Please fill in all information on the below form as fully as possible and hit the Submit button. NOTE: This application is for a position at Holiday Inn Hurstbourne in Louisville, Kentucky only.

PERSONAL DATA
*First Name *Last Name: *Middle Initial:
Mailing Address City State --- AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY  Zipcode
*E-mail *Home Phone Alt Phone:
EMPLOYMENT INFORMATION
*Position(s) Applied For:  Hourly Wage or Salary? hourly salary $
Days Available: Mon   Tues   Wed   Thurs   Fri   Sat    Sun
Available Start Date? (mm/dd/yyyy)
Shifts Available: Day   Swing   Overnight   All
Type of Employment: Full-Time   Part -Time   Temporary   Seasonal   Cooperative Education
Are you 18 or Over?	Yes No
If you are a veteran of any branch of the U.S. Armed Forces, did you acquire skills which would be relevant for the position for which you are applying?	Yes No
If yes, please describe:
Why do you want to work at Holiday Inn Hurstbourne/I-64 East?
EDUCATION AND TRAINING

Type of School	Name	Address	City/St	From MM/YY	To MM/YY	Graduated?	Type of Degree	Major/Minor
High School						Yes
						No
College/ University						Yes
						No
Other						Yes
						No
Summarize any special skills, licenses and/or certificates that may assist you in performing the positions for which you are applying:

EMPLOYMENT HISTORY
Employer	From MM/YY	To MM/YY	Responsibilities	Pay Received	Supervisor's Name
1.
2.
3.

BUSINESS OR PROFESSIONAL REFERENCES

Name	Years Known	Relationship	Street Address, City, State	Telephone
1.
2.
3.
*I have read the Applicant Statement and I accept its terms.   I ACCEPT			* required fields