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Name of the Field

Tool Tip

Type of Field

Format

Options

Full Name

Type in your full name

Text Field

None

None

Date

Enter Today’s Date

Text Field

Date

None

Address

Type in your street address

Text Field

None

None

City

Type in the name of your city

Text Field

None

None

State

Type in the name of your state

Text Field

None

None

Zip Code

Enter your 5 digit zip code

Text Field

Special, Zip Code

None

Social Security Number (SSN)

Type in your 9 digit Social Security Number

Text Field

Special, Social Security Number

None

Phone

Type in your phone number

Text Field

Special, Phone Number

None

Position Applied For

Choose the position you are applying for

Drop-down List

None

Please select an option, Concierge, Front Desk, and Housekeeping

Date Available

What date are you available to start working?

Text Field

None

None

Are you a US Citizen?

Choose your citizenship status

Drop-down List

None

Please select an option, Yes, No

If no, are you authorized to work in the US?

If no, are you authorized to work in the US?

Drop-down List

None

Please select an option, Yes, No

Have you ever been convicted of a felony?

Have you ever been convicted of a felony?

Drop-down List

None

Please select an option, Yes, No

If yes please explain

If you have been convicted of a felony, please explain

Drop-down List

None

None

High School

Type in the name of your high school

Text Field

None

None

City/State High School

Type in the City and State you went to High School in.

Text Field

None

None

Attended From High School

High School Starting Year

Text Field

None

None

To High School

High School Ending Year

Text Field

None

None

Did you graduate High School?

Choose graduation status

Drop-down List

None

Please select an option, Yes, No

Diploma Earned

Choose the diploma you earned.

Drop-down List

None

Please select an option, Regents Diploma, Advanced Regents Diploma

College

Type in the name of your college

Text Field

None

None

City/State College

Type in the City and State you went to college in.

Text Field

None

None

Attended From College

College Starting Year

Text Field

None

None

To College

College Ending Year

Text Field

None

None

Did you graduate college?

Choose your graduation status

Drop-down List

None

Please select an option, Yes, No

Degree Earned

Choose the college degree earned

Drop-down List

None

Please select an option, Associates, Bachelors, Masters, PHD/MD/Doctorate

Previous Employment Company 1 Name

Type in the name of company 1.

Text Field

None

None

City/State Previous Company 1

Type in the city and state Company 1 is located

Text Field

None

None

Phone Number Company 1

Type in the phone number of Company 1

Text Field

None

None

Supervisor Name Company 1

Type in the name of your supervisor at Company 1

Text Field

None

None

Start Date Company 1

Type in the date you started working at Company 1

Text Field

None

None

End Date Company 1

Type in the date that was your last day of work at Company 1

Text Field

None

None

Job Title Company 1

What was your job title at Company 1?

Text Field

None

None

Responsibilities Company 1

Type in your responsibilities at Company 1

Text Field

None

None

Starting Pay Company 1

Type in your starting pay at Company 1

Text Field

None

None

Ending Pay Company 1

Type in your ending pay at Company 1

Text Field

None

None

May we contact your prior supervisor at Company 1?

Choose if we can contact your supervisor

Drop-down List

None

Please select an option, Yes, No

Previous Employment Company 2 Name

Type in the name of company 2

Text Field

None

None

City/State Previous Company 2

Type in the city and state Company 2 is located

Text Field

None

None

Phone Number Company 2

Type in the phone number of Company 2

Text Field

None

None

Supervisor Name Company 2

Type in the name of your supervisor at Company 2

Text Field

None

None

Start Date Company 2

Type in the date you started working at Company 2

Text Field

None

None

End Date Company 2

Type in the date that was your last day of work at Company 2

Text Field

None

None

Job Title Company 2

What was your job title at Company 2?

Text Field

None

None

Responsibilities Company 2

Type in your responsibilities at Company 2

Text Field

None

None

Starting Pay Company 2

Type in your starting pay at Company 2

Text Field

None

None

Ending Pay Company 2

Type in your ending pay at Company 2

Text Field

None

None

May we contact your prior supervisor at Company 2?

Choose if we can contact your supervisor

Text FieldDrop-down List

NoneNone

Please select an option, Yes, No

Reference 1 Name

Type in the name of your first reference.

Text Field

None

None

Relationship Reference 1

Type in the relationship between you and your first reference.

Text Field

None

None

Company Reference 1

Type in the name of the company your first reference works for.

Text Field

None

None

Title Reference 1

Type in your first references title.

Text Field

None

None

Email Reference 1

Type in the email of your first reference.

Text Field

None

None

Phone Number Reference 1

Type in the phone number for your first reference.

Text Field

Special, Phone Number

None

Reference 2 Name

Type in the name of your second reference.

Text Field

None

None

Relationship Reference 2

Type in the relationship between you and your second reference.

Text Field

None

None

Company Reference 2

Type in the name of the company your second reference works for.

Text Field

None

None

Title Reference 2

Type in your second references title.

Text Field

None

None

Email Reference 2

Type in the email of your second reference.

Text Field

None

None

Phone Number Reference 2

Type in the phone number for your second reference.

Text Field

Special, Phone Number

None

Signature

Enter your signature

Signature

None

None

Date

Enter Today’s Date

Text Field

Date

None

Print Name

Enter your name

Text Field

None

None

Clear Form

Click to clear the form

Button

None

None

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