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APPLICATION FORM

PERSONAL INFORMATION

Are you 18 years old or over?Yes Yes Yes No
Status Requested
Yes full time
Yes part time
Yes on call

Have you ever applied here before?
Yes Yes Yes No

Days Available
Yes Any day
Yes Monday
Yes Tuesday
Yes Wednesday
Yes Thursday
Yes Friday
Yes Saturday
Yes Sunday
Hours Available
Yes Any time
Yes 7AM-3PM
Yes 8AM-5PM
Yes 3PM-11PM
Yes 5PM-1AM
Yes 11PM-7AM
Are you legally eligible to work in the United States?
Yes Yes Yes No
Have you ever been discharged or requested to resign?
Yes Yes Yes No

EMPLOYMENT RECORD



EDUCATION

High School
College or University
Business or Trade School

MILITARY SERVICE

WORK REFERENCES

Resume Attachment (2MB Maximum File size | PDF, DOC, or DOCX only)


PRE-EMPLOYMENT

Applicant Data Form

Detach from Employment Application and Submit Separately

Notice to Applicants - Completion of this form is voluntary.

We are an Affirmative Action, Equal Opportunity Employer. Our employment decisions are made without regard to race, color, religion, gender, sexual orientation, gender identity, national origin, citizenship, age, disability, marital status, veteran or military status, or any other legally protected status. The purpose of this Applicant Data Form is to comply with federal government record-keeping and reporting requirements. Periodic reports are made to the government on the following information. The data you provide on this form will be kept confidential and used solely for statistical purposes. This form is processed and maintained separately from your employment application and is not used in the interview or selection process. Completion of this form is optional and voluntary.




Voluntary Self-Identification of Ethnicity, Race and Gender
Race/Ethnic Code

Yes Hispanic or Latino – A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin regardless of race;
Yes White (not Hispanic or Latino) – A person having origins in any of the original peoples of Europe, North Africa, or the Middle East;
Yes Black or African American (Not Hispanic or Latino) – A person having origins in any of the Black racial groups of Africa;
Yes Native Hawaiian or Other Pacific Islander (Not Hispanic or Latino) – A person having origins in any of the peoples of Hawaii, Guam, Samoa, or other Pacific Islands;
Yes Asian (Not Hispanic or Latino) – A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian Subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam;
Yes American Indian or Alaskan Native (Not Hispanic or Latino) – A person having origins in any of the original peoples of North and South America (including Central America), and who maintains tribal affiliation or community recognition; and
Yes Two or More Races (Not Hispanic or Latino) – All persons who identify with more than one of the above five races.

Sex/Gender Code: (Please Select One)

Yes Male
Yes Female


Voluntary Self-Identification of Veteran Status

This employer is a Government contractor subject to the Vietnam Era Veterans’ Readjustment Assistance Act of 1974, as amended by the Jobs for Veterans Act of 2002, 38 U.S.C. 4212 (VEVRAA), which requires Government contractors to take affirmative action to employ and advance in employment:

  1. disabled veterans;
  2. recently separated veterans;
  3. active duty wartime or campaign badge veterans; and
  4. Armed Forces service medal veterans.

These classifications are defined as follows:

  • A “disabled veteran” is one of the following:
    • A veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or
    • A person who was discharged or released from active duty because of a service- connected disability.
  • A “recently separated veteran” means any veteran during the three-year period beginning on the date of such veteran’s discharge or release from active duty in the U.S. military, ground, naval, or air service.
  • An “active duty wartime or campaign badge veteran” means a veteran who served on active duty in the U.S. military, ground, naval or air service during a war, or in a campaign or expedition for which a campaign badge has been authorized under the laws administered by the Department of Defense.
  • An “Armed forces service medal veteran” means a veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order 12985.

Protected veterans may have additional rights under USERRA—the Uniformed Services Employment and Reemployment Rights Act. In particular, if you were absent from employment in order to perform service in the uniformed service, you may be entitled to be reemployed by your employer in the position you would have obtained with reasonable certainty if not for the absence due to service. For more information, call the U.S. Department of Labor’s Veterans Employment and Training Service (VETS), toll-free, at 1–866–4–USA–DOL.

If you believe you belong to any of the categories of protected veterans listed above, please indicate by checking the appropriate box below. As a Government contractor subject to VEVRAA, we request this information in order to measure the effectiveness of the outreach and positive recruitment efforts we undertake pursuant to VEVRAA.

Yes I IDENTIFY AS ONE OR MORE OF THE CLASSIFICATIONS OF PROTECTED VETERAN LISTED ABOVE
Yes I AM NOT A PROTECTED VETERAN


Voluntary Self-Identification of Disability


Why are you being asked to complete this form?

Because we do business with the government, we must reach out to, hire, and provide equal opportunity to qualified people with disabilities.i To help us measure how well we are doing, we are asking you to tell us if you have a disability or if you ever had a disability. Completing this form is voluntary, but we hope that you will choose to fill it out. If you are applying for a job, any answer you give will be kept private and will not be used against you in any way.

If you already work for us, your answer will not be used against you in any way. Because a person may become disabled at any time, we are required to ask all of our employees to update their information every five years. You may voluntarily self-identify as having a disability on this form without fear of any punishment because you did not identify as having a disability earlier.


How do I know if I have a disability?

You are considered to have a disability if you have a physical or mental impairment or medical condition that substantially limits a major life activity, or if you have a history or record of such an impairment or medical condition.

Disabilities include, but are not limited to:

  • Blindness
  • Deafness
  • Cancer
  • Diabetes
  • Epilepsy
  • Autism
  • Cerebral palsy
  • HIV/AIDS
  • Schizophrenia
  • Muscular dystrophy
  • Bipolar disorder
  • Major depression
  • Multiple sclerosis (MS)
  • Missing limbs or partially missing limbs
  • Post-traumatic stress disorder (PTSD)
  • Obsessive compulsive disorder
  • Impairments requiring the use of a wheelchair
  • Intellectual disability (previously called mentalretardation)

Please check one of the boxes below:

Yes YES, I HAVE A DISABILITY (or previously had a disability)
Yes NO, I DON’T HAVE A DISABILITY
Yes I DON’T WISH TO ANSWER


CONSENT, RELEASE AND AUTHORIZATION BY APPLICANT
(Read This Carefully)

THIS CONSENT. RELEASE AND AUTHORIZATION contains provisions which have an impact on your responsibilities and right as an application or an employee if hired.

I CERTIFY that all statements made on or attached to this application are true. I agree that if I misrepresent or leave out important facts on this form, then Outrigger can refuse to employ me, or if I am employed, can immediately terminate me.

I CONSENT TO AND AUTHORIZE Outrigger to make full and complete investigation of my personal or employment history and authorize any former employer, person, firm, corporation, school, credit agency, government agency or other entity to provide the Company with any information of any sort (including fact or opinion) they may have regarding me. In consideration of the Company's review of this application, I release the Company and all providers of any information any liability as a result of furnishing and receiving this information.

I UNDERSTAND and agree that an investigative consumer report may be made concerning my character, reputation, personal characteristics and mode of living. I hereby consent to and authorize that such a report be made which may include information regarding my credit. Information as to the nature and scope of this report may be obtained upon written request.

I AGREE that I will settle any and all previously unasserted claims, disputes or controversies arising out of or relating to my application or candidacy for employment, employment and/or cessation of employment with Outrigger Hotels and Resort exclusively by final and binding arbitration before a neutral Arbitrator. By way of example only, such claims include claims under federal, state, and local statutory or common law, such as the Age Discrimination in Employment Act. Title VII of the Civil Rights Act of 1964, as amended, including the amendments of the Civil Rights Act of 1991, the Americans with Disabilities Act, the law of contract and law of tort. I further agree with my employer that as part of any remedy in any such arbitration, the Arbitrator may award to the prevailing party costs and attorney's fees to the same extent available in court cases.

I AGREE that I may quit. or Outrigger may terminate my employment with or without cause at any time without liability of any kind.

I UNDERSTAND and agree that I am required to submit to drug testing and complete post-offer medical examination as part of my application of employment. I also understand and agree that I may be required to submit to a complete medical examination during my employment with the Company provided that such examination is job-related and consistent with business necessity. The cost of such examination will be paid by the Company. I authorize the physician conducting the examination and any laboratory testing and specimen obtained by the physician or collection site to disclose the results of the examination and the laboratory test to the Company in accordance with FEDERAL laws. The Company will keep such results confidential and disclose the results only to persons who need to now or where required by law.

I UNDERSTAND that if employed, I will be required to submit proof of age, citizenship, immigration status or other pertinent information.

I CERTIFY THAT I FILLED THIS APPLICATION OUT MYSELF, AND I UNDERSTAND EVERYTHING ON THIS APPLICATION.

I understand and agree that all of the foregoing terms and conditions will become part of my employment agreement with Outrigger Guam Beach Resort if I am employed by the company.


OR

Please click the link below to download the application form and submit the completed form to the HR Department.

APPLICATION FORM