Employment Application Form
Position Desired
Last Name M.I. Firstname
Street Address City
State/Province Zip/Postal Code:
Phone:(Include Area Code)
/ /
Email Address
If necessary for the job, are you over (please choose one):
(Must be 16 or older)
 
If necessary for the job, can you provide a valid Alaska Drivers License?
If Yes please provide ADL #
 
Type of employment desired
Days Available
 
Hours Available Willing to Work Overtime?
Property Preference
I am available to work from
/ /   until / /
Have you been employed by Fountainhead in the past?
If Yes, Dates employed:
/ /   until / /
Are you related to someone currently employed by Fountainhead?
If Yes, please provide their Name:
Have you ever been convicted of a crime other than a misdemeanor?
If yes, please describe
(Conviction of crime will not necessarily prevent acceptance for employment)
 
EMPLOYMENT HISTORY
Start with most recent position, furnish dates and explanations for each period of unemployment of one month or more.
1. Employer Name & Address
Position/Duties
Dates employed:
/ /   until / /
Phone: (Include Area Code) Supervisor
/ /
Reason for Leaving Salary
 
2. Employer Name & Address
Position/Duties
Dates employed:
/ /   until / /
Phone: (Include Area Code) Supervisor
/ /
Reason for Leaving Salary
 
3. Employer Name & Address
Position/Duties
Dates employed:
/ /   until / /
Phone: (Include Area Code) Supervisor
/ /
Reason for Leaving Salary
 
4. Employer Name & Address
Position/Duties
Dates employed:
/ /   until / /
Phone: (Include Area Code) Supervisor
/ /
Reason for Leaving Salary
 
Military Service?
 
REFERENCES
List two personal references who are not relatives or former supervisors.
 
Name
Phone:(Include Area Code)
/ /
Address Occupation
Number of years known
 
Name
Phone:(Include Area Code)
/ /
Address Occupation
Number of years known
 
EDUCATION AND TRAINING
(Please complete all appropriate items):
 
High School Years Completed
Field of Study Graduate or Degree
 
College/University Years Completed
Field of Study Graduate or Degree
 
Business/Technical/Other Years Completed
Field of Study Graduate or Degree
 
Summarize other employment related to this job:
 
List other knowledge, languages, special technical or computer skills, and/or individual capabilities you have which especially prepare you for the position for which you have applied:
 
Knowledge
 
Languages
 
Technical or Computer Skills
 
Individual capabilities
 
Applicant Statement - Please read carefully
I have answered all questions to the best of my ability. If employed, I realize false information or misrepresentation of the facts will be grounds for dismissal. I authorize any necessary inquiries as to my character, reputation, and ability and release those supplying any information from all liability. I understand that all offers of employment are contingent upon alcohol and drug test results. I understand and agree to the above statement.
Applicant Statement - Please read carefully
 
Applicant Name: Date:
 
All applicants receive consideration for employment without regard to race, color, religion, gender, marital status, age, national origin, disability, or veteran status.
 
DRUG & ALCOHOL TESTING CONSENT FORM
(All applicants must sign Consent Form before being considered for employment)
 
I,   , hereby give my consent to Fountainhead Development, Inc. (FDI), 1501 Queens Way, Fairbanks, AK, 99701, and AAT, Inc., 1919 Lathrop Street, Suite 203, Fairbanks, AK, 99701, to perform the appropriate tests to identify the presence of drugs and alcohol. Specifically, the drugs tested for will be Marijuana, Cocaine, Phencyclidine (PCP), Amphetamines, and Opiates.
 
I Understand that during my employment with FDI, I will be tested under the following circumstances:
 
Pre-employment - All new employees will be hired on condition of passing a drug and alcohol test. All applicants must sign a consent form before being considered for employment. Those under 18 years of age must have a consent form signed by a parent or legal guardian.
 
Random Testing - All employees are subject to unannounced drug testing on a random basis. Each month a percentage of employees will be selected to undergo drug and alcohol screening. Each month, each employee will have an equal chance of selection. Such sample will be collected during normal working hours.
 
Post Accident - FDI will make every effort to ensure that all persons involved in any work related accident that results in medical treatment beyond first aid, or that results in property damage of $500 or more, will be tested for use of illicit substances and alcohol.
 
Reasonable Cause - FDI will require a drug and/or alcohol test of any person suspected of using or being under the influence of an illicit drug or alcohol. Reasonable cause testing will be initiated whenever it is believed, through observation of specific physical and/or behavioral symptoms, that an employee has used an illegal substance and/or abused a legal drug or alcohol. I furthermore give my permission for the test results to be released to Fountainhead Development, Inc. I understand that refusal to take any test, attempts to dilute or adulterate specimens, or conduct that in any way obstructs the collection process, will result in the termination of my employment and/or denial of my application for employment with FDI.
 
Employee/Applicant Signature Date Parent/Legal Guardian Date (required if applicant is under 18 years of age) - FDI is a drug and alcohol free workplace. The unlawful manufacture, distribution, dispensation, possession, sale, or use of a controlled substance, or abuse of a legal drug, or use of alcohol in the workplace or while engaging in FDI business is strictly prohibited. Such conduct is also prohibited during non work hours to the extent that it impairs an employee's abilities to perform on the job.
 
FAILURE TO SIGN THE CONSENT FORM WILL RESULT IN TERMINATION OF EMPLOYMENT
Employee/Applicant Name: Date:
 
Parent/Legal Guardian Name : Date:
 
 
 
 
Copyright © 1999 - 2011 Fountainhead Hotels, Inc. Corporate Office
1501 Queens Way  Fairbanks, Alaska 99701
Email - jobs@fdifairbanks.com
  Fax: 907.451.8347