Job Application Form

Personal Information

*First Name:

*Last Name:

*Present Address:

*City:

*State:Select a StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming

*Zip code:

*Phone:

*Country:

Do you have a valid Driver's License? YesNo

Driver License#:

Employment Information

Can you, after employment, submit verification of your legal right to work in the US? YesNo

Position Desired:

Are you able to perform the essential functions of the job for which you are applying, either with or without reasonable accommodations? If no please describe whatever functions cannot be performed: (Portola Hotel & Spa complies with the Americans with Disabilities Act)

Date you can start:

Minimum Salary Accepted:

Do you desire:Select:Full TimePart-TimeOn-Call

Referred By:

Have you ever applied or worked here before? YesNo

If yes, when and what position:

Education

High School Name/Location of School:

Did you graduate? YesNo

Course or Major:

College Name/Location of School:

Did you graduate? YesNo

Course or Major:

Trade/Business/Correspondence Name/Location of School:

Did you graduate? YesNo

Course or Major:

Special Skills or Training

Please check off all that apply: Microsoft WordMicrosoft Excel10 Key Adding MachineCash RegisterPBX Switchboard

Other:

Special Job Related Skills:

Current Certification and Licenses:

Miscellaneous

Can you provide proof that you meet the legal age requirement of 21 years to handle alcoholic beverages if you are hired? YesNo

Work Experience (List Most Recent Employment First)

From:

To:

Co. Name:

Address:

Phone:

Supervisor:

Position:

Salary:

Reason left:

May we contact your employment reference? YesNo

If not, why?

Work Experience (List Most Recent Employment First)

From:

To:

Co. Name:

Address:

Phone:

Supervisor:

Position:

Salary:

Reason left:

May we contact your employment reference? YesNo

If not, why?

Work Experience (List Most Recent Employment First)

From:

To:

Co. Name:

Address:

Phone:

Supervisor:

Position:

Salary:

Reason left:

May we contact your employment reference? YesNo

If not, why?

Personal references - should be local and/or someone whom you have known for at least three (3) years and not related

Name:

Phone Number:

From and To:

Personal references - should be local and/or someone whom you have known for at least three (3) years and not related

Name:

Phone Number:

From and To:

Criminal Matters

Have you ever been convicted of or plead guilty to a felony offense or other serious crime? (Serious crimes include a DUI conviction, use of drugs (except convictions for smoking or possession of marijuana two or more years ago)) YesNo

If so, explain:

If you have ever been convicted of a felony or misdemeanor, please state the nature of the crime/s. Include date and location convicted and disposition of the case: