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Career Form

General Information
First Name: *
Middle Name:
Last Name: *
Address: *
City: *
State/Province:
Zip Code:*
Email Address: *
Phone Number: *  
Mobile Phone:
Drivers License Number:
(If driving is an essential job function)
Position of Interest: *
Date of Application: 

How did you hear about us?*
NY Times Ad:
Newsday Ad:
Government Agency:
Walk in, came in on my own:
Friend:   Name
Relative:   Name
Employee:   Name
School:   Name
Other:   Name
Please check the type of work and shifts you are available for. We are a 7-day, 24-hour operation and schedule restrictions may influence which positions you are eligible for:
Full-Time:* Yes   No  
Part-Time:* Yes   No  
Temporary:* Yes   No  
Educational/ Internship:* Yes   No  
Mornings:* Yes   No
Afternoons:* Yes   No
Evenings:* Yes   No
Overnights:* Yes   No
Mon-Fri:* Yes   No
Saturday:* Yes   No
Sunday:* Yes   No
Holidays:* Yes   No

Date Available to Start:*
(Please enter in mm/dd/yyyy format)  
Desired Salary Range $:*
Note any restrictions in your schedule:*
Are you legally eligible for employment in this country?*
Proof of citizenship or immigration status will be required upon employment		 Yes   No
Have you been convicted of a crime?* Yes   No
If yes, please provide date(s) and details:
(Maximum 250 Characters)
Do any of your friends or relatives work here?* Yes   No
If yes, please state their Names and relationship to you:
(Maximum 250 Characters)
Have you worked here before? Yes   No
If yes:
(Please enter in mm/dd/yyyy format)  		  From:   To: 
Position:
Have you submitted an application here before? Yes   No
If yes, what position?
When did you apply?
Are you over 18 years of age? Yes   No
If no, can you provide required proof of your eligibility to work?
Can you travel if your job requires it? Yes   No
Will you work overtime if required? Yes   No
If no, please explain:
(Maximum 250 Characters)
Are you currently employed? Yes   No
If yes, may we contact your current employer? Yes   No
Are you currently on "lay-off" status and subject to recall? Yes   No
Are you able to meet the attendance requirements of the position? Yes   No

Education
Complete for most recent Educational Institution attended.
Name & Address of School: 
Course: 
Years Completed: 
Diploma/ Degree: 
 
Name & Address of Undergaduate College: 
Course: 
Years Completed: 
Diploma/ Degree: 
Name & Address of Graduate/ Professional: 
Course: 
Years Completed: 
Diploma/ Degree: 
Name & Address of Graduate/ Professional: 
Course: 
Years Completed: 
Diploma/ Degree: 
 

Work Experience
Start with your most recent job. Include any career related Military assignments and volunteer activities. You may exclude organizations which indicate race, color, religion, gender, national origin or other projected status.
Employer:*  
Address:*  
Phone Number:*  
Starting/ Present Job Title:  
Supervisor:*  
Dates Employed:*
(Please enter in mm/dd/yyyy format) 		  From:   To:   
Work Performed:*
(Maximum 250 Characters)
Hourly Rates/ Salary:*    To:   
Reason for Leaving(if applicable):*
(Maximum 250 Characters)
May we contact?* Yes   No  
Employer:  
Address:  
Phone Number:
Starting/ Present Job Title:  
Supervisor:  
Dates Employed:
(Please enter in MM/DD/YYYY format)		  From:   To:   
Work Performed:
(Maximum 250 Characters)
Hourly Rates/ Salary:    To:   
Reason for Leaving(if applicable):
(Maximum 250 Characters)
May we contact? Yes   No  
Employer:  
Address:  
Phone Number:
Starting/ Present Job Title:  
Supervisor:  
Dates Employed:
(Please enter in mm/dd/yyyy format)		  From:   To:   

Work Performed:  
(Maximum 250 Characters)

Hourly Rates/ Salary:    To:   
Reason for Leaving(if applicable):
(Maximum 250 Characters)
May we contact? Yes   No  
Employer:  
Address:  
Phone Number:
Starting/ Present Job Title:  
Supervisor:  
Dates Employed:
(Please enter in mm/dd/yyyy format) 		  From:   To:   
Work Performed:
(Maximum 250 Characters)
Hourly Rates/ Salary:    To:   
Reason for Leaving(if applicable):
(Maximum 250 Characters)
May we contact? Yes   No  
Include explanations for any gaps in employment:
(Maximum 250 Characters)
List special training, apprenticeships, skills and extra curricular activities:
(Maximum 250 Characters)
Provide any job related training received in the United States Military:
(Maximum 250 Characters)
List professional, trade, business or civic activities and offices held:
(Maximum 250 Characters)
Additional information, other qualifications:
(Maximum 250 Characters)
Specialized Skills (Check those that apply):
Terminal:
PC/MAC:
Microsoft Word:
Microsoft Excel:
Fidelio:
Micros:
Typewriter:  WPM  
Shorthand:  WPM  
Other:
(Maximum 250 Characters)
Equipment Operated (Check those that apply):
Automatic Transmission:
Standard Transmission:
List Machinery or Specialized Equipment experience:
(Maximum 250 Characters)
Languages(List):
 

Personal/ Professional Reference

(Do not include family members or past supervisors):
Name:
Phone Number:
Years Known:
Name:
Phone Number:
Years Known:
Name:
Phone Number:
  
Years Known:
Attach Resumé:
Comments:
(Maximum 500 Characters)

PLEASE READ THE FOLLOWING STATEMENTS CAREFULLY BEFORE SIGNING THIS APPLICATION. ONLY THOSE APPLICATIONS THAT ARE SIGNED AND DATED ARE CONSIDERED VALID.

APPLICANT STATEMENT

I certify at all information I have provided in order to apply for and secure work with The Garden City Hotel is true, complete and correct.

I understand that any information provided by me that is found to be false, incomplete or misrepresented in any respect, will be sufficient cause to (i) cancel further consideration of this application or (ii) immediately discharge me from the employer's service, whenever it is discovered.

I expressly authorize, without reservation, the employer, its representatives, employees or agents to contact and obtain information from all references (personal and professional), employers, public agencies, licensing authorities and educational institution and to otherwise verify the accuracy of all information provided by me in this application , resume or job interview. I hereby waive any and all rights and claims I may have regarding the employer, its agents, employees or representatives for seeking, gathering and using such information in the employment process and all other person, corporations or organizations for furnishing such information about me.

I understand that the employer does not unlawfully discriminate in employment and no question on this application is used for the purpose of limiting or excusing any applicant from consideration for employment on a basis provided by applicable local, state or federal law.

I understand that this application remains current for only 30 days. At the conclusion of that time, if I have not heard from the employer and still wish to reapply I must fill out a new application .

If I am hired, I understand it is conditional upon passing a complete reference verification including criminal, DMV or other records as necessary. If I am hired, I understand that I am required to abide by all rules, regulations and policies of the hotel. If I am hired, I understand that I am free to resign at any time, with or without cause and without prior notice, and the employer reserves the same right to terminate my employment at any time, with or without cause and without prior notice, except as may be required by law. This application does not constitute an agreement or contract for employment for any period or definite duration. I understand that no supervisor or representative of the employer is authorized to make any assurances to the contrary and that no implied oral or written agreements contrary to the forgoing express language are valid unless they are in writing and signed by the employer's president.

I also understand that if I am hired, I will be required to provide proof of identity and legal authority to work in the United States and that federal immigration laws require me to complete an I-9 form in this regard. I also understand that the employer can and may verify proof of this with respective government agencies as needed.

DO NOT SIGN UNTIL YOU HAVE READ THE ABOVE APPLICANT STATEMENT
I certify that I have read, fully understand and accept all terms of the foregoing Applicant Statement.
Agree   Disagree Date  

AUTHORIZATION TO SECURE CONSUMER INVESTIGATIVE REPORT

I authorize The Garden City Hotel to make whatever inquiries it may deem necessary in connection with my employment or application for employment. As part of such inquiries, the Company has my permission to contact persons who may have information relating to my suitability for employment and to secure consumer reports, including investigative consumer reports, which may contain information about my background, mode of living, character and personal reputation.

I understand that if I make a written request of the Company, I will be informed if a report was requested as well as the Name and Address of the reporting agency from which I may receive a copy of the investigative consumer report.

I authorize and instruct any person or agency contacted to participate or conduct inquiries at its request to compile information, and to furnish any information obtained as a result of such inquiries.

Agree   Disagree Date  

DISCLOSURE STATEMENT

Information contained in reports obtained by The Garden City Hotel in accordance with the above authorization may include information pertaining to your character, general reputation, police record, personal characteristics, and mode of living. You have the right to request that The Garden City Hotel completely and accurately disclose to you the nature and scope of all investigations requested. Such a request must be made in writing to the Human Resources Department within a reasonable period of time after your application for employment is received.

I hereby acknowledge that I have read the above disclosure statement and authorization and have understood them.

Name: 

Agree   Disagree

 Date