Grandeur Management

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5335 North Kings HWY # 303 Myrtle Beach SC 29577. USA Tel. +1 843 448 8927 Fax. +1 843 278 9284 Email info@grandeurmanagement.com
*Grandeur employment / training application form.*
*IMPORTANT:*	This application must be typed. All items must be answered completely and in English. Application must accompany the following requirement. Incomplete application will not be processed. Photocopy of your passport (photo and name pages and all pages having any visa) 2passport size photographs 2 reference letters from previous employer / school Proof of previous work experience (employment confirmation letter/certificate), Detail resume
*Additional Documents for applicants in the country: Copy of I 94 , Copy of SSC, Copy of Last 3 Pay stub*
Application Submitted by:	Individual	Grandeur Agent	Other:

Personal Information		Mr. Ms.		Surname
Date of Application		First Name		Other Name

	Gender: Male Female		Marital Status: Single Married
	City of Birth		Country of Birth
Date Birth	Country of Citizenship		Legal Residence
	I am a:	Non-student	Student:
Passport #	Date of Issue:		Date of Expiry:

Permanent Address	Street Address
City	Country	Postal Code
Telephone	Fax	E-mail

Mailing Address		Street Address
	Check here if current address is same as address given above.
City		Country	Postal Code
		Evening Telephone	Daytime Phone
Fax		E-mail	Valid E-mail

Visa Information	At which U.S. Embassy / Consulate will you apply for the visa?
	Have you previously visited the United States on J1, Q1 or h2b Visa? Yes No If yes, please provide:		Yes No
	Date entry to U.S.	Date exit from U.S.
	Type of Visa issued	Purpose of Visit
	Are you currently in, or have you in the last 12 months visited, the U.S.? Yes No If yes, please complete:		Yes No
	Type of Visa Held	Purpose of Visit
	Date of Entry
	Expiration Date of I-94 Form	Date You Actually Exited the United States
	(If you are currently in the United States, you must attach a PHOTOCOPY of your I-94 form,
	Have you ever been refused a visa to the United States? Yes No If yes, provide the following information:		Yes No
	Type of Visa	Date of Refusal
	Reason for Refusal

Knowledge of English Language	Speaking:	Poor	Fair	Good	Excellent
Knowledge of English Language	Reading:	Poor	Fair	Good	Excellent
	Writing:	Poor	Fair	Good	Excellent

Emergency Contact Information	Full Name	Relationship to You
	Street Address	City
	Country	Postal Code
	E-mail	Telephone

Employment / Training	List Your Expected start dates of employment / Training :
	Start Date		To	End Date

	Start with current school and list backwards to age 18. Please also add a current CV to this information.
Educational Background
Start with current school and list backwards to age 18. Please also add a current CV to this information.	SCHOOL 1	SCHOOL 2
	School Name	School Name
	City	City
	Country	Country

Please attach a separate sheet for others, if needed.
	Begin Date	Begin Date
	End Date	End Date
	Major	Major
	Degrees or Certificates	Degrees

Start with current occupation.	EMPLOYER 1	EMPLOYER 2
	Employer Name	Employer Name
	City	City
Most recent work experience must be within the past six months and in the area of the training program.	Country	Country
	Begin Date	Begin Date

Please attach a separate sheet for others, if needed.	End Date	End Date
	Job Title	Job Title

Health Evaluation Questionnaire	1. Do you consider your health to be:	Excellent	Good	Poor
	2.Do you have a physical handicap or disability?	Yes	No
For the purpose the fulfilling the requirements of S.C. Code Ann. Section 42-9-400, your employer needs to know if, to the best of your knowledge, you have ever had any of the following conditions.	3. Have you had medical treatment in the last 5 years?	Yes	No
	4. Are you under a doctor’s care at this present time?	Yes	No
	5. Are you under a doctor’s care at this present time?	Yes	No
	6. Are you allergic to any medications?	Yes	No
	How many days have you been absent from employment due to illness in the last year? Reason
	Psychological
	Have you ever had anxiety attack?	Yes	No
	Are you prone to excessive depression?	Yes	No
	Have You ever been treated for emotional problems?	Yes	No

Click YES or NO for each of the following medical conditions and/or diagnosis:
Tuberculosis	Yes	No	Alkalosis of joints	Yes	No
Pulmonary Disease	Yes	No	Chronic Osteomyelitis	Yes	No
Cancer	Yes	No	Hemophilia	Yes	No
Brain damage	Yes	No	Deafness	Yes	No
Ruptured disc	Yes	No	Migraines	Yes	No
Ulcer, Stomach disorders	Yes	No	Sickle-cell anemia	Yes	No
Parkinson’ disease	Yes	No	Ear trouble, hearing conditions	Yes	No
Cerebral palsy	Yes	No	Heavy metal poisoning	Yes	No
Hay fever, asthma	Yes	No	Varicose Veins	Yes	No
Hernia	Yes	No	Thrombophlebitis	Yes	No
Eye disease or loss of vision	Yes	No	Arteriosclerosis	Yes	No
Back pain, spinal injuries/disorders	Yes	No	Muscular dystrophy	Yes	No
Rheumatism, arthritis, bursitis	Yes	No	Hyper insularism	Yes	No
Cardiac Disease	Yes	No	Fainting spells	Yes	No
Diabetes	Yes	No	Nervous breakdown, convulsions	Yes	No
Epilepsy	Yes	No	Pulmonary disease	Yes	No
Multiple sclerosis	Yes	No	High/Low Blood Pressure	Yes	No

I understand that this medical history will become part of my personal file and any evidence of falsification, misrepresentation, or omission of information will be considered adequate cause for discharge. Furthermore, I understand that this questionnaire is for the purpose of enabling my employer to fulfill the requirements of the South Carolina Second Injury Fund, and it is in no way connected to the Companies decision to hire me. This information provided is not to be used by the company as basis of denying me placement within the Company or promotion, or to discriminate against me in any way. In the event of the conditions described herein as well as any records maintained by any government agency, past employer, or treatment facility with respect to any personal injuries I have received. __________Initial

Program Terms and Conditions. / GM Participant’s Obligations & Responsibilities: GM Participant’s Obligations & Responsibilities:
1. Prior to my departure, I will read all written materials sent to me by GM.
2. In the event of the termination of my contract by GM, GM will be responsible for my return travel to my home country.
3. I will not pay any job placement fee to any agency or entity in connection with my temporary employment with GM.
4. GM will be responsible for USCIS filing fees.
5. I will be responsible for passport fees.
6. I certify that I will follow any instructions from GM before and during my stay in the U.S. and I will comply with applicable laws, regulations, and/or instructions of appropriate government agencies in the United States.
7. I certify that the information given in this form is complete and accurate.
8. I have read, understood and agree to follow all of GM’s policies and I agree to complete and abide by this GM Participant Agreement, GM Structured Training Plan established between GM and myself.
9. I will not voluntarily leave GM during the course of this agreement; nor will I seek employment in any other U.S. company/firm/organization or attempt to enroll in an educational institution/university/college while I am enrolled in the GM Program.
10. I understand that this program will only sponsor me for up to the time specified in the visa, after which I must return to my home country.
11. I certify that I have a residence in a foreign country that I have no intention of abandoning, and I am coming to the U.S. temporarily without any intent to immigrate to the United States.
12. I understand that I must apply for my visa at the American consulate in my home country.
13. I am qualified to perform the service or labor or receive the type of training stated in the I-129 petition.
14. I understand that I can only be employed by the Grandeur Management through which I attained the appropriate nonimmigrant status.
15. I understand that it is not necessary for me to apply for an employment authorization document; I further understand that any employment outside this specific program violates the terms of my nonimmigrant status within the meaning of the Immigration and Nationality Act Section 237(a)(1)(C)(i).
16. I further understand that although GM’s affiliate hotels and resorts are used as locations where I will work on a daily basis, GM as a management company will keep total control of scheduling, monitoring and performance evaluations of all my activities. It is this aspect of control that truly demonstrates that GM remains my Employer at all times.
17. I further understand that this agreement does not allow me to work directly with the ACP Property or any intermediary vendor whatsoever. GM has a no-solicitation and no-compete agreement with the work site and intermediary vendor (if any) and any breech of this clause will result in penalties up to $10,000 paid to GM by the participant.
18. I understand that I may make brief departures from the U.S. without having to obtain a new visa with approval from GM. However such periods of time spent outside the U.S. will not be added to the end of my stay.
19. I certify that I have never associated with nor have ever been a member of any communists or terrorist’s organizations; and have no intent of engaging in any such activity.
20. I have never been in any deportation or exclusion proceedings, nor ever violated the terms of a U.S. visa or other admission or travel document or passport.
21. I have never been convicted of a crime in the U.S. or any country, nor currently have any criminal proceedings pending against me.
22. I further understand that although GM’s affiliates are used as locations where I will consult on daily basis, GM will be my employer. It is this aspect of control that truly demonstrates that GM remains my Employer at all times.
23. I understand that GM declines any legal responsibility for any incurred health problems or any personal misconduct or inappropriate behavior by the participant.
24. I understand that GM declines any legal responsibility for participants terminated from the program.
25. I understand that GM declines any legal responsibility for any forces of nature, any force major or any unforeseen acts of God.
26. GM reserves the right to change the work property location of the participant with or without notice depending upon business fluctuation, performance issues or other unforeseen circumstances.
27. In case of serious disciplinary issues as outlined in GM Employee Handbook, participant’s employment will be immediately terminated and s/he should be given 24 hours to vacate the provided housing. Please refer to GM Employee Handbook for complete disciplinary and performance procedures.
28. I understand that I can be deported and permanently excluded from the United States if I’ve ever committed fraud or willfully misrepresented a material fact for the purpose of obtaining a visa from GM.
29. I declare that I have no intention of remaining the U.S. after the period allowed by this program.
30. I understand that I must provide my valid Social Security Number and card, a valid photo ID and my I94 card to Grandeur so Grandeur can verify my eligibility for employment. Failure to provide these documents will result in delay of my paycheck and termination of my employment agreement.
31. Since I have not been interviewed face to face by Grandeur Management, there may be another interview face to face with the property supervisor for housekeeping or another position after my arrival in the USA. GM reserves the right to terminate its contract with me based on the outcome of this interview. It is often observed by Grandeur that applicants promise to work in all departments however as soon as they enter the USA, they show no willingness to work and show no motivation during the face to face interview. Grandeur will take a strict notice of such behavior.

I certify that the information given in this form is complete and true. I understand and agree to the conditions of Grandeur Exchange's program. I realize that if I do not fulfill my obligations and responsibilities as stated, Grandeur Exchangewill withdraw its sponsorship and I will be required to leave the United States immediately
Signature:		Date:
City:		Country:

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