Application Form-Inn at Lost River

First Name

Last Name

Phone Number

Address

Date Available to Start

Position of Interest

Associate / Barista

Cook

Housekeeper

Have you previously worked for the Inn at Lost River or the Lost River General Store

Yes

If yes, when were you an employee of the Inn or General Store

have you ever been convicted of, or pled guilty to, a felony or misdemeanor other than a minor traffic violation?

Yes

If yes, please explain:

Education

High School

Did you graduate

Yes

College

Degree Earned

Other Education

Degree Earned

Are you old enough to sell/serve alcohol in West Virginia (18 years old)

Yes

Previous Experience

Current or most recent employer

Position

Start Date

End Date

Reason for leaving

May we contact this employer?

Yes

Employer 2

Position

Start Date

End Date

Reason for leaving

May we contact this employer?

Yes

Employer 3

Position

Start Date

End Date

Reason for leaving

May we contact this employer?

Yes

Please enter the name, relationship/company, and contact information of three references

If you have a resume or cover letter you may upload them here

The Inn at Lost River may obtain information about you from a third party consumer reporting agency for employment purposes. You may be the subject of a “consumer report” which may include information about your character, general reputation, personal characteristics, and/or mode of living. These reports may contain information regarding your credit history, criminal history, motor vehicle records (“driving records”), verification of your education or employment history, or other background checks.

I consent to a third party background check.

Your Signature