Address: 1 Carter Notch Road, Jackson Village, New Hampshire, 03846, United States
Telephone: 603-383-9700

Personal Information
Name*
First Middle Last
Mailing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email*

Application Information
Earliest Date Available
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Must Leave By
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First Desired Job Choice
Second Desired Job Choice
Third Desired Job Choice
Please tell us how you were referred to The Wentworth Inn
Referral Details (what newspaper, employee, website etc.)
Have you ever worked at The Wentworth Inn before? If so, please list the dates and which Department or Supervisor you had.
Do you know anyone in the company? If so, please list their names.
Are you available to work?
- Yes
- No
Please list the times you are available.
Can you, after offer of employment, submit verification of your legal right to work in the USA?
- Yes
- No
Are you 18 years or older?
- Yes
- No
Have you been convicted of a felony in the last five years?
- Yes
- No
If so, please state the date of the conviction and the nature of the offense (a conviction will not necessarily bar employment).
If the position you are applying for requires a driver's license, please list:
State
Driver's License Number
Type of License

Work History
May we contact your previous employer(s) as a reference?
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If no, state a reason and employer.
Current or Most Recent Employer
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Position
Duties
Wage
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End Date
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Reason for Leaving
Mailing Address
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Second Employer Reference
Employer (You must enter a name for each reference.)
Position
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Wage
Start Date
MM slash DD slash YYYY
End Date
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Reason for Leaving
Mailing Address
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Contact Person
Phone
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Third Employer Reference
Employer (You must enter a name for each reference.)
Position
Duties
Wage
Start Date
MM slash DD slash YYYY
End Date
MM slash DD slash YYYY
Reason for Leaving
Mailing Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Contact Person
Phone
Contact's Email Address

Employment Application

Personal Information