Employment Application - Carson City Plaza

Thank You for your interest in joining our family at The Carson City Plaza Hotel and Event Center. You may fill out and submit this form to Management for consideration, and if chosen for a position you will be notified. The Carson City Plaza Hotel is Located at 801 South Carson Street, Carson City, NV. 89701 Phone: (775) 883-9500

Name*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Home / Cell Phone*

Do you have a valid Driver's License?*

Yes
No

Employment Desired*

Position(s) you are applying for

Pay Desired*

Enter desired hourly wage

Employment Status Desired*

Full Time
Part Time
Seasonal / On-Call

Education/Training*

Enter level of education / training completed

If hired, date available to begin work.*

Do you currently have friends /relatives working for Carson City Plaza Hotel & Event Center?

Yes
No

1) If yes, name and relationship

2) If yes, name and relationship

Can / will you work weekends?

Yes
No

Can / will you work Swing Shifts?

Yes
No

Can / will you work Graveyard Shifts?

Yes
No

Are you at least 16 years of age?

Yes
No

If hired, can you provide proof of legal right to work in the US?

Yes
No

(Note that work authorization and identification will be required prior to commencing employment)

Do you have the ability to perform the basic functions of the job for which you are applying? (either with or without reasonable accommodations?)

Yes
No

Have you ever been convicted of a felony?*

Yes
No

If yes, state the nature of the crime(s), when and where convicted and disposition of the case.

Note: No applicant will be denied employment solely on the grounds of conviction of a criminal offense, without first considering the nature of the offense, the date, surrounding circumstances, and the relevance of the offense to the position applied for.

Employment History

List below, all present and past employment starting with your most recent employer. Please list each and every employment completely. Please include all Military Service.

Name of Employer*

Employer's Address*

Street Address Address Line 2 City State ZIP Code

Employer's Phone*

Job Title*

Rate of Pay*

Start Date*

Please enter the start date for this job position

End Date*

Please enter the end date for this job position

Immediate Supervisor

First Last

Immediate Supervisor's Phone number

Reason for leaving in complete detail*

Name of Employer*

Employer's Address*

Street Address Address Line 2 City State ZIP Code

Employer's Phone*

Job Title*

Rate of Pay*

Start Date*

Please enter the start date for this job position

End Date*

Please enter the end date for this job position

Immediate Supervisor

First Last

Immediate Supervisor's Phone number

Reason for leaving in complete detail*

Name of Employer*

Employer's Address*

Street Address Address Line 2 City State ZIP Code

Employer's Phone*

Job Title*

Rate of Pay*

Start Date*

Please enter the start date for this job position

End Date*

Please enter the end date for this job position

Immediate Supervisor

First Last

Immediate Supervisor's Phone number

Reason for leaving in complete detail*

Equal Opportunity Statement - Carson City Plaza Hotel & Event Center adheres to a policy of non-discrimination with respect to age, sex, race, religion, national origin or disability. The Age Discrimination in Employment Act of 1967 as amended prohibits discrimination on the basis of age.

Read and sign below

I hereby verify that I have not knowingly withheld any information that might adversely effect my chances for employment and that the answers given by me are true and correct to the best of my knowledge. I further certify that I, the undersigned applicant have personally completed this application. I understand that any omission or misstatement of material fact on this application of any document used to secure employment shall be grounds for rejection of this application or for immediate discharge if I am employed, regardless of the time elapsed before discovery. I hereby authorize Carson City Plaza Hotel & Event Center, it's employees or affiliates, to thoroughly investigate my references, work record, education and other matters related to my suitability for employment, and further authorize my former employers to disclose to Carson City Plaza Hotel & Event Center any and all letters, reports and other information related to my work records, without giving me prior notice of such disclosure. In addition, I hereby release, Carson City Plaza Hotel & Event Center, my former employers and all other persons, corporations, partnerships and associations from any and all claims, demands or liabilities arising out of or in any way related to such investigation or disclosure. I understand that nothing contained in the application or conveyed during any interview which may be granted is intended to create an employment contract between myself and Carson City Plaza Hotel & Event Center. In addition, I understand and agree that if I am employed, I will be considered an "at-will employee" which means my employment is entered into voluntarily for no definite or determinable period and may be terminated at any time, with or without prior notice, at the option of either myself or Carson City Plaza Hotel & Event Center, and that no promise or representations contrary to the foregoing are binding on Carson City Plaza Hotel & Event Center unless made in writing and signed by myself and Carson City Plaza Hotel & Event Center's designated representative.

Applicant Printed Name*

First Last

Applicant Signature

Name

This field is for validation purposes and should be left unchanged.