Ocean City Maryland Oceanfront Boardwalk Hotels -- Phillips Beach Plaza Hotel

Name:

Social Security Number:

Age:

17 or less 18 or more

Home Address:

Address:
City:
State:
Zip:

Home Phone #:

College Address:

Address:
City:
State:
Zip:

College Phone #:

Email Address:

Position requested:

Waitstaff	Host/Hostess	Front Desk
Maintenance	Bus Staff	Dishwasher
Bartender	Night Audit	Kitchen
General	Housekeeping	Other

Tell us the anticipated dates
you will be available.

Beginning Date:	(mm/dd/yyyy)
Ending Date:	(mm/dd/yyyy)

Can you work Spring
and/or Fall weekends?

Yes No

Have you ever worked for any
Phillips-owned company before?

Yes No
If yes, where?
If yes, when?

Please explain ina short summary why you would like to work for us:

Have you ever been convicted of a felony?

Yes No
If yes, please give us the dates and describe the facts:

Employer #1 Type of Business:

Employer #1 Name/Adress:

Employer #1 Dates:

Employer #1 Phone:

Employer #1 Salary:

Employer #1 Position:

Employer #1 Name of Supervisor:

Employer #2 Type of Business:

Employer #2 Name/Adress:

Employer #2 Dates:

Employer #2 Phone:

Employer #2 Salary:

Employer #2 Position:

Employer #2 Name of Supervisor:

Employer #3 Type of Business:

Employer #3 Name/Adress:

Employer #3 Dates:

Employer #3 Phone:

Employer #3 Salary:

Employer #3 Position:

Employer #3 Name of Supervisor:

Comments:

I authorize Phillips Seafood Restaurants, Inc. to contact my previous employers to obtain employment information and to further investigate the truthfulness of my application. I understand that any false answers or statements or misleading omissions made by me on the application, in connection with the above-mentioned investigation, can be sufficient grounds for my rejection as a candidate for employment of for immediate discharge. Due to insurance regulations, we cannot hire anyone under 16. If you are 16 or 17 years old, a work permit is required.

Worcester County's stringent Liquor Law requires that you must be at least 18 years of age to be employed as a server or bus person. If you are 16 or 17 years of age, you must complete a Maryland Worker's Permit. If you are hired, you must obtain this form your school.

Before you begin employment, the U.S. Department of Justice, Immigration and Naturalization requires that you provide (2) forms of identification upon arrival at Phillips for employment. If you are hired, you will be required to show the original documents upon arrival of your first day of work. Without this identification, you will not be permitted to begin your employment.