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Employment Application

Great Eastern Resorts

Application for Employment

Pre-employment Questionnaire

Great Eastern Resorts is an Equal Opportunity Employer.

Fields with an asterisk (*) are required.

PERSONAL INFORMATION *Application Date:

Legal Name *Last *First Middle Initial

Social Security #: *Present Address: *City: *State: *Zip: Permanent Address: City: State: Zip: *Phone Number: Alternate Phone Number: Email Address: *Are you 18 years or older? YES NO If NO, input age: *Are you 21 years or older? YES NO

EMPLOYMENT DESIRED *Position(s) Desired: Employment Type: Full-Time Part-Time Seasonal Shift(s) you will accept: Day Evening Night Weekday Weekend Rotatating Holidays
Other If "Other," please describe: *Date you can start: *Salary Desired:

General Are you employed now? YES NO If so, may we inquire of your present employer(s)? YES NO Have you applied with this company before? YES NO If Yes: when? Position? Were you hired by this company before? YES NO If Yes: when? Position? Have you ever applied or worked for this company under another name? YES NO If Yes, Name: How did you hear about employment opportunities with Great Eastern Resorts? Newspaper Rehire Walk-In Website Transfer Other Referral
Name of Referral Summarize any skills, training, seminars, workshops, licenses, and/or certifications below: (500 char max) U.S. Military or Naval Service? YES NO Rank Present Membership in National Guard or Reserves? YES NO

Special Questions *For purposes of compliance with The Immigration Reform and Control Act, are you legally eligible to work in the United States? YES NO *Have you been convicted of a felony or misdemeanor? YES NO
(You will not be denied employment solely because of a conviction record, unless the offense is related to the job for which you have applied ) If Yes, describe: (300 char max) Do you have anything scheduled such as vacation, court dates, appointments, special events etc? (300 Char Max) *Do you understand attendance is an essential function of the job? YES NO *Do you have a valid driver's license? YES NO *Do you have your own, reliable transportation to ensure regular attendance? YES NO If No, how will you plan to get to work? (300 char Max)

Education

Grammar School School Name: Location: Number of Years Attended: Check if You Graduated: Subjects Studied:

High School School Name: Location: Number of Years Attended: Check if You Graduated: Subjects Studied:

College College: Location: Number of Years Attended: Check if You Graduated: Subjects Studied:

Trade, Business or Correspondence School School Name: Location: Number of Years Attended: Check if You Graduated: Subjects Studied:

(The Age Discrimination in Employment Act of 1967 prohibits discrimination the basis of age with respect to individuals who are at least 40 but less than 70 years of age.)

Employment History

Instructions: List the last 3 employers beginning with most recent.

Employer 1 Employer : Type of Business: Address: City: State: Zip-Code: Phone Number: Employed From: To: Starting Title: Last Title: Name of Supervisor: Employed: FULL-TIME PART-TIME Reason for Leaving: Brief Description of Duties: Starting Pay: Ending Pay:

Employer 2 Employer : Type of Business: Address: City: State: Zip-Code: Phone Number: Employed From: To: Starting Title: Last Title: Name of Supervisor: Employed: FULL-TIME PART-TIME Reason for Leaving: Brief Description of Duties: Starting Pay: Ending Pay:

Employer 3 Employer : Type of Business: Address: City: State: Zip-Code: Phone Number: Employed From: To: Starting Title: Last Title: Name of Supervisor: Employed: FULL-TIME PART-TIME Reason for Leaving: Brief Description of Duties: Starting Pay: Ending Pay:

Please feel free to send a resume in addition to this completed application. Resumes should be e-mailed to employment@massresort.com

PLEASE READ THE FOLLOWING STATEMENT BEFORE SIGNING APPLICATION:
"I CERTIFY THAT THE FACTS CONTAINED IN THIS APPLICATION ARE TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE AND UNDERSTAND THAT, IF EMPLOYED, FALSIFIED STATEMENTS ON THIS APPLICATION SHALL BE GROUNDS FOR DISMISSAL.

I AUTHORIZE INVESTIGATION OF ALL STATEMENTS CONTAINED HEREIN AND THE REFERENCES LISTED ABOVE TO GIVE YOU ANY AND ALL INFORMATION CONCERNING MY PREVIOUS EMPLOYEMENT AND ANY PERTINENT INFORMATION THEY MAY HAVE, PERSONAL OR OTHERWISE, AND RELEASE ALL PARTIES FROM ALL LIABILITY FOR ANY DAMAGE THAT MAY RESULT FROM FURNINSHING SAME TO YOU.

I UNDERSTAND AND AGREE, THAT, IF HIRED, MY EMPLOYMENT IF FOR NO DEFINITE PERIOD AND MAY, REGARDLESS OF THE DATE OF PAYMENT OF MY WAGES AND SALARY, BE TERMINATED AT ANY TIME WITHOUT ANY PRIOR NOTICE."
*Signature (Type Full Legal Name):
*To Confirm Signature Please Enter Last 4 Digits of SSN Here:
*Date: mm/dd/yyyy

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