International Staff Application

Personal Information
First Name: *
Last Name: *
Current Mailing Address Line 1
Current Mailing Address Line 2
City:
State:
Zip Code:
US Telephone Number:
US Cell Phone Number:
Email Address: *
Country of Origin:
Do you currently possess a valid passport? *
If yes, when will it expire?
Are you currently working in the US on an H-2B visa? *
When did your most recent 3-year period of stay begin?
End date of current H-2B visa extension
Have you ever been employed by Lake Naomi Club? *
If yes, when?
If yes, position(s)?
How were you referred to us? *
Please explain:
Do you have any objection to working overtime if necessary? *
Have you ever been convicted of a crime? *
If yes, please explain:
Employment History
Employer #1 Name:
Employer Address Line 1:
Employer Address Line 2:
Employer City:
Employer State:
Employer Zip:
Employer Phone Number:
Position:
Salary:
Start Date of Employment:
End Date of Employment:
Reason for Leaving:
Employer #2 Name:
Employer Address Line 1:
Employer Address Line 2:
Employer City:
Employer State:
Employer Zip:
Employer Phone Number:
Position:
Salary:
Start Date of Employment:
End Date of Employment:
Reason for Leaving:
Employer #3 Name:
Employer Address Line 1:
Employer Address Line 2:
Employer City:
Employer State:
Employer Zip:
Employer Phone Number:
Position:
Salary:
Start Date of Employment:
End Date of Employment:
Reason for Leaving:
Employer #4 Name:
Employer Address Line 1:
Employer Address Line 2:
Employer City:
Employer State:
Employer Zip:
Employer Phone Number:
Position:
Salary:
Start Date of Employment:
End Date of Employment:
Reason for Leaving:
Education Information
High School Name:
Years completed:
Course of study:
Degree(s) Earned:
College Name:
Years completed:
Course of study:
Degree(s) Earned:
Graduate School Name:
Years completed:
Course of study:
Degree(s) Earned:
Name of Other Training or Workshop
Years completed:
Course of study:
Degree(s) Earned:
Please list any Food & Beverage related certification(s) that you currently hold
References
Reference #1 Name:
Years Acquainted:
Mailing Address Line One:
Mailing Address Line Two:
City:
State:
Zip:
Telephone:
Email Address:
Reference #2 Name:
Years Acquainted:
Mailing Address Line One:
Mailing Address Line Two:
City:
State:
Zip:
Telephone:
Email Address:
Reference #3 Name
Years Acquainted:
Mailing Address Line One:
Mailing Address Line Two:
City:
State:
Zip:
Telephone:
Email Address:
Why Should LNC Hire You
1. Why do you want to work for the Food & Beverage Department at Lake Naomi Club? *
2. What strengths do you possess that you feel would make you a valuable Team Member of our Food & Beverage Department? *