Caribou Inn & Convention Center Employment Application

Applicant's Name(*)

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Current Street Address(*)

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Apt. No.

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City(*)

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State(*)

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Zip Code(*)

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Primary Phone (numbers only)(*)

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Alternate Phone (numbers only)

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Applicant Email address(*)

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Are you a citizen of the United States?(*)

YesNo

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If no, are you authorized to work in the U.S.

YesNo Invalid Input

Have you ever worked for this company?(*)

YesNo

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If yes, when?

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Is your driver's license currently revoked or under suspension?

YesNo Invalid Input

Have you ever been convicted of a misdemeanor or felony including pleas of guilty or no contest? (Do not include convictions that have been expunged or sealed.)(*)

YesNo

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If yes, explain?

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What position are you applying for?(*)

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EDUCATION

High School

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Address

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From

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To

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Did you graduate?

Yes No Invalid Input

College

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Address

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From

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To

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Did you graduate?

Yes No Invalid Input

Degree

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Trade, Business, or Correspondence School

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Address

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From

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To

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Did you graduate?

Yes No Invalid Input

Degree

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PREVIOUS EMPLOYMENT

Company

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Phone

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Street Address

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Supervisor

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Job Title

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Starting Salary

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Ending Salary

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Responsibilities

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From

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To

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Reason For Leaving

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May we contact your previous supervisor for a reference?

Yes No Invalid Input

Company

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Phone

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Street Address

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Supervisor

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Job Title

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Starting Salary

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Ending Salary

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Responsibilities

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From

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To

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Reason For Leaving

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May we contact your previous supervisor for a reference?

Yes No Invalid Input

Company

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Phone

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Street Address

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Supervisor

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Job Title

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Starting Salary

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Ending Salary

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Responsibilities

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From

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To

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Reason For Leaving

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May we contact your previous supervisor for a reference?

Yes No Invalid Input

REFERENCES

Reference 1

Full Name

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Relationship

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Company

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Phone

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Address

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Reference 2

Full Name

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Relationship

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Company

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Phone

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Address

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Reference 3

Full Name

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Relationship

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Company

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Phone

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Address

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US Military Service

Military Branch

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From

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To

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Rank

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How did you hear about us?

DISCLAIMER

PLEASE READ BEFORE SIGNING
Caribou Inn & Convention Center is an Equal Opportunity Employer and does not discriminate against any person because of race, physical or mental disability, color, religion, sex, age, sexual orientation, ancestry, national origin or other protected categories in applicable federal, state or local laws.
I certify the facts set forth in my application for employment are true and complete. I understand, if employed, false statements or material omissions on this application may result in my dismissal. I authorize the Caribou Inn & Convention Center to verify all statements contained in this application and to make any necessary reference checks.
I authorize the references and employers listed above to give the Caribou Inn & Convention Center any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and I release the employers and references I have listed, as well as the Caribou Inn & Convention Center, from liability from any damages which may result from furnishing this information to the Caribou Inn & Convention Center.
If employed, I agree to conform to all the policies and procedures of the Caribou Inn & Convention Center and recognize that my employment relationship will be of an “at will” nature which allows either party to terminate the relationship at any time. Specifically, I recognize that I may resign at any time with or without reason, or the Caribou Inn & Convention Center may discontinue my employment at any time with or without cause or prior notice.

This form has been designed to strictly comply with State and Federal fair employment practice laws prohibiting employment discrimination. We are an equal opportunity employer

SIGNATURE

Applicant Signature(*)

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(*)

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