Lizzie Borden Employment Application Please enable JavaScript in your browser to complete this form. - Step 1 of 6Lizzie 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.Next Page PLEASE READ CAREFULLY & ANSWER ALL QUESTIONSName *FirstLastEmail *Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeBest Phone Number You can be reach at *Emergency Contact *FirstLastThe Person we need to contact in case of an emergancyEmergency Contact Best Phone Number *Are You a U.S. citizen or an alien who is authorized to work in the U.S. *YesNoYou 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? *YesNoHave you ever been convicted of a misdemeanor in the last 5 years? *YesNoIf you answered yes to the above conviction questions please explain the Offense, Date, Place of, & DispositionAn 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.Next PageHave you served in the U.S. Armed Forces? *YesNoHow did you hear about the job opening? *Desired job position *Please choose oneCook / House KeepingHouse KeepingTour GuideCheck which days you may work *MondayTuesdayWednesdayThursdayFridaySaturdaySundayPrevious PageNext PageYour Work ExperienceMay we contact your present and past employers? *YesNoYour Present Employer or Most Resent Past EmployerEmployer *Start Date *The Date you began working for this employerEnd Date *The Date you ended your employment. Use today's date if you are still employedAddress *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeSupervisor's Name *Supervisor's Title *Supervisor's Phone *Starting Pay *Ending Pay *Reason for Leaving *"Currently Employed" if you are still workingBriefly Describe Your Duties *Do you have a second employer reference? *Please choose oneYesNoPast EmployerPast Employer *Start Date *The Date you began working for this employerEnd Date *The Date you ended your employment. Use today's date if you are still employedAddress *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeSupervisor's Name *Supervisor's Title *Supervisor's Phone *Starting Pay *Ending Pay *Reason for Leaving *Briefly Describe Your Duties *Previous PageNext PageReferencesPlease list the names of 2 people we may contact (Other than past employers or family members)Reference #1 *FirstLastReference #1 Phone *Years Known *Reference #2 *FirstLastReference #2 Phone *Years Known *EducationHighest Grade School Grade Achieved? *123456789101112Have You Attended or are Currently Attending College? *Please Choose OneYesNoHighest Completed Years Achieved in College? *123456College, Graduate, Tech or Vocational Courses You Have Taken *Please list all the college course you have taken or are currently taking in the above boxPrevious PageNext PagePLEASE READ THE FOLLOWING CAREFULLYBEFORE 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 *Clear SignatureLeft click and hold while you sign your name in this box.PhoneSubmit Your Application