Employment Application

(Applications not filled in completely will be rejected.)

Carson Valley Inn is an Equal Opportunity Employer. No question on this application can be asked for the purpose of excluding any applicant's consideration for employment because of race, color, religion, sex, age national origin, sexual orientation, veteran's status, disability or any other charactersitic protected under state or federal law. Any applicant will be immediately rejected for employment or if hired, terminated without notice for giving false information in this application or failing to accurately provide information requested. If hired, employment is for no fixed term and the company or the employee can terminate employment at any time.

Contact Information:

Fields marked (*) are required.

* Last Name:

* First Name:

Middle Initial:

Present Address:

How long at address?

Mailing Address:

City:

State:

Zip Code:

* Telephone Number(s):

* Email Address:

Last Previous Address:

List any other name(s) used by you for educational or employment purposes:

Position

First Choice:

Second Choice:

Shift Preferred: Grave Swing Day Any

Type of Work Desired: Full Time Part Time

Desired Rate of Pay:

Date Available to Work:

General Information

(Use the comment section to explain)

Have you worked for Carson Valley Inn before? No Yes

If yes, list dates/positions:

If necessary, can you prove you are over 21 years of age? No Yes

Are you working more than one job at a time? No Yes

If yes, please explain:

Have you ever been discharged or asked to resign? No Yes

If yes, please explain:

If necessary, could you work overtime? No Yes

Do you have a valid Nevada driver’s license? No Yes

Have you ever had your driver’s license suspended or revoked? No Yes

Please list any of your friends or relatives who are employed by Carson Valley Inn:

Name:

Have you EVER pled guilty, nolo contender, no contest or been convicted of a crime under your own or another name? (Do not include minor traffic violations) No Yes

If yes, please explain ALL convictions (when, where, etc.) A criminal conviction will not necessarily disqualify you from employment. ):

Employment History

List your employment record for the last SIX EMPLOYERS OR (10) TEN YEARS. Start with your most recent employer. Include U.S. Military Service. PLEASE NOTE and explain any periods of unemployment of over two (2) months in the comment section of this form.

Company 1

Company Name:

Telephone Number:

Mailing Address:

City:

State:

Employed From:

To:

Reason for Leaving:

Positions Held, Titles:

Starting Pay Rate:

Ending Pay Rate:

Supervisor:

Company 2

Company Name:

Telephone Number:

Mailing Address:

City:

State:

Employed From:

To:

Reason for Leaving:

Positions Held, Titles:

Starting Pay Rate:

Ending Pay Rate:

Supervisor:

Company 3

Company Name:

Telephone Number:

Mailing Address:

City:

State:

Employed From:

To:

Reason for Leaving:

Positions Held, Titles:

Starting Pay Rate:

Ending Pay Rate:

Supervisor:

Company 4

Company Name:

Telephone Number:

Mailing Address:

City:

State:

Employed From:

To:

Reason for Leaving:

Positions Held, Titles:

Starting Pay Rate:

Ending Pay Rate:

Supervisor:

Company 5

Company Name:

Telephone Number:

Mailing Address:

City:

State:

Employed From:

To:

Reason for Leaving:

Positions Held, Titles:

Starting Pay Rate:

Ending Pay Rate:

Supervisor:

Company 6

Company Name:

Telephone Number:

Mailing Address:

City:

State:

Employed From:

To:

Reason for Leaving:

Positions Held, Titles:

Starting Pay Rate:

Ending Pay Rate:

Supervisor:

Comments

Education & Training

High School:

Level Attained:

College:

Level Attained:

Graduate Studies:

Level Attained:

U.S. Military Svc.:

Level Attained:

Trade School/Other:

Level Attained:

List any further information which is not covered in the application which should be considered (i.e. – equipment experience, licenses, other skills or qualifications, seminars or training):

Personal References

Give the names and phone numbers of three persons (not relatives) who know you.

Reference 1

Name:

Telephone Number:

Reference 2

Name:

Telephone Number:

Reference 3

Name:

Telephone Number:

Comments

Please read the following statement carefully.

I certify that the answers given by me to the above questions and statements are true and correct to the best of my knowledge. I authorize any person or entity named to release any information they may have regarding my prior employment and my character. Anyone who may furnish any information concerning my character, habits, ability, convictions of crime or reason for leaving any employment shall not be responsible for any loss or damage that I may suffer in consequence thereof.

I understand that any falsification, misinformation or omissions on this application, or any other document provided by me to Carson Valley Inn, may result in the termination of my employment.

I understand that this is an employment application and that no contract for my employment is being offered. If I am employed by Carson Valley Inn, I understand that I will be an “at-will” employee. As such, I will be employed for an indefinite period of time. I further understand that my employment does not constitute a contractual relationship, either expressed or implied of any kind, and that either I or Carson Valley Inn may terminate my employment for any reason, no reason, at any time.

Pre-Employment Drug Testing

Carson Valley Inn has a vital interest in maintaining a safe, healthy and effective environment for our employees and guests. This environment is jeopardized by employees who use and abuse illegal drugs and alcohol.

Carson Valley Inn conducts pre-employment drug testing to detect eh use of illegal drugs during the approximate previous 90-day period. The test is given as soon as possible after an offer of employment has been made. Any attempt to falsify or interfere with the test, including adding adulterants to urine or diluting urine, will lead to withdrawal of an offer of employment. Moreover, Carson Valley Inn may deem a diluted urine sample, or urine containing adulterant substance to be a positive drug testing result.

The applicant may not work until a negative test result obtained.

The presence of illegal drugs in an applicant in any detectable amount, or inability or refusal to provide a suitable drug test sample, will result in a withdrawal of any offer of employment.

We believe this policy will result in better service to our guests and a more pleasant and safe workplace for all employees. Thank you for your cooperation.

I have read and understood the above terms and conditions.

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Employment Application

Contact Information:

Position

General Information

Employment History

Education & Training

Personal References

Pre-Employment Drug Testing