Employment Application

Personal Information

(Fields marked with asterisk (*) are required)

Prefix
First name A value is required.A value is required.*
Middle initial A value is required.A value is required.*
Last name A value is required.A value is required.*
Street address A value is required.A value is required.*
P.O. box
City A value is required.A value is required.*
State
Zip code A value is required.Invalid format.A value is required.*
Phone A value is required.Invalid format.A value is required.Invalid format.*
Cell
Email A value is required.Invalid format.*
Invalid format. A value is required.Invalid format.A value is required.Invalid format.*
Are you at least 21 years old?
A value is required.Invalid format.A value is required.Invalid format.*

Work Information

(Fields marked with asterisk (*) are required)

What position are you applying for?
Do you currently hold a Bartender license?
If you hold a Bartender license when was your last Server Training course?
A value is required.A value is required.Invalid format.*
What shift(s) are you able to work?

What days are you available to work? (check all that apply) *








Please make a selection.
Do you have personal obligations that could potentially interfere with your work schedule? (If so explain)
Will you be attending classes next year
If so, will you be a full or part-time student?
Have you worked for us in the past?
If so, when? A value is required.Invalid format.
Do you have a valid driver's license?
Do you have reliable transportation?
Can you lift at least 40lbs?

Are there any specific duties you are unqualified to do, would prefer not to do, or are otherwise unable to do?

If so please explain
Criminal Background
Have you ever been convicted of a felony, pled guilty to a felony, or been placed on probation for a
felony?
If so explain the nature of the conviction (a conviction will not necessarily disqualify an applicant for employment)

Educational Background

(Fields marked with asterisk (*) are required)

High school A value is required.*
City and state A value is required.*
Number of years completed A value is required.*
Degree or diploma obtained? A value is required.*
Major area of study? A value is required.*
   
University/College
City and state
Number of years completed
Degree or diploma obtained?
Major area of study?
   
Business or Trade
City and state
Number of years completed
Degree or diploma obtained?
Major area of study?

Employment History

(Fields marked with asterisk (*) are required)

 
Company A value is required.*
Address A value is required.*
City A value is required.*
State
Zip code A value is required.Invalid format.*
Employment dates A value is required.Invalid format. to A value is required.A value is required.Invalid format. A value is required.*
Position A value is required.*
Wage or salary Pay rate A value is required.Invalid format.A value is required.Invalid format.The entered value is less than the minimum required.*
Manager or supervisor name A value is required.*
Manager or supervisor phone number A value is required.Invalid format.*
Reason for leaving A value is required.*
Can we contact this employer?
Are there any other experiences, skills or qualifications which you feel would make you a suitable candidate for working for RVI? (please provide a description)
   
Company A value is required.*
Address A value is required.*
City A value is required.*
State
Zip code A value is required.Invalid format.*
Employment dates A value is required.Invalid format. to A value is required.A value is required.Invalid format.A value is required.*
Position A value is required.*
Wage or salary Pay rate A value is required.Invalid format.A value is required.Invalid format.The entered value is less than the minimum required.*
Manager or supervisor name A value is required.*
Manager or supervisor phone number A value is required.Invalid format.*
Reason for leaving A value is required.*
Can we contact this employer?
Are there any other experiences, skills or qualifications which you feel would make you a suitable candidate for working for RVI? (please provide a description)
   
Company
Address
City
State
Zip code Invalid format.
Employment dates Invalid format. to A value is required.A value is required.Invalid format.A value is required.
Position
Wage or salary Pay rate Invalid format.A value is required.Invalid format.The entered value is less than the minimum required.
Manager or supervisor name
Manager or supervisor phone number Invalid format.
Reason for leaving
Can we contact this employer?
Are there any other experiences, skills or qualifications which you feel would make you a suitable candidate for working for RVI? (please provide a description)

References

(Fields marked with asterisk (*) are required)

Name A value is required.*
Address A value is required.*
City and state A value is required.*
Occupation A value is required.*
Contact number A value is required.Invalid format.*
   
Name A value is required.*
Address A value is required.*
City and state A value is required.*
Occupation A value is required.*
Contact number A value is required.Invalid format.*
   
Name of any current or past employees of RVI who might give you a reference

   

E-sign your application before submitting (providing the RVI with your name in the E-sign text box is acknowledgment that all information contained in this application is true and correct to the best of your knowledge)

A value is required.A value is required.Minimum number of characters not met.*

(If you are not re-directed after clicking 'Submit' please re-check the application for errors)

If you experience difficulty please e-mail us at: inquiry@roanokevillageinn.com

website security