DivScroller

Employment Application

Name

Social Security #

Address, City, State, Zip

E-Mail
Phone Number Other

Are you over 18? Yes No
Are you over 21? Yes No

Do you have a legal right to live and work in the U.S.? Yes No

Position applying for:
Salary Range:
Date available for work:

Since the age of 18, have you ever been convicted of a felony which has not been expunged, annulled, or sealed by a court?
Yes No
If yes, give details:

A conviction does not necessarily bar employment.

Are there other experiences, honors, skills or qualifications which you feel would have direct relationship to the job for which you are applying?

If you desire clerical work, give office skills:

Typing Yes No | WPM

Shorthand Yes No | WPM

Other Business Machines Operated (List)

JOB PLACEMENT INFORMATION:

In compliance with Federal and State equal employment opportunity laws, qualified applicants are considered for all positions without regard to race, color, religion, sex or national origin, age, marital status or the presence of a medical condition or disability. We are a drug-free company and will be administering drug and alcohol testing.

START WITH PRESENT EMPLOYER AND LIST ALL EMPLOYERS.

Company Name
Address
Telephone
Supervisor's Name and Title
Date Started (m-d-y) - - Date End (m-d-y) - -
Reasons for Leaving
Position(s) Held
Starting Salary Final Salary
Duties
May we contact this employer? Yes No

Describe any job-related training you may have received in the United States military

Have you ever worked for this Company or any of its subsidiaries?
Yes No
If "Yes";
Facility
Dates
Position
Reasons for leaving
Give details

Business References

Name

Relationship

Position

Company name

Address

Telephone

Name

Relationship

Position

Company name

Address

Telephone

Name

Relationship

Position

Company name

Address

Telephone

How were you referred to this company?
Newspaper Employee Agency Other

In Case of Emergency, Notify

Name

Street

City, State, Zip

Telephone

In accepting employment, I agree to abide by the rules governing employees of John Q. Hammons Hotels Management ("JQHH"). I certify that all my answers to questions contained herein are true. I fully understand that I may be discharged for giving false information relative to my employment. I authorize JQHH to investigate all statements in this application and to secure any necessary information from all my employers and references. I hereby release all those employers and references and JQHH from any and all liability arising from their giving or receiving information about my employment history, my academic credentials or qualifications, and my suitability for employment with JQHH. I understand that my employment is at the will of JQHH and can be ended with or without cause or without notice.

Date (m-d-y) - -