APPLICATION FOR EMPLOYMENTAN EQUAL OPPORTUNITY EMPLOYER
It is our policy to comply with all applicable laws of the Territory of Guam and Federal Laws prohibiting discrimination inemployment based on race, age, color, sex, religion, national origin, disability or other legally protected status.

Date of Application: _____________________ Position(s) Applying For: ____________________________Are You Applying For:

Temporary Work?
Regular Full Time Work?
Regular Part Time Work?

[ ] Yes or [ ] No
[ ] Yes or [ ] No[ ] Yes or [ ] No

APPLICANT INFORMATIONLAST NAMEFIRSTMI______________________________________________________________________________________
Mailing Address
CityState
Zip Code______________________________________________________________________________________
Contact No(s) Residence / Work / Mobile or OtherCan you provide proof – if hired, that you are eligible to work in the United States?

[ ] YES[ ] NOAre you over 18 years of age?

[ ] YES[ ] NOHow did you hear of our company? _________________________________________________________Do any of your relatives or friends work here?
If yes, please list the names and how you are related:[ ] YES[ ] NO_____________________________________________________________________________________EDUCATION AND/OR TRAINING
NAME AND LOCATION

Diploma orDegree

Major Subjects of StudyHigh School:
College or University:
Specialized Training,
Trade School, etc.:
Other Education:
License or Certification

State Issued

Profession

Lic./Cert. Number

Expiration Date

1

EMPLOYMENT HISTORY
1.
2.

Start with your current or last job – include Armed Forces service and Self-employment
Any change or job title under the same employer should be considered a separate position.

Name of Employer:

Company AddressCompany Tel. No.

Dates Employed:
From:

To:

Salary:Duties:Reason for Leaving:

Name of Employer:

Company Address

Title/Role

Company Tel. No.

Dates Employed:
From:To:

Salary:Duties:Reason for Leaving:

Name of Employer:

Company Address

Title/Role

Company Tel. No.

Dates Employed:
From:

To:

Salary:Duties:Reason for Leaving:

Name of Employer:

Company Address

Title/Role

Company Tel. No.

Dates Employed:
From:

To:

Salary:Duties:Reason for Leaving:

Title/Role2

1.

I certify that all information contained in this application and any attachments is true and complete tothe best of my knowledge. I understand that any willful misrepresentation, false statement, oromission by me in the application or interview process will be cause for rejection of my applicationor termination of my employment. I authorize investigation of all statements made on thisapplication and any attachments, and I release all persons, companies, and organizations fromliability for providing or receiving such information. I further understand that this employment
application and other employment related documents are not contracts of employment; and that any
oral or written statements to the contrary are hereby expressly disavowed.

2.

I understand that as a condition of employment, I will be required to undergo and successfully passa screening for alcohol and/or drugs. I also understand and agree that, if employed, I may berequired to submit to an alcohol or drug screening at any time at the discretion of Guam Reef Hotel,
Inc. I hereby give consent to having the results of any such alcohol or drug screening I will be
required to undergo; to be disclosed to Guam Reef Hotel.

3.

I understand that if I am employed, such employment is for no definite period of time unlessspecified in writing, and that Guam Reef Hotel can change wages, benefits and conditions at anytime. I further understand that this is an application for employment and that no employment
contract is being offered. I understand that employment at Guam Reef Hotel is “at-will” whichmeans that either I or Guam Reef Hotel can terminate the employment relationship at any time, withor without prior notice, and for any reason not prohibited by statutes.

4.

The nature of our operations at Guam Reef Hotel may make the following conditions mandatory:
Overtime, Shift Work, a rotating work schedule, or work schedule other than Monday throughFriday. I understand and accept these conditions of my continuing employment.

____________________________ ________________________________
Applicant Name
Applicant Signature________________
Date

3

To:___________________________
Company Name

Attn: Human Resources

The following individual is currently being considered for a position with the Guam Reef Hotel. He/She haslisted you as fl former employer, and has authorized us to conduct a reference check. We need yourassistance in verifying and providing information below.
Fax number for responses: (671) 646-8481.

Name:_________________________ Position Title: _________________

Dates of Employment: From:_________________

To: _______________

Salary verified as: ________________
Reason for Leaving: _____________________________________________
Eligible for rehire? ______________ Yes _____________ No(If No, please explain)__________________________________________________________________________________________________________________________________Name / Signature of Individual providing the information:_________________________Name:_________________________
Title_________________________
Signature_________________________Date

I hereby authorize Guam Reef Hotel to conduct a reference check or investigation of all statements containedon my application. The facts set forth in my application are true and complete. I understand that false
statements or omissions on the application will null or void the employment consideration.

_________________________________
Applicant Name_______________________
Date_________________________________
Applicant Signature4