(check all that apply)

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.
*A criminal conviction is not an automatic disqualifier for employment. However, Keystone Hospitality LLC 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.


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


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.

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.