Connecticut Employment Application

Personal Data

Full Name *

Email *

Full Address *

Home Phone

Cell Phone *

Work Phone

May we contact you at work?

Yes No

Have you been referred by a current NHG employee? *

Yes No

If yes, list employee's name

Do you have any relatives working for NHG? *

Yes No

If yes, list relatives name and relationship

Application Information

Name of Hotel you want to Apply *

Name of Position Applying For *

Expected Start Date *

Expected Salary *

What type of employment are you seeking? *

Full-time Part-time Seasonal

If, Temporary select dates

From Date

To Date

Days Available to Work *

Monday Tuesday Wednesday Thursday Friday Saturday Sunday All

Time Available to Work *

1st Shift 2nd Shift 3rd Shift All Shifts

How did you hear about this opportunity?

Please be specific (Reference Name & relation, newspaper/ Hotel/ website Name etc.)

Have You ever applied or worked for a NHG affiliated hotel ? *

Yes No

If yes, which hotel(s), when and what was your reason for leaving?

If you have applied but not worked for our hotels, What was date and position applied for?

Are you over 18 years of age?

Yes No

If not, employment is subject to verification that you are of minimum legal age and that you are able to supply any required work permit.

Are you legally able to work in the United States? *

Yes No

If hired, you will be required to submit proof of your identity.

Education and Employment

Please list all skills and qualifications that are relevant to the position. (eg. Typing, Computer.)

High School Name and Address

Highest Grade *

Did You Graduate? *

Yes No

College or University Name and Address

College Major

Degree

Highest Grade

Did You Graduate?

Yes No

Business/Trade School or Other

Courses Taken

Did You Complete

Yes No

Provide a complete and consecutive record of your verifiable employment, beginning with your most recent employer. You may include military service and any verifiable work performed on a volunteer basis, outlining any special skills or training acquired during your service. If you need more space, please use an additional sheet of paper. This section must be completed in full even if a resume is submitted.

Most Recent / Current

Employer Name *

Employer Address *

Employer Telephone *

Title *

Duties *

Start Date of Employment *

End Date of Employment *

Starting Pay of Employer

Final Pay of Employer

Name of Last Supervisor of Employer

Reason for Leaving at Employer *

Previous Employer 2

Employer Name2

Employer Address2

Employer Telephone2

Title

Duties

Start Date of Employment

End Date of Employment

Starting Pay of Employer

Final Pay of Employer

Name of Last Supervisor of Employer

Reason for Leaving at Employer

Previous Employer 3

Employer Name3

Employer Address3

Employer Telephone3

Title

Duties

Start Date of Employment

End Date of Employment

Starting Pay of Employer

Final Pay of Employer

Name of Last Supervisor of Employer

Reason for Leaving at Employer

May we contact your present employer? *

Yes No

Have you ever been fired from a job or asked to resign? *

Yes No

If yes, please explain

Please explain any gaps in employment

References

Reference 1 (Name, Business, Address and Phone)

Reference 2 (Name, Business, Address and Phone)

Reference 3 (Name, Business, Address and Phone)

Disclaimer *

Please read carefully before signing, Click Here to Read Disclaimer.

I authorize the Hotel to make whatever inquiries it deems necessary to determine my suitability for employment and to verify the statements and information on this application, and the accuracy of other documentation that I have provided. I hereby authorize all personnel, schools, companies, prior or current employers, references, consumer credit bureaus, motor vehicle agencies and law enforcement or criminal history agencies and other persons and entities that have knowledge of me, or my records, to release or provide such information to the Hotel. I hereby release and discharge each of the above, including the Hotel, from all claims or liabilities of any kind or nature that may arise from the disclosure of such information. I also acknowledge that, from time to time, the hotel may be required to submit certain information with regard to my employment or application to various local, state, and federal government agencies. I hereby authorize the hotel to provide such information, and release the company, its' agents, assigns and subsidiaries from any liability resulting from submitting such information.

I hereby certify that all of the statements and answers set forth on this application form are complete and true to the best of my knowledge. I understand that I may be disqualified from further consideration, or if I am hired, I will be subject to immediate dismissal if at any time the Hotel discovers any falsification, omission, or misrepresentation of fact in this application or any other documentation or statement made or provided by me during the selection process.

Moreover, I understand and acknowledge that all employees of the Hotel are employees at-will. If hired, I will be free to resign at any time. Likewise, I may be disciplined, laid-off, or dismissed at any time with or without any reason or notice. As part of this at-will policy, I understand that the Hotel expressly reserves its' inherent authority to manage and control the business enterprise and to exercise its sole discretion to determine all issues pertaining to my employment, if hired, including all matters pertaining to promotion, job assignment, the size of the workforce, demotion, transfer and discipline. Neither this application, the Employee Handbook, any statements made to applicants or employees, or any other documents given to applicants or employees are intended to create, nor should such documents or statements be construed as creating, an expressed or implied contract of any kind, nor guaranteeing employment for any definite period of time.

My signature certifies that I have read and agree with the above statements.

Write your name as your signature *

Employment Application for Positions at Our Connecticut Locations

Personal Data

Application Information

Education and Employment

References