Employment Application

Location *

Today's Date *

Name: * First Last

Email Address: *

Position(s) desired *

Hours available to work

*

Full Time Part Time

Rate of pay desired *

If hired, can you submit proof of legal right to work in the U.S.? *

Yes No

Are you of legal age to serve alcoholic beverages in this state? *

Yes No

Are you eligible to receive any and all permits/licenses required by law? *

Yes No

PREVIOUS EMPLOYMENT HISTORY

LIST ALL POSITIONS HELD DURING THE PAST TEN YEARS. LIST MOST RECENT EMPLOYER FIRST.

Job #1 (Most recent)

Job #1 Employer Address/City/State/Telephone

Job #1 Supervisor

Job #1 Positions Held / Responsibilities / Duties

Job #1 Rate of Pay

Job #1 Reason For Leaving

Job #2

Job #2 Address/City/State/Telephone

Job #2 Supervisor

Job #2 Positions Held / Responsibilities / Duties

Job #2 Rate of Pay

Job #2 Reason For Leaving

Job #3

Job #3 Address/City/State/Telephone

Job #3 Supervisor

Job #3 Positions Held / Responsibilities / Duties

Job #3 Rate of Pay

Job #3 Reason For Leaving

What source referred you? *

Have you ever worked for Cooper/CSS Hotels? *

Yes No

If yes, where and when?

Reason for leaving

Do you have any relatives employed at this location? *

Yes No

If yes, list names and positions

Have you ever been convicted of a felony or misdemeanor? *

Yes No

*You need not disclose a conviction a) that was judicially expunged or sealed; b) for a marijuana-related offense over 2 years old; c) if you completed a pre-or post-trial diversion program; or, d) for a misdemeanor for which probation was successfully completed (or discharged) and the case was judicially dismissed. A conviction will not necessarily be a bar to employment.

If yes, please explain

*You need not disclose a conviction a) that was judicially expunged or sealed; b) for a marijuana-related offense over 2 years old; c) if you completed a pre-or post-trial diversion program; or, d) for a misdemeanor for which probation was successfully completed (or discharged) and the case was judicially dismissed. A conviction will not necessarily be a bar to employment.

EDUCATION

What is the highest level of schooling that you've had? *

Degrees or licenses held:

Name of last school attended: *

Other training or trade schools

Typing speed

Which computer programs can you operate?

Which languages other than English do you speak fluently?

Other knowledge, skills or abilities

Are you able to perform the essential functions of the job for which you are applying with or without reasonable accommodation? *

Yes No

If no, describe the function(s) that cannot be performed

List the name, address, telephone number and relationship of three individuals (not relatives) who are familiar with your work: *

Attach a Copy of Your Resume

Word or PDF Documents Only

Acknowledgment:

I certify that the statements I have made on this application are true and correct. I understand that any misrepresentations made in this application will be sufficient cause for denial of employment or discharge. I understand that nothing contained in this application, or the granting, or the granting of an interview, is intended to be a contract of employment. I also understand that employment is “at-will” and that either of us may terminate the relationship at any time, for any reason, with or without cause. I certify that if employed, I will abide by all company rules and regulations.

I authorize Cooper/CSS to investigate my background to determine my suitability for employment and to use any information lawfully obtained for any employment-related purpose permitted by law. This investigation may include checking with the schools and employers I have identified, reviewing criminal conviction and driving records, and verifying any other relevant information about me. I release and waive any claims I may have against and indemnify and any of the schools, former employers, and other persons or entities for any loss or injury I may sustain as a result of any disclosure made related to this application.

The use, possession, or being under the influence of illegal drugs or alcohol while on Company time is prohibited and will result in disciplinary action, up to and including termination or employment. I hereby agree to submit to any lawful drug or integrity testing or post-offer medical examination that may be required as condition of employment and understand that refusal to submit to such testing during the course of my employment may result in disciplinary action, up to and including discharge. I authorize any physician, hospital, laboratory or collection site to release the results of any test or examination or other information which may be necessary to determine my ability to perform the duties of a job for which I am being considered, prior to employment or in the future during my employment with.

Confirmation: *

By checking this box, you agree to the statement above.

Cooper Hotels

PREVIOUS EMPLOYMENT HISTORY

EDUCATION

Acknowledgment: