Application: Careers at Mainsail Lodging & Development

The following information is needed to complete verification procedures. Please read this form carefully, taking extra care to make your entries very clear and easy to read. Please make sure that you DO NOT use ant abbreviations from previous employers or schools. Incomplete applications (missing information) will NOT be considered. "See resume" is not acceptable.
Work History
Please list your work experience for the past ten years beginning with your most recent job held. If you were self-employed, give firm name.
Company #1
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone Number
Your Position
Employment Start Date
Date Format: MM slash DD slash YYYY
Employment End Date
Date Format: MM slash DD slash YYYY
Salary
Reason for leaving
May we contact this employer now?
- Yes
- No
If no, when?
Company #2:
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone Number
Your Position
Employment Start Date
Date Format: MM slash DD slash YYYY
Employment End Date
Date Format: MM slash DD slash YYYY
Salary
Reason for leaving
May we contact this employer now?
- Yes
- No
If no, when?
Company #3
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone Number
Your Position
Employment Start Date
Date Format: MM slash DD slash YYYY
Employment End Date
Date Format: MM slash DD slash YYYY
Salary
Reason for leaving
May we contact this employer now?
- Yes
- No
If no, when?
Education
List highest level of educational degree, diploma, or GED received.
School Name
City/State
Diploma/Degree Received
Did you work for any employers or attend any schools under a different name?
- Yes
- No
If yes, which employer(s) or school(s)?
Under what name?
Electronic Signature
The information on this application is true and accurate to the best of my knowledge: (By typing your initials in the box below, you are agreeing to the above statement)
Initials
Name
First Last
Date
Date Format: MM slash DD slash YYYY

Agreement/Pre-Employment Agreement
I hereby authorize the potential employer to contact, obtain and verify the accuracy of information contained in this application from all previous employers, educational institutions, and references. I also hereby release from liability the potential employer and its representatives for seeking, gathering, and using such information to make employment decisions and all other persons or organizations for providing such information.

I understand that any misrepresentation or material omission made by me on this application will be sufficient cause for cancellation of this application or immediate termination of employment if I am employed, whenever it may be discovered.

If I am employed, I acknowledge that there is no specified length of employment, and that this application does not constitute an agreement or contract for employment. Accordingly, either I or the employer can terminate the relationship at will, with or without cause, at any time, so long as there is no violation or applicable state or federal laws.

I understand that it is the policy of this organization not to refuse to hire or otherwise discriminate against a qualified individual with a disability because of that person's need for a reasonable accommodation as required by the ADA.

I also understand that if I am employed, I will be required to provide satisfactory proof of identity and legal work authorization within three days of being hired. Failure to submit such proof within the required time shall result in the immediate termination of employment.

I understand and accept that Mainsail is a drug-free workplace, and that Mainsail maintains a policy of “Reasonable-Suspicion Drug Testing.” If at any time it believes that an employee is using or has used drugs in violation of its drug-free workplace policy based on specific objective and articulable facts and reasonable inferences, Mainsail may require that the employee undergo drug testing. Such inferences at work may be based on (1) Observable phenomena, (2) Abnormal conduct or erratic behavior; (3) A report of drug use provided by a reliable and credible source; (4) Evidence that an employee has tampered with a drug test during their employment with Mainsail; (5) Evidence that an employee has caused, contributed to, or been involved in an accident while at work; or (6) Evidence that an employee has used, possessed, sold, solicited or transferred drugs while working, or while operating machinery or a vehicle while on Mainsail premises. (F.S. §440.102(1)(n); (5)2(o).

Similarly, if I am injured in the course and scope of my employment, I must submit to a drug screen test.>
I have read in full and understand the above statements and conditions of employment as specified by company policy, and furthermore seek employment under these conditions.
Electronic Signature
The information on this application is true and accurate to the best of my knowledge: (By typing your initials in the box below, you are agreeing to the above statement)
Initials
Name
First Last
Date
Date Format: MM slash DD slash YYYY

ADP Screening and Selection Services (ADP SASS) Disclosure and Consent
Mainsail Lodging & Development (The Company) may obtain a consumer report(s) (also known as a background check report) about you from a consumer reporting agency for employment purposes, including as an applicant for employment or from time to time during your employment.

The agency conducting the investigation and preparing the background report for the Company is ADP Screening and Selection Services, Inc. (ADP SASS), at 301 Remington Street, Fort Collins, CO, 80524; phone number 800-367-5933; website, http://www.adpselect.com. This website contains information concerning ADP SASS’ privacy practices.
I understand that, as allowed by applicable law, the Company may rely on this authorization to order additional background check reports, including investigative consumer reports and any consumer credit reports* (1) during my employment or time as a volunteer or independent contractor, as applicable, and (2) from any CRA other than ADP SASS without asking me for my authorization again. I understand the Company may order background check report(s) under my legal name and any other names I may have used.
I also instruct and authorize the following persons, agencies, and entities to disclose to ADP SASS and its agents all information about or concerning me, as allowed by law, including but not limited to: my past or present employers; learning institutions, including colleges and universities; law enforcement and all other federal, state and local agencies; federal, state and local courts; the military; credit bureaus; testing facilities; motor vehicle records agencies; all other private and public sector repositories of information; and any other person, organization, or agency with any information about or concerning me. As allowed by law, such disclosures may contain the following information pertaining to me: credit history*; public records; a Social Security number verification; driving records; military service; credentials/certifications; worker’s compensation injuries; and verification of prior employment and education.
Name
First Last
Maiden Name (if applicable)
First Last
Current Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Prior Address (or addresses if more than one) List full addresses in box below:
If less than 7 yrs. combined with previous address, MUST continue with listing a 3rd address in the same box.
Drivers License #
State
Electronic Signature
By typing in your initials in the box below, you are agreeing to the above statements.
Initials
Date
Date Format: MM slash DD slash YYYY

Step 1 of 4

Your Contact Information

Work History

Education

Electronic Signature

Agreement/Pre-Employment Agreement

Electronic Signature

ADP Screening and Selection Services (ADP SASS) Disclosure and Consent

Electronic Signature