HERALD SQUARE HOTEL

HERALD SQUARE HOTEL EMPLOYEE APPLICATION PEPSON't Last Name iddle First Name Today's Date Present $beef Address Cell Phone Mit State, Zip Horne Phone Social Scanty No (optional) Email Address Have you ever been knonn by any other name? II so, list all names Have you ever applied for employment with The Company a any of its affiliated properties? Yes No If yes, a ppnournate date of application Have you ever been employs by the Company a any of its affiliated properties? Yes No If yes. list properties and dales Are you at least 18 years of age? Yes No If under 18. hire is subject to verificarnin That you wed minimum legal age II hired, can you provide proof that you are eligible to work in the United States' Yes No Wpm hire, you MN be required to provide proof of year ideality and authorization b oak) EMPLOYMENT DESIRED Position desired (indicate part or full time) Desired Salary Range or Hourly Pay Rate Please Indicate the days and shifts you are available to welt MA= Awning Shift PM= Evening Shift OM= Overnight Shift Alt= All Shifts X= Not available Sunday I Monday I Tuesday I Wednesday I Thursday Friday Saturday Are you unable toonort any specific shifts? Yes No Il yes, please list da s and/or hours Will you work overtime if a shed? Yes No Dateyou can stan How did you hear about us? Ale you related or acquainted with anyone oho works for the Company or any of Its affiliated properties? Yes No II Yes, state name. relationship and hotel they are employed at. If none, mite "None" How did you hear about this ph opening? Are you cannily employed? Yes_ Ho EMERGENCY CONTACT In case of emergency, please notify (Wire) Address. City State. Zip I Phone/Email nem NV Aitenrlatait I I r EFTA00301306 ',YORE EY.PE RIME Please give accurate, complete lull and pad-time employment record. Stall with present or most recent employes. Attach additional pages if necessary. COMPANY NAME Address Telephone From Position Salary or Hourly Pay Rate May we city employment? Yes No To Name cd Supen/Mx Reason to Leaving COMPANY NAME Address Telephone From Position Salary or Hourly Pay Rate May we wily employment? Yes No To Named Supervisor Reason for Leaving COMPANY NAME Address Telephone From Position Salary or Hourly Pay Rate May we verify employment? Yes No -- To . Name of Supenrisor Reason Ns Leaking REFERENCES Give Menem°, address and telephone number for S references Swart not relatives Name Job Title Name lob Title Address Address Phone I Email Phone Email Howacquainted and Tx how long? How acquainted and for howlong? EDUCATION City Ca rse ol Study Graduate? Circle year completed 9 10 H 12 High School Tech or Trade School City Come of Study Graduate? Circle year completed I 2 3 4 College/I:flimsily City Crease of Study Graduate? Circle year completed I 7 3 4 CollegoAlninrsity City Course of Study Graduate? Circle year completed I 2 3 4 Are you currently enrolled in school? Yes No Please indicate your language skills bolos indicating Me language(s) woken and mitten and how veil: Language Spoken: Language Spoken: / Fluent Wdl Slight Language Written: Fluent _Well Slight / Fluent _Well Slight Language Millen: Fluent Well Slight Please tell us a heal any experience, qualifications or other special training or skills leg. computer, machine operatic, Sc.) which you fed would qualify you for yak with the Company: GAM NY Associates LLC. EFTA00301307 OTHER ROOM:HES Are you subject to an agreement with a lamer anglers or Other Pally (such as a non-compete) that might restrict your ability to wore la us? If so. please explain. Have you ever been dismissed or forced to resign from any employment? Yes No If YES. please captain Nave you ever been convicted of a CRIME? NOTE: Please occlude nisdemeanor convictions more Dian two years Old; convictions for which the rested has been judicially *lewd sealed, expunged or statutorily eradicated, and rniSdemea nor convictions for 'Mich probaton was successfully ccapleted a otherwise discharged and the case was judicially dismissed. Also, please 00 NOT provide here any information regarding any arrest or detention not resulting in a conviction nor any information regarding particiapticn in pm-trial a pest trial diversion program. NOTE: Convictions will not necessarily disqualify applicant: Each case is considered individually Yes No If YES, please captain and state the charge, the court, the dale at conviction and any Orr pertinent details Are yew presently onion bailee your am recognizance pending trial for the alleged coraniSW011 of any crime? Yes No If YES, please state the charge. court and status of the matter and the name under which you were charged (an affirmatyw answer toll nor necessarily disqualify an applicant Each case is considered individually) -u P Please read carefully, initial each paragraph and sign below. I hereby certify that the information that I have provided in this employment application and any other information provided during the application proceps (i.e., resume) is true, complete and correct in all respects. I understand that providing false or misleading statements or omitting information in connection with the hiring process may disqualify me from further consideration for employment or may result in my termination if discovered at any time after my hire. I agree that the Company shall not be liable for disqualifying or terminating me under such circumstances. Initials I authorize the Company and its agents to investigate the information in this application and to verify my statements. I authorize my past employers, educational institutions, all references and other persons listed in this application to answer questions concerning my ability, character, reputation, education, previous work records and other matters related to my suitability for employment and to disclose any documents or information related to my work records without prior notice of such disclosure. I release all such persons (including the Company) from any liability listed in this application or damages arising out of or relating in any way to such investigation or disclosure. Initials I understand that nothing contained In this employment application or in the granting of an interview is intended as an employment contract and that no oral or implied promises regarding employment have been made to me. I further agree that if employed, I will conform my conduct to the Company's rules and policies and that the company may revise such rules and policies in whole or part at any time. In addition, I understand and agree that if I am employed, my employment is AT-WILL, meaning my employment may be terminated at any time for any lawful reason, with or without prior notice, at the option of either myself or the Company, and that no promises or representations contrary to the foregoing are binding on the Company unless made in writing explicitly stating that it is an express written contract with the Company and signed by the Company's President. Initials I understand that this application remains current for only 60 days. Al the conclusion of that time, if I have not been hired by the Company and still wish to be considered for employment, it will be necessary for me to reapply and complete a new application. Initials than read the above Applicant Agreement and understand and agree to its terms. SIGNATURE: DATE: 111V Ateetel%tche I I r EFTA00301308