Chautauqua Application

C H A U T A U Q U A H OT E L C O.
APPLICATION FOR SUMMER EMPLOYMENT - JUNE 23 to AUGUST 26, 2012
Prospective employees will receive consideration without discrimination because of race, gender, creed, color, sex, sexual orientation, national origin, religion, handicap or veteran status.

Which location(s) are you interested in:

Athenaeum Hotel

Refectory

Afterwords Café

Bellinger Hall

Plaza Market

Last Name

First Name

Initial

Date

Are you a U.S. citizen?

Yes

Age if under 18*

Date of Birth

Permanent Address:

Street/Box

City

State

Zip

Telephone:
Email

Local Summer Address:

Street/Box

City

State

Zip

Telephone
Cell Phone Number

Other (School) Address:

Street/Box

City

State

Zip

Telephone
Cell Phone Number

*(If, by the time your employment begins, you are not 18 years of age; you will be required to provide valid New York State working papers. Working papers may be acquired from any NY State high school. When applying for working papers, you MUST get a Physical and have a birth certificate. These must be turned in prior to starting work.)

POSITION DESIRED: Please review the enclosed listing of positions available. You should select more than one.
Your application will be directed to the departments in order of your choices.

Please Select one of the following::

2012 Summer Employment Job Information Sheet

1st Choice

2nd Choice

3rd Choice

Have you ever worked at Chautauqua?

Yes

If yes, when ?

Position Held:

Supervisor:

How did you hear about Chautauqua Hotel Co. employment?

Work Experience:

Company/Phone #
Dates of Employment	FROM: TO:
Position
Responsibilities
Reason for Leaving
Salary

Company/Phone #
Dates of Employment	FROM: TO:
Position
Responsibilities
Reason
Salary

Company/Phone #
Dates of Employment	FROM: TO:
Position
Responsibilities
Reason
Salary

Education:

High School
Location
Course of Study
Grade Completed as of June 2012

College
Location
Course of Study
Grade Completed as of June 2012

References(One from school or employer, and one other non-family personal or character reference):

Name/Title
Address
Telephone Number

Name/Title
Address
Telephone Number

List names of relatives/friends working for the Chautauqua Hotel Co.:

Availability: The 2012 season will begin on June 23 and end on August 26. Some positions start earlier and/or end later.

Most positions will require your attendance at training programs during the week starting June 11. The filing of this application

certifies that the applicant is only interested in working on a seasonal/temporary basis.

I can start work beginning: and will commit to work until:

The date that my fall school semester begins is

Availability for additional work (pre-season: 4/09/12 – 6/24/12 & post-season: 8/27/12- 11/04/12) is optional:

Pre-season: from to

Post-season: from to

The season is a very busy and very intense nine weeks. It is important that the applicant is committed to the Chautauqua Hotel Co.
during this time. There will be consequences for vacating a position prior to the end date listed on this application.

Do you plan on having more than one job during the nine-week season? Yes No
If so, where, and how many hours/days per week?

Are there any days that you are unable to work during the season (re: weddings, family reunions, religious obligations)?

SECURITY QUESTIONS: (All questions must be answered.)

Have you ever been convicted of a felony?

Yes

If yes, give details


Have you ever been convicted of any of the following offenses: (All questions must be answered.)

a) Illegally using, carrying or possessing a pistol or other dangerous weapon	Yes	No

b) Making or possessing burglar’s instruments	Yes	No

c) Buying or receiving or criminally possessing stolen property	Yes	No

d) Unlawful entry of a building	Yes	No

e) Aiding escape from prison	Yes	No

f) Unlawfully possessing or distributing habit-forming narcotic drugs	Yes	No

g) Vagrancy or prostitution	Yes	No

h) Ownership, operation possession, custody or control of a still	Yes	No

i) Violating subsections 6,8,10 or 11 of Section 722 of the former penal law as in force and effect before September 1, 1967; or violating Sections 162.25, 165.30 or subsection 3 of Section 240.35 of the penal law	Yes	No

Please Read Carefully:I certify that my answers are true and complete to the best of my knowledge.
If this application leads to employment, I understand that false or misleading information in my application or interview may result in my
release. Furthermore, I understand that just as I am free to resign at any time, the Employer reserves the right to terminate my employment
at any time, with or without cause and without prior notice. I understand that no representative of the employer has the authority to make
any assurances to the contrary.
Additionally, I hereby voluntarily agree to submit to any lawful background, reference, credit check or drug test requested and
conducted by Chautauqua Hotel Corporation, which the Corporation deems, in its sole discretion, to be reasonably necessary to provide
its workers with a safe working environment. I hereby indemnify, release and forever discharge and hold
Chautauqua Hotel Corporation and its subsidiaries and affiliated companies, agents and employees harmless from any and
all claims, demands, judgments and legal fees arising out of or in connection with such background, reference,
credit check or drug tests, the results, or any lawful use of the results or information.

Name of Applicant

Date

Please Return To: Chautauqua Hotel Co., RE: Applications, PO Box 66, Chautauqua, NY 14722

Security Image	Change Image
Write the characters in the image