Lizzie Borden Employment Application

- Step 1 of 6

Lizzie Borden Bed & Breakfast / Museum, LLC is committed to the provision of equal employment opportunities to its applicants regardless of race, age, sex, sexual orientation, religion, native origin, disability, color, religious creed, liability for service in the armed forces of the United States, citizenship or any other characteristic protected by applicable federal laws.

PLEASE READ CAREFULLY & ANSWER ALL QUESTIONS

Name *

First

Last

Email *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Best Phone Number You can be reach at *

Emergency Contact *

First

Last

The Person we need to contact in case of an emergancy

Emergency Contact Best Phone Number *

Are You a U.S. citizen or an alien who is authorized to work in the U.S. *

You will be required, once hired, to complete a I-9 form required by the U.S. immigration and naturalization service on the date of your hire.

Have you ever been convicted of a felony? *

Have you ever been convicted of a misdemeanor in the last 5 years? *

If you answered yes to the above conviction questions please explain the Offense, Date, Place of, & Disposition

An application for employment with a sealed record on file with the commissioner of probation may answer "No" with respect to an inquiry herein relative to prior convictions in addition any convictions in all cases of delinquency or a child in need of services which did not result in a complaint transferred to the superior court for criminal prosecution.

Have you served in the U.S. Armed Forces? *

How did you hear about the job opening? *

Desired job position *

Check which days you may work *

Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

Your Work Experience

May we contact your present and past employers? *

Your Present Employer or Most Resent Past Employer

Employer *

Start Date *

The Date you began working for this employer

End Date *

The Date you ended your employment. Use today's date if you are still employed

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Supervisor's Name *

Supervisor's Title *

Supervisor's Phone *

Starting Pay *

Ending Pay *

Reason for Leaving *

"Currently Employed" if you are still working

Briefly Describe Your Duties *

Do you have a second employer reference? *

Past Employer

Past Employer *

Start Date *

The Date you began working for this employer

End Date *

The Date you ended your employment. Use today's date if you are still employed

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Supervisor's Name *

Supervisor's Title *

Supervisor's Phone *

Starting Pay *

Ending Pay *

Reason for Leaving *

Briefly Describe Your Duties *

References

Please list the names of 2 people we may contact (Other than past employers or family members)

Reference #1 *

First

Last

Reference #1 Phone *

Years Known *

Reference #2 *

First

Last

Reference #2 Phone *

Years Known *

Education

Highest Grade School Grade Achieved? *

Have You Attended or are Currently Attending College? *

Highest Completed Years Achieved in College? *

College, Graduate, Tech or Vocational Courses You Have Taken *

Please list all the college course you have taken or are currently taking in the above box

PLEASE READ THE FOLLOWING CAREFULLY
BEFORE SIGNING THE APPLICATION FORM

"I understand, that if hired, my employment will be on a 90 day probation basis. As long as I am employed by Lizzie Borden Bed & Breakfast, LLC my employment may be terminated, with or without cause or notice, at any time, at my option or that of Lizzie Borden Bed & Breakfast, LLC. I understand that no management representative has any authority to enter into agreement for continued employment for any specific period of time which is contrary to the forgoing. I give Lizzie Borden Bed & Breakfast, LLC permission to contact any or all of my previous employers and references. I further authorize them to provide all information requested of them by Lizzie Borden Bed & Breakfast, LLC to obtain, use and rely upon that information in relation to my application. I also release Lizzie Borden Bed & Breakfast, LLC and all providers of such information from all liability in connection with use of such information. I have provided truthful and complete responses to all inquires in the application. I understand that the discovery of any falsification or omission may disqualify me from further consideration for employment or result in my discharge from employment. If employed by Lizzie Borden Bed & Breakfast, LLC I will abide by it's rules and regulations, which I understand are subject to change by Lizzie Borden Bed & Breakfast, LLC"

Employment with Lizzie Borden Bed & Breakfast, LLC is employment-at-will. Commencement of employment is conditioned upon successful completion of a physical exam and criminal background inquiry.

You May Upload Your Resume Here

Click or drag a file to this area to upload.

Signature *

Left click and hold while you sign your name in this box.

Name

Your Work Experience

Your Present Employer or Most Resent Past Employer

Past Employer

References

Education

PLEASE READ THE FOLLOWING CAREFULLYBEFORE SIGNING THE APPLICATION FORM

PLEASE READ THE FOLLOWING CAREFULLY
BEFORE SIGNING THE APPLICATION FORM