Employment

APPLICANT INFORMATION

Application Date

First Name *

Last Name *

Middle Initial

Address *

Apartment / Unit Number

City, State, Zip *

Phone *

Email Address *

Date Available *

Alternate Phone

Desired Salary * $

Position Applied For *

Are you a citizen of the United States? * Yes No

If no, are you authorized to work in the U.S.? Yes No

Have you ever worked for Marshall Hotels and Resorts or A-1 Staffing? * Yes No

If yes, When / Where

Have you ever been convicted of a felony? * Yes No

If yes, explain:

EDUCATION

High School

Name *

Address *

From * To * Did you graduate? * Yes No

Degree

College

Name

Address

From To Did you graduate? Yes No

Degree

Other

Name

Address

From To Did you graduate? Yes No

REFERENCES
Please list three professional references.

Full Name *

Relationship *

Company *

Phone *

Address *

Full Name *

Relationship *

Company *

Phone *

Address *

Full Name *

Relationship *

Company *

Phone *

Address *

PREVIOUS EMPLOYMENT

Company 1

Phone

Address

Supervisor

Title

Starting Salary Ending Salary

Responsibilities

From To

Reason for Leaving

May We Contact this Employer? Yes No

Company 2

Phone

Address

Supervisor

Job Title

Starting Salary Ending Salary

Responsibilities

From To

Reason for Leaving

May We Contact this Employer? Yes No

Company 3

Phone

Address

Supervisor

Job Title

Starting Salary Ending Salary

Responsibilities

From To

Reason for Leaving

May We Contact this Employer? Yes No

MILITARY SERVICE

Military Branch

From To

Rank at Discharge

Type of Discharge

If other than honorable, explain:

DISCLAIMER AND SIGNATURE

I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release. I understand this company is an Equal Opportunity Employer and does not discriminate on the basis of gender, race, age, religion or sexual orientation.

Digital Signature * Date