Employment Application

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 #

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.