APPLICATION FOR EMPLOYMENT

Please answer all questions.
WE ARE AN EQUAL OPPORTUNITY EMPLOYER

NOTICE: Applicant should read the following information carefully before filling out any of the questions in this form. We are an equal opportunity employer and fully subscribe to the principles of equal opportunity. It is our policy to seek and employ the best qualified personnel in all positions without regard to race, color, religion, sex, disability, national origin, or any other basis made unlawful by either state or federal law. It is our policy to comply with all federal and state employment statutes. Information requested on this application will not be used for any purpose prohibited by law.

Please note, if you would prefer to upload your resume instead, please click here.

First Name: *
Last Name: *
M.I.:  
Address: *
City: *
State: *
Zip Code: *
Phone: *
Email:
How long have you lived at the above address? *
Are you 18 years or older?   YES NO
If not, state date of birth:  
If under age 18, how many hours per week are you employed elsewhere?  
Have you had any name changes this employer should know about in order to verify job or education history?   YES NO
Previous Name:  
Have you ever been convicted of a crime or felony?   YES NO
If yes, please explain:  
Do you have transportation to and from work?   YES NO
Are you authorized to work in the U.S.?   YES NO
Position applied for: *
Date you can start: *
Wage desired: *
Are you applying for:    
Who recommended you for this position or how did you hear about the position? *

EDUCATION
SCHOOLING NAME AND ADDRESS OF SCHOOL GRADE or DEGREE COMPLETED GRADUATE YES/NO
       
High School
College or University
Others (Specify)
Military Service
Schools Attended


MILITARY SERVICE
War Veteran:   YES NO
Branch:  
Start of Military Service:  
End of Military Service:  
Highest Grade:  


PREVIOUS WORK EXPERIENCE
(List below your last three employers, starting
with the most recent one first)


Company Name:  
Company Address:  
Company Phone:  
Your Position:  
Immediate Supervisor:  
Title:  
Employment Start Date:  
Employment End Date:  
Starting Wage/Salary:  
Ending Wage/Salary:  
Reason For Leaving:  
Job Duties:  

2ND MOST RECENT JOB

Company Name:  
Company Address:  
Company Phone:  
Your Position:  
Immediate Supervisor:  
Title:  
Employment Start Date:  
Employment End Date:  
Starting Wage/Salary:  
Ending Wage/Salary:  
Reason For Leaving:  
Job Duties:  

3RD MOST RECENT JOB

Company Name:  
Company Address:  
Company Phone:  
Your Position:  
Immediate Supervisor:  
Title:  
Employment Start Date:  
Employment End Date:  
Starting Wage/Salary:  
Ending Wage/Salary:  
Reason For Leaving:  
Job Duties:  


FINAL INFORMATION

Are there any job duties that you would be unable to perform?  
Is there anything we could do to accommodate you so you could perform all the required job duties?  
Have you ever applied to this company before?   YES NO
If yes, when?  
Are you or an immediate family member(s) currently employed, or have ever been employed in the past, with this company?   YES NO
Are you now employed?   YES NO
If yes, may we contact you current employer?   YES NO
Match the Security Image:*    CAPTCHA image

1. I authorize investigation of all statements contained in this application.
2. I understand that misrepresentation or omission of facts called for is cause for dismissal and that my employment is substantially dependent on truthful answers to the
forgoing inquires.
3. I have read these statements and answers to these inquires. YES NO



Sundara Spa – Application for Employment