Position of Interest (check all that apply)

    HousekeeperLaundry AttendantDriver/Lobby PersonReservationistOvernight AuditorMaintenance Helper/CustodianBartenderRestaurant ServerHost/HostessBus PersonBanquet Set-up CrewBanquet ServerDishwasherLine CookBreakfast Bar AttendantManagement/SupervisorSecurity Officer

    Referral Source:
    AdvertisementEmployeeRelativeWalk-inEmployment AgencyIndeedOther

    Name

    Address

    Cell Phone

    Home Phone

    Email Address

    If you are under 18, can you furnish a work permit?
    YesNo

    Have you ever been employed here before?
    YesNo

    Are you legally eligible for employment in the United States?
    YesNo

    List anyone you know working for us currently:

    Date available to start working

    Type of employment desired (check one):

    Full timePart timeSeasonalInternship

    Hours available

    Sunday Not AvailableAvailable AnytimeMorningsAfternoonsEveningsOvernight
    Monday Not AvailableAvailable AnytimeMorningsAfternoonsEveningsOvernight
    Tuesday Not AvailableAvailable AnytimeMorningsAfternoonsEveningsOvernight
    Wednesday Not AvailableAvailable AnytimeMorningsAfternoonsEveningsOvernight
    Thursday Not AvailableAvailable AnytimeMorningsAfternoonsEveningsOvernight
    Friday Not AvailableAvailable AnytimeMorningsAfternoonsEveningsOvernight
    Saturday Not AvailableAvailable AnytimeMorningsAfternoonsEveningsOvernight

    Employment History

    List your last 3 employers, starting with the most recent. For application to be considered, candidate must provide full address and tele-
    phone number of previous employers.

    Employer Name
    Telephone

    Address

    Job Title
    Start Date
    End Date
    Salary
    Reason for leaving
    Immediate Supervisor and Title
    Job Responsibilities
    May we contact for reference?
    YesNoLater
    Employer Name
    Telephone

    Address

    Job Title
    Start Date
    End Date
    Salary
    Reason for leaving
    Immediate Supervisor and Title
    Job Responsibilities
    May we contact for reference?
    YesNoLater
    Employer Name
    Telephone

    Address

    Job Title
    Start Date
    End Date
    Salary
    Reason for leaving
    Immediate Supervisor and Title
    Job Responsibilities
    May we contact for reference?
    YesNoLater
    Explain any gaps in employment history

    Have you ever been discharged or asked to resign from a job?
    YesNo

    Have you ever been convicted of a crime?
    YesNo
    *A criminal conviction is not an automatic disqualifier for employment. However, Crown American Associates generally does not hire individuals who have been convicted of an offense, if the conviction is reasonably related to the job, including crimes involving dishonesty, violence, drugs and sex crimes. Applicant does not have to disclose the existence of any conviction which has been erased, expunged, sealed, which was the result of youthful offender adjudication, or for which the applicant has received an absolute pardon

    Education

    Please indicate education or training which you believe qualifies you for the position you are seeking.

    High School Name

    Address

    Major Course of Study
    Grade Completed or Degree(s)
    Business/Trade School Name

    Address

    Major Course of Study
    Grade Completed or Degree(s)
    College Name

    Address

    Major Course of Study
    Grade Completed or Degree(s)
    Graduate Name

    Address

    Major Course of Study
    Grade Completed or Degree(s)
    List any other experience, skills, scholastic honors, offices held, and/or other qualifications including hobbies, which you believe should be considered in evaluating your qualifications for employment. Please indicate prior volunteerism or military service which you would like considered in connection with your application for employment.
    Please provide any additional information you believe would be of value in considering you for employment:

    References

    List at least 3 business/work references who are not related to you and are not previous supervisors. If not applicable, list 3 school or personal references who are not related to you.

    Reference Name
    Occupation

    Address

    Phone Number
    Years Known
    Reference Name
    Occupation

    Address

    Phone Number
    Years Known
    Reference Name
    Occupation

    Address

    Phone Number
    Years Known
    Reference Name
    Occupation

    Address

    Phone Number
    Years Known

    It is understood and agreed upon that any misrepresentation by me in this application will be sufficient cause for cancellation of this application and/or separation from the employer’s service if I have been employed.
    I give the Employer the right to investigate all references and to secure additional information about me, if job related. I understand such information may be obtained from social media sites among other resources. I hereby release from liability the Employer and its representatives for seeking such information and all other persons corporations, or organizations for furnishing such information.
    The Employer is an Equal Opportunity Employer. The Employer does not discriminate in employment and no question on this application is used for the purpose of limiting or excusing any applicant’s consideration for employment on a basis prohibited by local, state, or federal law. I have been made aware that I may be asked to complete a background screening, dependent upon the position for which I am applying and that the Employer
    conducts various drug/alcohol testing as outlined in the Drug Free Workplace Policy. I understand that the Employer may review various social media outlets to secure additional information which may be used against me in the hiring decision if the information is reasonably related to the job.
    This application is current for only 90 days. At the conclusion of this time, if I have not heard from the Employer and still wish to be considered for employment, it will be necessary to fill out a new application.
    I understand that just as I am free to resign at any time, the Employer reserves the right to terminate my employment at any time, with or without prior notice. I understand that no representative of the Employer has the authority to make any assurances to the contrary.

    I agree.