Employment Application

It is of the utmost importance that all information given on this application be accurate. It is our policy to verify information regarding an applicant’s background, including but not limited to such items as dates of employment, salary progressions, and reasons for leaving present and/or previous employment. “Our Passion is People”
General Applicant Information
Name*
First Middle Last
Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Home Phone
Cell Phone
Message Phone
I am a U.S. Citizen or National of the U.S., an undocumented citizen lawfully working for permanent residence, or an undocumented citizen authorized to work in the U.S. for Heritage Hills
- Yes
- No
Note: Upon request, prior to commencement of employment, you must provide document that establish your identity and authorization to work in the United States.
Are you under the age of 18?*
- Yes
- No
Are you under the age of 16?
- Yes
- No
If your answer is yes, you must supply your work permit if hired.
Position
Type of employment desired:*
- Full-time
- Part-time
- Temporary
- Summer
- On Call
Department Applied For*
Second Choice
Date Available
MM slash DD slash YYYY
Position Applied For
Salary Requirement
Have you ever applied or interviewed for a position with Heritage Hills?*
- Yes
- No
Date
MM slash DD slash YYYY
Position
Have you ever been employed by Heritage Hills?
- Yes
- No
Date
MM slash DD slash YYYY
Position
Which shift(s) do you prefer?
- First
- Second
- Third
- Open
Referred by:
Background
Have you ever been convicted of, pleaded guilty or “no contest” (nolo contendere) to crime other than a minor traffic violation within the last 5 (five) years?*
- Yes
- No
If you answered “yes” to any of the above questions, please explain.
Note: Disclosure of convictions does not automatically disqualify you from employment consideration.
If the position requires driving do you have a valid driver’s license?
- Yes
- No
Have you ever served/worked in any branch of the U.S. Military?
- Yes
- No
If yes, dates and branch.
Employment History
Prior Employer
Employer #1
Address
Employer #1

Street Address Address Line 2 City State ZIP Code
Employment Start - Month / Year
Employer #1
Employment End - Month / Year
Employer #1
Job Title
Employer #1
Salary - Start
Employer #1
Salary - Finish
Employer #1
Other Compensation
Employer #1
Major Responsibilities
Employer #1
Supervisor's Name and Telephone Number (include area code)
Employer #1
Reason for Leaving
Employer #1
Prior Employer
Employer #2
Address
Employer #2

Street Address Address Line 2 City State ZIP Code
Employment Start - Month / Year
Employer #2
Employment End - Month / Years
Employer #2
Job Title
Employer #2
Salary - Start
Employer #2
Salary - Finish
Employer #2
Other Compensation
Employer #2
Major Duties
Employer #2
Supervisor's Name and Telephone Number (include area code)
Employer #2
Reason for Leaving
Employer #2
Prior Employer
Employer #3
Address
Employer #3

Street Address Address Line 2 City State ZIP Code
Employment Start - Month / Year
Employer #3
Employment End - Month / Year
Employer #3
Job Title
Employer #3
Salary - Start
Employer #3
Salary - Finish
Employer #3
Other Compensation
Employer #3
Major Duties
Employer #3
Supervisor's Name and Telephone Number (include area code)
Employer #3
Reason for Leaving
Employer #3
Professional References
List References
Please list three professional references that we may contact. Click the plus icon to add additional row (max 3).
Name Relationship Company Telephone Number
Education
Please list high school, business or vocational school, college, and graduate/other schools below. Click the plus icon to add additional row (max 4).
Please list high school, business or vocational school, college, and graduate/other schools below. Click the plus icon to add additional row (max 4).
Education Type City, State Course/Degree/GED Years Complete
Skill Set Summary
Describe any other experience, skills or qualifications that you feel would help you perform the job for which you are applying
Applicant Statement - Please Read Carefully
The Heritage Hills Resort is an equal opportunity employer committed to hiring a diverse workforce and sustaining an inclusive culture. The Heritage Hills Resort does not discriminate on the basis of disability, veteran status or any other basis protected under federal, state or local laws. EEOE.

I hereby certify that all of the information provided by me in this application (or any other accompanying or required documents) is correct, accurate and complete to the best of my knowledge. I understand that the falsification, misrepresentation or omission of any facts in said documents will be cause for denial of employment or immediate termination of employment regardless of the timing or circumstances of discovery.

I understand that submission of an application does not guarantee employment. I further understand that, should an offer of employment be extended by Heritage Hills that such employment with Heritage Hills is at will, for no specified duration and may be terminated by either or myself Heritage Hills at any time, with or without cause. I understand that none of the documents, policies, procedures, actions, statements of Heritage Hills or its representatives used during the employment process is deemed a contract of employment real or implied. I understand that no representative of Heritage Hills except the President has the authority to enter into any agreement guaranteeing any conditions of employment or any agreement contrary to the foregoing statements and that any such agreements must be made in writing and signed by the President of Heritage Hills. In consideration for employment with Heritage Hills, if employed, I agree to conform to the rules, regulations, policies and procedures of Heritage Hills at all times and understand that such obedience is a condition of employment.

I understand that if offered a position with Heritage Hills, I may be required to submit to a pre-employment medical examination, drug screening, including urine or blood, background check, and/or credit check as a condition of employment. I understand that unsatisfactory results from, refusal to cooperate with, or any attempt to affect the results of these pre-employment tests and checks may result in withdrawal of any employment offer or termination of employment if already employed.

I hereby authorize any and all schools, former employers, references, courts, and any others who have information about me to provide such information to Heritage Hills and/or any of its representatives, agents or vendors and I release all parties involved from any and all liability for any and all damage that may result from providing such information.

I understand that this application is considered current for six months. If I wish to be considered for employment after six months from completion of this application form, I will need to complete a new application form.
Signature*
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Name	Relationship	Company	Telephone Number

Education Type	City, State	Course/Degree/GED	Years Complete

Employment Application

General Applicant Information

Position

Background

Employment History

Professional References

Education

Skill Set Summary

Applicant Statement - Please Read Carefully