Employment Application

Sanibel Harbour Resort & Spa is an equal opportunity employer and always seeks to employ the best qualified individual for the job based on job-related qualifications, regardless of race, color, religion, sex, age, national origin, marital status, disability, veteran status, or any other characteristic protected by law.

Important Notice: This is a very significant document.

You should be very careful as you complete it. Answer each item accurately and completely. Failure to do so may result in you not being considered for the position or in your termination if inaccurate or omitted information is discovered after your employment has begun.

Date You Can Start Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2008 2009 2010

List all other names by which you have ever been known.

Present Address:


Select a State Alabama Alaska Arizona Arkansas British Virgin Islands California Colorado Connecticut Delaware Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Mariana Islands Mariana Islands (Pacific) Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont VI U.S. Virgin Islands Virginia Washington Washington, D.C. West Virginia Wisconsin Wyoming

Permanent Address:


Select a State Alabama Alaska Arizona Arkansas British Virgin Islands California Colorado Connecticut Delaware Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Mariana Islands Mariana Islands (Pacific) Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont VI U.S. Virgin Islands Virginia Washington Washington, D.C. West Virginia Wisconsin Wyoming

Previous Address:


Select a State Alabama Alaska Arizona Arkansas British Virgin Islands California Colorado Connecticut Delaware Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Mariana Islands Mariana Islands (Pacific) Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont VI U.S. Virgin Islands Virginia Washington Washington, D.C. West Virginia Wisconsin Wyoming

Are You 18 Years Old Or Older? (Proof Of Age May Be Required.)
Yes No

Are You Legally Eligible For Employment In The United States? (You Will Be Required To Provide Proof Upon An Offer Of Employment.)
Yes No

Are There Any Limitations On The Days Or Shifts That You Are Able To Work?
Yes No
If Yes, Explain

Are You Able To Perform The Essential Duties Of The Job For Which You Are Applying With Or Without Reasonable Accommodations?
(Please Refer To Job Description)
Yes No

Are You Currently Employed?
Yes No

If Yes, May We Contact Your Present Employer For A Reference At This Time?
Yes No

Have You Ever Applied Or Worked At Sanibel Harbour Resort & Spa?
Yes No
If Yes, When?

For What Position?

Were You Terminated?
Yes No
If Yes, What Was The Exact Reason(s) For Leaving?

Name Of Your Last Immediate Supervisor At Sanibel Harbour Resort & Spa

Are You Related To Anybody Employed At Sanibel Harbour Resort & Spa?
Yes No
If Yes, State Name(s) And Relationship

Is There Any Current Employee(s) Of Sanibel Harbour Resort & Spa Who You Know?
Yes No
IF YES, WHO?

Who Referred You To Sanibel Harbour Resort & Spa?

Initials*

* required