St. Julien Hotel & Spa, Downtown Boulder

Please fill out this employment application form. We will forward your application to the appropriate
hiring manager for consideration.

* Denotes required field

* Name:

* Date:

* Position(s) Applied For:

* Address:

* City:

* State:

* Zip:

* Phone Number:

Cell Phone:

* Email Address:

* Last 4 digits of your Social Security Number:

Desired Wage:

Do you prefer full-time or part time employment?:

How many hours a week do you prefer to work?:

Date you can start:

Are you willing to work overtime?: Yes No

Please indicate shifts you are NOT AVAILABLE to work:

	Sun	Mon	Tues	Wed	Thurs	Fri	Sat
Mornings
Afternoons
Evenings
Overnight

* How did you hear about us?:

Employee Referral		Employees Name:
Daily Camera		Denver Post
St. Julien Website		Walk-In
Hcareers		Online Search
CU Career Center		Workforce Center
Craigslist		Hot Jobs
Other

Are you legally authorized to work in the United States?: Yes No

Are you 18 years of age or older?: Yes No

Have you ever applied with the St. Julien before?: Yes No

If yes, when?:

Have you ever been employed with the St. Julien before?: Yes No

If yes, when?:

Please attach your Resume

Education:

	Name of school, City & State	Type of degree	GPA
High School /GED
College
Technical/Other
Licenses/Certificates

Diploma received? Yes No

Have you ever been fired from a job or asked to resign?: Yes No

If yes, please explain:

How many days have you missed from work during the past year?:

Have you ever been convicted of any law violation?: Yes No

If yes, please explain:

For Driving Jobs ONLY: Please give your Driver’s License Number and Class:

Do you have a DUI or DWI conviction?: Yes No

Have you ever had your driver's license suspended or revoked?: Yes No

Previous Work History (note most recent employer first), please do not say “see resume”:


POSITION TITLE
Employer Name:
City
State
Phone Number
Position Duties
Employment Dates	Start Date	End Date OR Currently Working
Supervisior name & Title
Starting & Ending Pay	Start Pay	End Pay
Reason for Leaving

POSITION TITLE
Employer Name:
City
State
Phone Number
Position Duties
Employment Dates	Start Date	End Date
Supervisior name & Title
Starting & Ending Pay	Start Pay	End Pay
Reason for Leaving

POSITION TITLE
Employer Name:
City
State
Phone Number
Position Duties
Employment Dates	Start Date	End Date
Supervisior name & Title
Starting & Ending Pay	Start Pay	End Pay
Reason for Leaving

Can we contact your previous employers?:

Please Indicate the skills you have developed:

	Typing - WPM:		Computer Equipment:
	Software:		Other:

Do you have any skills or additional training relating to the job you are applying for?:

If hired, I agree to abide by all of the Company’s rules and regulations and understand that, if employed, my employment may be terminated with or without cause, and with or without notice, at any time, either at my option or the option of the Company. I further understand that no representation, whether oral or written, by any representative or agent of the Company, at any time, can constitute a contract of employment. I understand that the Company and all plan administrators shall have the maximum discretion permitted by law to administer, interpret, modify, discontinue, enhance or otherwise change all policies, procedures, benefits or other terms or conditions of employment. No representative or agent of the Company has the authority to enter into any agreement for employment for any special period of time or to make any change in any policy, procedure, benefit or other term or condition of employment other than in a document signed by the St. Julien or to make any agreement contrary to the foregoing.

I have read and understand the questions asked in this application. I certify that all answers given by me are true, accurate and complete and understand that the omission and/or misrepresentation of any fact from this application or during any interview will be cause for immediate dismissal. I hereby authorize the Company to obtain reference information about me and release all persons from liability for doing so.

St Julien Hotel and Spa is a drug and alcohol free workplace. I understand that if I am hired, I will need to submit to a drug screen before the first day of my employment.

I agree to the above and submit my application.

Please enter your name in the field below to "electronically" sign the application.