
PERSONAL INFORMATION
EMPLOYMENT INFORMATION
If you are not a citizen of the United States, have you the legal right to remain permanently in the U.S.? ________________ Do you intend to remain permanently in the U.S.? ___________ (Upon employment you will be required to show proof of citizenship.)
POSITION(S) DESIRED
List in order of preference_____________________________________________________
Date you can start ____________ If student, Date you return to school ____________
Are You Applying for : ____Full Time or ____ Part Time?
Are You Applying for : ___ Year Round or ___ Seasonal (April - Nov.) or ___ Summer Seasonal?
Referred By __________________________
Have you ever applied to the Provincetown Inn before? _____ date _____________
Have you been employed by the Provincetown Inn before? ____ date _____ position ________
EDUCATION, MILITARY AND TRAINING
School Name and City No. of yrs. Completed Graduate? Deg/Diploma High School College Vocational Other
PRIOR WORK EXPERIENCE
List most recent employment first, and explain any significant gaps in employment. All work references will be verified.
1. Starting Month/Year________________ Ending Month/Year_______________________
Employer ______________________________________________________________________
Address _______________________________________________________________________
Telephone (______)______________ Supervisor____________________________________
Job Title and Duties __________________________________________________________
Beginning Salary_______Ending Salary______Reason for Leaving___________________
Check here if you do not desire this employer to be contacted at this time _____.
2. Starting Month/Year________________ Ending Month/Year_______________________
Employer ______________________________________________________________________
Address _______________________________________________________________________
Telephone (______)______________ Supervisor____________________________________
Job Title and Duties __________________________________________________________
Beginning Salary_______Ending Salary______Reason for Leaving___________________
Check here if you do not desire this employer to be contacted at this time _____.
3. Starting Month/Year________________ Ending Month/Year_______________________
Employer ______________________________________________________________________
Address _______________________________________________________________________
Telephone (______)______________ Supervisor____________________________________
Job Title and Duties __________________________________________________________
Beginning Salary_______Ending Salary______Reason for Leaving___________________
Check here if you do not desire this employer to be contacted at this time _____.
4. Starting Month/Year________________ Ending Month/Year_______________________
Employer ______________________________________________________________________
Address _______________________________________________________________________
Telephone (______)______________ Supervisor____________________________________
Job Title and Duties __________________________________________________________
Beginning Salary_______Ending Salary______Reason for Leaving___________________
Check here if you do not desire this employer to be contacted at this time _____.
SPECIAL TRAINING
Typing _______ words per minute
Personal Computers (Please indicate what type)_______________________________________
Other skills____________________________________________________________________
MISCELLANEOUS
If you wish to be considered for any position involving the handling or serving of alcoholic beverages, do you meet the legal age requirements to handle or serve alcoholic beverages: Yes___No___
If the position for which you are applying requires a fidelity bond, have you ever been denied such a bond? Yes___No___
Have you been convicted of a felony or released from prison following a felony conviction within the last seven years? Yes___No___
If yes, please describe in detail (A conviction record will not necessarily disqualify an applicant) ______________________________________________________________________________ ______________________________________________________________________________
Applicant Statement
It is understood and agreed that any misrepresentation by me in this application will be sufficient cause for cancellation of this application and/or seperation
from employment at the Provincetown Inn if I have been hired.
The Provincetown Inn is an Equal Opportunity Employer. The Provincetown Inn does nor discriminate in employment and no question on this application is used for the purpose of eliminating or excluding any applicant's consideration for employment on a basis prohibited by local, state or federal law.
I give permission to call or write to all or any of my previous employers or references.
I Hereby certify that all of the information contained in this application is, to the best of my knowledge, true and correct.
___________________________________________________________________________________________________________
Signature Date