Name *

First

Last

Email *

Phone Number *

Address *

City

State

Zip Code

Are you legally authorized to work in the U.S. *

Yes
No

If you are under 18, do you have a work permit? *

I am over the age of 18
Yes
No

Please select all positions of interest *

I am interested in: *

Full Time
Part Time
Both

Pay Desired

Hours of availability: *

Please specify days of the week and hours for each.

Have you ever applied to Springside Inn before?

Yes
No

How were you referred to Springside

Employer (Most Recent) *

Please share the name of the company, the dates you were employed, the position you held, your duties and your reason for leaving.

Employer (Second most recent)

Please share the name of the company, the dates you were employed, the position you held, your duties and your reason for leaving.

Employer (Third most recent)

Please share the name of the company, the dates you were employed, the position you held, your duties and your reason for leaving.

Is there any reason we should not contact any employer for a reference?

Yes
No

If yes, please identify the employer and explain why not.

Professional References *

Please list three (3) we may contact. Name, Address, Phone Number and Relationship

Springside inn is an equal opportunity employer. All persons shall have the opportunity to be considered for employment without regard to their race, color, religion, national origin, ancestry, alienage or citizenship status, age disability or handicap, sex or gender, marital status, veteran status, sexual orientation, arrest record or any other characteristic protected by applicable federal, state or local laws. Springside Inn will endeavor to make a reasonable accommodation to be known physical or mental limitations of a qualified applicant with a disability unless the accommodation would impose an undue hardship on the operation of the business. If you require such assistance to complete that form or to participate in an interview, please let us know. I understand that this application is only valid for the position applied for at present and that the inn is not obligated to retain or consider this application for future openings. I understand that if I am offered employment with the innm I will be required to execute an Arbitration Agreement prior to commencing employment. I authorize investigation of all statements contained in this application. I UNDERSTAND THAT ANY FALISIFICATION, MISREPRESENTATION OR OMISSION OF FACTS CALLED FOR WILL RESULT IN IMMEDIATE TERMINATION FROM EMPLOYMENT OR REMOVAL OF MY APPLICATION FROM CONSIDERATION. I authorize the inn to secure information about my experiences with my former employers and for those parties to provide information concerning my experience, releasing all parties from any liability arising therefrom. IF I AM EMPLOYED BY SPRINGSIDE INN, I UNDERSTAND MY EMPLOYMENT CAN BE TERMINATED WITH OR WITHOUT CAUSE AND WITH OR WITHOUT NOTICE, AT ANY TIME FOR ANY LAWFUL REASON AT THE OPTION OF THE INN OR MYSELF. I understand that no manager, supervisor or representative of the inn has the authority to enter into any agreement for employment for any specified period of time, or make any agree contrary to the foregoing, except in written contract signed and authorized by inn management. I further expressly agree that, with respect to the at-will employment relationship this continues the full, complete and final expression of the parties' understanding concerning the nature of any employment relationship between myself and the Springside Inn. MY SIGNATURE BELOW CERTIFIES THAT I HAVE READ AND UNDERSTAND THE FOREGOING AND TO THE AND TO THE BEST OF MY KNOWLEDGE AND BELIEF, THE INFORMATION ON THIS FORM IS TRUE, CORRECT AND COMPLETE. MY SIGNATURE BELOW ALSO CERTIFIES THAT I AGREE TO BE BOUND BY THE TERMS AND CONDITIONS IN THIS APPLICATION. *

Applicant Signature and Date

Springside Inn Job Application

Springside Inn

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