ST. CROIX EMPLOYMENT APPLICATION

Job Applying For:
Email

AVAILABILITY
List hours available to work per week:


EDUCATION
High School/College Location
Contact Person:
Teacher/Counselor/Department
Last Grade
Completed
Grade Point
Average
Graduated or
Now Enrolled

HOW WOULD YOU RATE YOURSELF ON OUR SUCCESS PROFILE?

(5 = Superstar  4 = Strength  3 = Solid  2 = Improvement needed  1 = Weak)

Hospitality: Your natural friendliness and customer service skills.
Energy Level:  Your enthusiasm, self motivation and sense of urgency.
Reliability:  Your dependibility, attendance, self-disipline and dedication.
Communication Skills: Your ability to listen well, express yourself clearly and accept feedback.
Personal Pride:  Your appearance, hygiene and achievement
Teamwork:  Your cooperation with others and team spirit

BACKGROUND

If the answer is Yes, state the relationship of the person to you and the dates of employment.  
Have you ever been convicted of a crime involving a felony?
Have you ever been convicted of a crime involving a dishonesty?
Have you ever been convicted of a crime involving a violence to another person?

If Yes, give dates charged, penalty assessed or disposition.

WORK EXPERIENCE

Start with your present or most recent employer.  May we contact these employers?

Company Name
 Position
 Dates Employed From
 Dates Employed To
Address
 Supervisor
 Supervisor's Telephone #
 Ending
City, State, Zip
 Reason for Leaving
Company Name
 Position
 Dates Employed From
 Dates Employed To
Address
 Supervisor
 Supervisor's Telephone #
 Ending
City, State, Zip
 Reason for Leaving
Company Name
 Position
 Dates Employed From
 Dates Employed To
Address
 Supervisor
 Supervisor's Telephone #
 Ending
City, State, Zip
 Reason for Leaving

MILITARY

Were you ever in the armed servioes?
Starting Rank
Was your discharge from the military anything other than honorable?
If Yes, explain the circumstances of your discharge.
Use additional paper if necessary to provide more information.
Identify any specialized training or experience.

REFERENCES

List three school, business or personal references that you give permission for us to contact. Theyshould not be related to you.

Name Telephone Number Known How Long?
Check type of reference
School Personal Work

INSURANCE

In the event you are required to use your personal or company automobile to conduct company business, * please complete the following.

Do you have a valid drivers license?

Do you have automobile liability insurance?


* Only applicants whose job will involve driving need respond. Ask the manager to whom you're applying for details.