Application for Employment

Questions marked with an asterisk (*) are required.
Please consider printing a copy of this page for your records before you click Submit.


Personal Information

* , :
*
Country:
*
* State or Province:
*
 
*       mm-dd-yyyy
     Friend
   Internet Site
   Newspaper ad
   Other
   Poster
   School
*
*

Yes     No 

    Full-Time
  Part-Time
     Any Shift
   Weekdays
   Weekends
 
*

Yes     No 

 
*

Yes     No 

 
*

Yes     No 

*

Yes     No 

*

Yes     No 

 
 
 
*A conviction will not necessarily bar employment
 
*

Yes     No 

 
 
*
 
*
 

Application Information

* Earliest date you can begin employment:       mm-dd-yyyy
Latest date to end employment:
If you are applying for a seasonal job, please enter the latest date you can end employment.
      mm-dd-yyyy
  Select the positions you are applying for:
*
First Choice
Second Choice
Third Choice
 
 

Education Information

 
    9
  10
  11
  12
 
 
 
 
 
 

Yes     No 

Work History

 Current employer
   Employer Name:
   Position Title:
   Job Duties:
   Salary/Wage:
   Start Date: mm-dd-yyyy
  End Date: mm-dd-yyyy
   Reason for leaving:
   Mailing Address:
  Mailing Address (cont.):
   City:
   State or Province:
   Zip or Postal Code:
   Phone:
   Supervisor:
  Supervisor's E-mail Address:
 Most recent former employer
   Employer Name:
   Position Title:
   Job Duties:
   Salary/Wage:
   Start Date: mm-dd-yyyy
  End Date: mm-dd-yyyy
   Reason for leaving:
   Mailing Address:
  Mailing Address (cont.):
   City:
   State or Province:
   Zip or Postal Code:
   Phone:
   Supervisor:
  Supervisor's E-mail Address:
 Second former employer
   Employer Name:
   Position Title:
   Job Duties:
   Salary/Wage:
   Start Date: mm-dd-yyyy
  End Date: mm-dd-yyyy
   Reason for leaving:
   Mailing Address:
  Mailing Address (cont.):
   City:
   State or Province:
   Zip or Postal Code:
   Phone:
   Supervisor:
  Supervisor's E-mail Address:
Some positions require reference checks, background and/or credit checks, drug testing, physical and other pre-employment qualifications. I understand that as a condition of employment, I may be requested to cooperate in testing for the presence of drugs and/or alcohol in my system. I agree to this condition and to cooperate at such reasonable time and manner designated by the employer and I further agree to sign all necessary authorization forms in connection with such testing. I further understand adhering to the company's grooming policy is a condition of employment and I agree, if hired, to this condition. I certify that answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for employment and release from any liability both the Summit at Snoqualmie and those who supply reference information. In the event of employment, I understand that falsification or omission of information in my application, interview(s), personnel forms or any other Summit at Snoqualmie document may result in discharge. I understand that it is the policy of the Summit at Snoqualmie to provide equal opportunity and make all employment decisions without regard to race, color, age sex marital status, ancestry, religion and national origin, citizenship or disability. However, I understand and agree that my employment, if hired, is for no definite period and may, regardless of the date of payment of my wage and salary, be terminated at any time without previous notice. I further understand that neither this document or any statement or action by the Summit at Snoqualmie should be understood to create a contract of continuing employment. As a condition of employment, I agree to fully and completely comply with all policies concerning alcohol, drugs, safety, theft and loss control, and further consent to such searches, inspections, examinations and tests as may be required by policy.

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you submit, and bring it with you to the fair.

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Signature:
Date:

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