APPLICANT INTAKE FORM

First name*

Last name*

Phone*

Email*

Position of Interest*

All

Front Desk

Housekeeping

Restaurant & Bar

Kitchen

Banquet & Events

Maintenance

Property Choice*

Any

Rogue Regency

Ashland Hills Hotel

Ashland Springs

Lithia Springs

Shift Availability*

Any

Weekday Days

Weekdays Nights

Weekend Days

Weekend Nights

Overnight Weekdays (Night Audit)

Overnight Weekend (Night Audit)

Other

Earliest Start Date

Reliable Transportation

Yes

No

Relevant Experience (Brief)*

Authorized To Work In The U.S.*

Yes

No

Referred By (Employee Name)

How Did You Hear About Us?

PO Box 820570

Vancouver, WA 98682

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