The

Belvin

EMPLOYMENT APPLICATION
AN EQUAL OPPORTUNITY AFFIRMATIVE ACTION EMPLOYER
Please Use Black Ink or typewriter

1720 North Akard Street,

Dallas, Texas, 75201,
United States

Position applying for:

1st Choice:

Position applying for:

2nd Choice:

PERSONAL INFORMATION
Name
Present Address

Social Security Number

Street

City

DAYTIME Phone Number (

)
Have you ever worked for The Belvin Luxury Hotel
Yes
Please list any relatives working at The Belvin Luxury Hotel
Have you EVER been convected of a felony?
If yes, Please Explain and give dates

Yes

No

State

ZipCode

EVENING Phone Number (

)
No When?
Which Department?

Have you EVER been convicted of a misdemeanor?

Yes

No

The existence of a criminal record does not constitute an automatic bar to employment. However, failure to bd COMPLETELY honest about
such record will be considered fraud and grounds for immediate dismissal.
Have you ever been red or asked to resign from a job?
Yes
No
If yes, give date, name and address of employer and reason. Attach additional sheets if necessary.
A ring or forced resignation does not automatically mean that you cannot be employed. The circumstances, time elapsed and recent employment
record will be considered. However, failure to be completely honest and accurate about such circumstances may case your application to be
disqualied r employment.

EDUCATION HISTORY
high School
Do you have an equivalence diploma (GED)?

Yes

Highest Grade Completed

No

Date Attended
From
To
Mo/Yr Mo/Yr

Name

Degree
Pending

Date Received

Mo/Yr of
Degree or
Certicate

Degree Completed
(BA, etc) or
Certicate Degree
Completed

College
Graduate Work
Other (Technical, Vocational, Military,
Secretarial, Etc.)

Please list professional memberships, certicates, licenses, honors, fellowships, etc.

The following information will help us to learn of

the most effective way of informing interested persons
of the job opportunities with The Belvin Luxury Hotel.
Please check ONE of the following as to how you
learned of employment opportunity with
The Belvin Luxury Hotel

The Belvin Luxury Hotel Employee Referred By

Job Line

Local newspaper (Name of newspaper)

Job Board

Out-of-town newspaper (Name of newspaper)

Other (Please Specify)

Major & Minor

Fields of Study

REFERENCES
Please list two persons (other than relatives or former employers) who know your qualications or who know your character
Name
Name
Address
Address
City, State, Zip
City, State, Zip
Daytime Phone
Daytime Phone

NO RESUME WILL BE ACCEPTED UNLESS ACCOMPANIED BY A FULLY COMPLETED APPLICATION

WORK HISTORY: Give a complete record of your employment history, including part-time work, military service and volunteer experience. List all experience in order
Starting with your present or most recent position and working back. Describe your duties and responsibilities in each position thoroughly so that your experience may
be fairly evaluated. Account for all period of employment. Additional experience forms are available if needed.
Dates of employment

Name of employing rm

Name and title of your immediate supervisor

Mailing Address
(including telephone number)

Reason for leaving

TO
Mo/Yr

Mo/Yr

full-time
part-time
If part-time
hours per week

Starting
Salary
annually
biweekly

Job title

Description of duties

Final
Salary
monthly
weekly

semi-monthly
hourly

Your name when employed, if different from present

Number and titles of people you supervised

Machine and
equipment used
Dates of employment

Name of employing rm

Name and title of your immediate supervisor

Mailing Address
(including telephone number)

Reason for leaving

TO
Mo/Yr

Mo/Yr

full-time
part-time
If part-time
hours per week

Starting
Salary
annually
biweekly

Job title

Description of duties

Final
Salary
monthly
weekly

semi-monthly
hourly

Your name when employed, if different from present

Number and titles of people you supervised

Machine and
equipment used
Dates of employment

Name of employing rm

Name and title of your immediate supervisor

Mailing Address
(including telephone number)

Reason for leaving

TO
Mo/Yr

Mo/Yr

full-time
part-time
If part-time
hours per week

Starting
Salary
annually
biweekly

Job title

Description of duties

Final
Salary
monthly
weekly

semi-monthly
hourly

Your name when employed, if different from present

Number and titles of people you supervised

Machine and
equipment used

Use this space for any special qualications and skills (i.e. skills with construction or ofce equipment, publications etc. or additional
information that you feel will help us evaluate your application
Current number of words per minute
May we contact your present employer

Typing
Yes

No

May we contact your former employer

If no, why?

Yes

No

The statements made by me in this application are true and complete to the best of my knowledge. I understand that any willful misstatements
or material omission on this application will be considered sufcient cause to disqualify me from employment with The Belvin Luxury Hotel.
If such statements or omission are found after employment, it will be considered ground fr dismissal. I authorize the release of job-related
information that The Belvin Luxury Hotel may request from the above sources.

Date

Signature