EOE APPLICANT DATA RECORD

The Oasis Hotel, in recognition of its responsibility to its associates and the community it serves, reaffirms its policy to assure fair and equal treatment in all its employment practices, for all persons. The Oasis Hotel will not discriminate on the basis of race, color, religion, sex, age, or national origin, or against any qualified handicapped individual.

Solely to help us comply with government record keeping and reporting, please provide the information about yourself, as requested on the EEO Application Data Record below.

The information you provide will be kept in a confidential file separate from your employment application. It will not accompany your application or any other information sent for management review.

POSITION APPLIED FOR:

NAME:

GENDER:

ETHNICITY:

ARE YOU A HANDICAPPED INDIVIDUAL?

EMPLOYMENT APPLICATION

The Oasis Hotel & Convention Center is dedicated to a policy of non-discrimination in employment on any
basis, including race, color, age, sex, religion, disability or national origin. Applicants may request
accommodations under the Americans with Disabilities Act, as necessary to participate in our employment
process. The Oasis Hotel is an equal opportunity employer.

PERSONAL INFORMATION

NAME: Last First Middle

PRESENT ADDRESS:

Street City State Zip

PERMANENT ADDRESS:

Street City State Zip

PHONE NUMBER: Home Cell

EMAIL ADDRESS: (required)

ARE YOU 18 YEARS OF AGE OR OLDER?    DO YOU SMOKE?

Are you prevented from lawfully becoming employed in this country because of visa or immigration status?

Have you ever been known by any other name?   If yes, what name?

Have you ever been convicted of a felony?

Have you ever applied at The Oasis Hotel before?    If yes, when?

Have you ever worked for The Oasis Hotel?    If yes, when?

Are you related to an associate of the Oasis Hotel?    If yes, who?

In case of emergency, notify: Name:    Phone:

If unable to contact, notify:   Name:    Phone:

EMPLOYMENT DESIRED

Position Desired: Type of Work:

How did you hear about this job? Date that you can start:

Salary Desired:

Please select days/shifts you can work:

Monday	Tuesday	Wednesday	Thursday	Friday	Saturday	Sunday
First Shift	First Shift	First Shift	First Shift	First Shift	First Shift	First Shift
Second Shift	Second Shift	Second Shift	Second Shift	Second Shift	Second Shift	Second Shift
Third Shift	Third Shift	Third Shift	Third Shift	Third Shift	Third Shift	Third Shift

List any shifts or days of the week that you cannot work:

EDUCATION

GRAMMAR SCHOOL:
Name & Location: Last Year Completed: Did you Graduate?
Subject Studied and Degree Received:

HIGH SCHOOL:
Name & Location: Last Year Completed: Did you Graduate?
Subject Studied and Degree Received:

COLLEGE:
Name & Location: Last Year Completed: Did you Graduate?
Subject Studied and Degree Received:

BUSINESS VO-TECH:
Name & Location: Last Year Completed: Did you Graduate?
Subject Studied and Degree Received:

GRADUATE STUDIES:
Name & Location: Last Year Completed: Did you Graduate?
Subject Studied and Degree Received:

Professional or Trade Organizations of which you are a member:

Hobbies/Interests:

Job Related Skills:

Are you able to physically perform the essential duties of this position?

Special Knowledge or Training:

EMPLOYMENT HISTORY

Beginning with your most recent or current position, list your last four employers, including military service and contract positions. We may contact these employers.

POSITION ONE (most recent):

EMPLOYMENT DATES:
From (Month/Year): To (Month/Year): Your Position:

EMPLOYER INFORMATION:
Company: Address: Phone Number:

TERMINATION STATUS:
Currently Employed: O.K. to contact?
Reason for Leaving:

CONTACT PERSONS AND PHONE:
Name of Immediate Supervisor: Beginning Wages: Ending Wages:
Your Duties: Person to Contact:

POSITION TWO:

EMPLOYMENT DATES:
From (Month/Year): To (Month/Year): Your Position:

EMPLOYER INFORMATION:
Company: Address: Phone Number:

TERMINATION STATUS:
Currently Employed: O.K. to contact?
Reason for Leaving:

CONTACT PERSONS AND PHONE:
Name of Immediate Supervisor: Beginning Wages: Ending Wages:
Your Duties: Person to Contact:

POSITION THREE:

EMPLOYMENT DATES:
From (Month/Year): To (Month/Year): Your Position:

EMPLOYER INFORMATION:
Company: Address: Phone Number:

TERMINATION STATUS:
Currently Employed: O.K. to contact?
Reason for Leaving:

CONTACT PERSONS AND PHONE:
Name of Immediate Supervisor: Beginning Wages: Ending Wages:
Your Duties: Person to Contact:

POSITION FOUR:

EMPLOYMENT DATES:
From (Month/Year): To (Month/Year): Your Position:

EMPLOYER INFORMATION:
Company: Address: Phone Number:

TERMINATION STATUS:
Currently Employed: O.K. to contact?
Reason for Leaving:

CONTACT PERSONS AND PHONE:
Name of Immediate Supervisor: Beginning Wages: Ending Wages:
Your Duties: Person to Contact:

Why do you wish to work for this company?

Why do you feel that you would make a good employee?

Tell us about your work ethics:

REFERENCES:

Please provide the names and other information requested below for three (3) persons whom you have known for at least one year. Please do not list relatives and former employeers.

REFERNCE ONE:

Name:
Address: Phone:
Number of Years Known: Occupation:

REFERNCE TWO:

Name:
Address: Phone:
Number of Years Known: Occupation:

REFERNCE THREE:

Name:
Address: Phone:
Number of Years Known: Occupation:

EMPLOYMENT AUTHORIZATION

I certify that the facts contained in this application (and accompanying resume, as applicable) are true and complete to the best of my knowledge.  I understand that any false statements, omissions, or misrepresentation on this application is sufficient cause for refusal to hire, or dismissal, if I have been employed, no matter when discovered by The Oasis Hotel & Convention Center. 
 
I understand that any employment is conditional on both an employment background, criminal history and (if applicable) a department of motor vehicles check.  I authorize The Oasis Hotel & Convention Center to thoroughly investigate all statements contained in my application (and resume), and I authorize my former employers and references to disclose information regarding my former employment, character, and reputation in their company, without giving me prior notice of such disclosure.  I also release my former employers and all references from any and all claims, demands or liabilities arising from or related to this background check and any and all disclosures from same. 
 
I understand and agree that nothing contained in my application or conveyed during my interview is intended to  create an employment contract.  I further understand and agree that, if I am hired, my employment will be “at will” and without fixed term, and may be terminated at any time, with or without cause and without prior notice, at the option of either myself or the Oasis Hotel.  No promises regarding employment have been made to me; and I understand that no such promise or guarantee is binding upon The Oasis Hotel & Convention Center unless made in writing. 
 
If I am offered employment, I agree to submit to a medical examination and drug test before starting work.  If employed, I also agree to a medical examination or a drug test at any time deemed appropriate by The Oasis Hotel, and as permitted by law.  I consent to such examinations and tests and I request that the examining doctor, or his representatives, disclose to The Oasis Hotel the results of the examinations or tests, which results may remain confidential and segregated from my personal file.  I understand that my employment or continued employment, to the extent as permitted by law, is contingent upon satisfactory medical examinations and drug tests, and if I am hired, a condition of my employment will abide by The Oasis Hotel & Convention Center’s Substance Abuse Statement. 
 
If  I am hired by The Oasis Hotel & Convention Center.,   I understand that I will be required to attest to my identity and employment eligibility as provided for my the Immigration and Naturalization Act.  I understand that my failure to provide these documents will eliminate me from further consideration for employment. 
 
I understand that filling out my application and signing this authorization does not indicate that there is a position open and does not obligate The Oasis Hotel to hire.  If hired, I agree to abide by all Oasis Hotel work rules, policies, and procedures.  The Oasis Hotel & Convention Center retains the right to revise work rules, policies, and procedures in whole or part, at any time. 
 
I understand that my application will be “On File” with The Oasis Hotel for consideration for the applied position(s) for a period of (30)days from the date of application.  Should Oasis Hotel not offer me employment within that 30-day period, I understand that I will have to re-apply and submit another application should I desire to be considered for any open position(s) after that time.

I agree to the above employment authorization terms and conditions.