:  
Employer's Address:
 		Your Job Title and Duties:
Employer's Telephone #
 		Reason for leaving:
2. Dates Worked
from   to 		May employer be contacted at this
time for a reference? yes no		 Salary:
starting final
Employer's Name:
 		Supervisor' Name and title:  
Employer's Address:
 		Your Job Title and Duties:
Employer's Telephone #
 		Reason for leaving:
3. Dates Worked
from   to 		May employer be contacted at this
time for a reference? yes no		 Salary:
starting final
Employer's Name:
 		Supervisor' Name and title:  
Employer's Address:
 		Your Job Title and Duties:
Employer's Telephone #
 		Reason for leaving:
4. Dates Worked
from   to 		May employer be contacted at this
time for a reference? yes no		 Salary:
starting final
Employer's Name:
 		Supervisor' Name and title:  
Employer's Address:
 		Your Job Title and Duties:
Employer's Telephone #
 		Reason for leaving:
Please supply us with the names of three personal references who are not related to you.
Name Address Occupation Telephone Years Acquainted
PLEASE READ THE FOLLOWING STATEMENTS CAREFULLY
1. I authorize the persons, schools, current employer (if approved by me in the Employment Experience Section) and other organizations or employers named in this application to provide Chatham Bars Inn with any relevant information that may be required to arrive at an employment decision.
2. I understand and agree that:
 a) The information that I have provided is accurate to the best of my knowledge and subject to verification by Chatham Bars Inn.
 b) A material misrepresentation or deliberate omission of a fact in my application may be justification for refusal of employment or, if employed, termination by Chatham Bars Inn.
 c) Although management makes every effort to accommodate individual preferences, business needs at times make the following conditions mandatory; overtime, shift work, a rotating work schedule other than Monday through Friday. I understand and accept these conditions of my continuing employment.
 d) Chatham Bars Inn employees are at-will employees, who are not employed for any length of time. They may be separated or voluntarily leave their employment at any time.
3. I understand that nothing contain in this employment application or in the granting of an interview is intended to create an employment contract between myself and Chatham Bars Inn for either employment or for the providing of any benefit. No promise regarding continued employment has been made to me, and I understand that no such promise or guarantee is binding upon Chatham Bars Inn unless made in writing.