Hotel Employment Application

* Please Select Location:




Thank you for your interest in working for Midamerica Hotels!
Please fill out this application for employment.
Your application will be sent to all of the hotels listed above based on the location you selected.
Applications are effective for 60 days, after which you must reapply.
This time period may be extended if you are interviewed for a position during the 60 day period.


CONTACT INFORMATION
* First Name:
* Middle Initial:
* Last Name:
* Street Address:
* City:
* State:
* Zip:
* Phone Number:
* Email Address:
AVAILABILITY
Monday:  From   To
Friday:  From   To
Tuesday:  From   To
Saturday:  From   To
Wednesday:  From   To
Sunday:  From   To
Thursday:  From   To
BACKGROUND
* Are you at least 16 years old?
Yes   No
* If yes, can you provide proof of your age?
Yes   No
* Can you read and write English?
Yes   No
* Are any of your relatives employed by a division of this company?
Yes   No
If yes, please state the name and relationship of the person to you and the location(s) of their employment:
* Have you ever worked for Midamerica Hotels before?
Yes   No
* Have you ever interviewed with Midamerica Hotels before and were not hired?
Yes   No
* Can you perform well in a service environment?
Yes   No
* Have you ever worked with cash (counting out change)?
Yes   No
* Do you have reliable transportation to work?
Yes   No
* Have you ever been counseled or disciplined for cash handling violations?
Yes   No
* Have you ever been counseled or disciplined for being late or absent from work or school?
Yes   No
* If hired, can you produce evidence that you are legally eligible to work in the U.S.?
Yes   No
EMPLOYMENT DESIRED
* When would you be available to begin work?
* Type of employment desired:
Full Time   Part Time   Seasonal
* Are you currently employed?
Yes   No
* If so may we contact your present employer?
Yes   No   Not Applicable
* If presently employed, why are you considering leaving?
* What type of position are you interested in:
Housekeeping    Front Desk    Maintenance    Breakfast Bar    Auditor  
* How many years experience do you have in the position for which you are interested?
No Experience    Less than one year    At least 1 to 3 years    At least 4 or more years
* Can you perform the essential functions of the job with or without a reasonable accommodation?
Yes   No
* Can you lift 30-50 pounds without assistance?
Yes   No
* Are you willing to do all tasks asked of you?
Yes   No
ASSESSMENT
* It is difficult for you to make casual conversation with people.
Agree   Disagree
* You don't like to work with unhappy people.
Agree   Disagree
* You like to do more than is expected of you.
Agree   Disagree
* At work, you find it difficult to discuss differences of opinion without getting into an argument.
Agree   Disagree
* You know that you will succeed at almost anything you try to do.
Agree   Disagree
* You often put others' needs ahead of your own.
Agree   Disagree
* Your mood often changes from happiness to sadness without you knowing why.
Agree   Disagree
* You dislike being hurried in your work.
Agree   Disagree
* You are often discouraged at work.
Agree   Disagree
* You find it easy to make new friends.
Agree   Disagree
* Doing more than is expected of you is usually a waste of time.
Agree   Disagree
* You enjoy getting to know new people.
Agree   Disagree
* It is your job to help others when you get done early.
Agree   Disagree
* When people are rude to you, they don't deserve great service.
Agree   Disagree
* You handle stress and pressure well.
Agree   Disagree
* You have difficulty making new friends.
Agree   Disagree
* You are so shy it bothers you.
Agree   Disagree
* Most people will tell some lies to be successful in their work.
Agree   Disagree
* You have a hard time relaxing around people you do not know.
Agree   Disagree
* You are a people person.
Agree   Disagree
* You get satisfaction from doing a good job.
Agree   Disagree
* You are looking for a job where you can take care of guests.
Agree   Disagree
* You like to talk to guests/customers.
Agree   Disagree
* Cleanliness is important in every job.
Agree   Disagree
* You don't mind helping others if they haven't completed their work.
Agree   Disagree
DRUG TEST
* Will you consent to pre-employment or random drug testing and background checks?
Yes   No
MILITARY
* Were you ever in the Armed Forces?
Yes   No
Branch of Service:
Starting Rank:
Rank at Discharge:
Specialized Traning or Experience:
EDUCATION BACKGROUND
Provide records of all High Schools, Colleges, Universities and Vocational/Technical Schools you have attended.

Name of School Graduated or Enrolled Location (City & State) Contact Person Last Grade Compeleted Grade Point Average
Graduated   Enrolled
Graduated   Enrolled
Graduated   Enrolled
Please list all sports and activities:
EMPLOYMENT HISTORY
How many employers have you worked for in the past three years?
Excluding vacation or approved time off, how many days have you missed in the past year?

Please provide your full employment history below, starting with your current or most recent employment.

EMPLOYER 1

Dates Employed Employer Name & Address Employer Phone
From:
To:

Job Title/Position Supervisor Name & Title May we Contact?

Yes
No
Responsibilities Reason for Leaving Salary/Hourly Rate
Start:

End:

EMPLOYER 2

Dates Employed Employer Name & Address Employer Phone
From:
To:

Job Title/Position Supervisor Name & Title May we Contact?

Yes
No
Responsibilities Reason for Leaving Salary/Hourly Rate
Start:

End:

EMPLOYER 3

Dates Employed Employer Name & Address Employer Phone
From:
To:

Job Title/Position Supervisor Name & Title May we Contact?

Yes
No
Responsibilities Reason for Leaving Salary/Hourly Rate
Start:

End:

EMERGENCY CONTACT

In case of an accident, please notify:

*Name *Relationship *Phone Number
REFERENCES
Provide 3 school, business or personal references that you give permission for us to contact. They should not be realted to you. * (minimum of one reference is required)
*Name *Phone Number *Known How Long? Type of Reference

YOU MUST READ AND SIGN THE FOLLOWING CONDITIONS AND CERTIFICATIONS

In consideration of my employment, I agree to conform to the rules and regulations of The Company and understand that my employment may be terminated at any time by me or The Company, with our without notice, for any reason. I understand that Manager, Assistant Manager, or any other employee or representative of The Company, other than the President, Division Vice Presidents, or Regional Managers of The Company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to any of the foregoing.

CONFIDENTIALITY STATEMENT: Employees and former employees are prohibited from releasing to any other party any information whatsoever about The Company which is of a confidential nature or which could be deemed to constitute a "trade secret". Employees or former employees are further prohibited from using, in any manner whatsoever, information which is confidential, proprietary, or privileged, whether for their personal benefit or gain, or for that of any other person. Any information which has not been disclosed publicly in writing should be treated as confidential.

I declare my answers to the questions on this application are true, and give The Company and its affiliates and their representatives the right to investigate all information given and to secure additional information, if necessary. I understand that an investigative report may be made whereby information is obtained through personal interviews with third parties, such as family members, business associates, financial sources, friends, neighbors, or others with whom I am acquainted. I understand and consent to an inquiry that may include, but is not limited to verification of previous employment and employment references, verification of education, including requests for transcripts, credit reports, motor vehicle driving records, and criminal reports, etc. I have the right to make a written request within a reasonable period of time for a complete and accurate disclosure of additional information concerning the nature and scope of the investigation. In accordance with law, I hereby release from all liability or responsibility all persons, companies, organizations or corporations furnishing such information.

I hereby acknowledge that The Company may provide all such information to its parent company and affiliates, and to other third parties. I hereby authorize and consent to such sharing of information with The Company and affiliates and other third. I hereby release from liability and/or responsibility The Parent Company and affiliates and any other parties who may be the recipients of such information.

I further understand that any misleading or incorrect statements or the incomplete filling out of the application may render this application and if employed, may be cause for immediate dismissal.

EQUAL OPPORTUNITY EMPLOYMENT: Midamerica Hotels Corporation provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, Midamerica Hotels Corporation complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

Midamerica Hotels Corporation provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, Midamerica Hotels Corporation complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.



* Electronic Signature (type name):   
* Date: