PLEASE PRINT ALL PAGE 1 INFORMATION REQUESTED EXCEPT ...
PLEASE PRINT ALL INFORMATION REQUESTED
EXCEPT SIGNATURE
Employment Application Form
APPLICATION FOR EMPLOYMENT
PAGE 1
DATE ________________________________
Name _____________________________________________________________________________________________
Last
First
Middle
Present address _____________________________________________________________________________________
Number
Street
City
State
Zip
Telephone (
)
If under 18, do you have working papers? Yes
No
Position applied for
Days/hours available to work
Mon _________ Tue _________ Wed _________ Thurs
Fri _________ Sat _________ Sun ________
How many hours can you work weekly? ________________________ Can you work nights? ______________________
Are you available to work holidays? Yes
NO
Employment desired
FULL-TIME
When are you available to start work?
PART-TIME
FULL- OR PART-TIME
TYPE OF SCHOOL High School College Bus. or Trade School Professional School
NAME OF SCHOOL
LOCATION
NUMBER OF YEARS COMPLETED
MAJOR & DEGREE
HAVE YOU EVER BEEN CONVICTED OF A FELONY?
No
Yes
MEMBER INFORMATION
Are you or any one in your family members at Woodstone Country Club?
Yes
If yes, please describe the relationship to the member at Woodstone Country Club.
PAGE 2 No
REFERENCE SECTION
Please list two references other than relatives or previous employers.
Name _______________________________________
Position ______________________________________
Company ____________________________________
Address _____________________________________
______________________________________
Telephone (
)
Name ___________________________________________
Position __________________________________________
Company ________________________________________
Address _________________________________________
__________________________________________
Telephone (
)
An application form sometimes makes it difficult for an individual to adequately summarize a complete background. Use the space below to summarize any additional information necessary to describe your full qualifications for the specific position for which you are applying.
PLEASE PRINT ALL INFORMATION REQUESTED
EXCEPT SIGNATURE
PAGE 3
Work experience
Please list your work experience for the past five years beginning with your most recent job held.
Name of employer Address City, State, Zip Code Phone number
Reason for leaving (be specific)
Name of last supervisor
Your last job title
Employment dates Pay or salary
From To
Start Final
List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.
Name of employer Address City, State, Zip Code Phone number
Reason for leaving (be specific)
Name of last supervisor
Your last job title
Employment dates Pay or salary
From To
Start Final
List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.
May we contact your present/previous employers? If no, please explain why
Yes No
AUTHORIZATION
"I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal.
I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information.
I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative.
This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans with Disabilities (ADA) and other relevant federal and state laws."
DATE
SIGNATURE
-----------------------------------------------------------------DO NOT WRITE BELOW THIS LINE-----------------------------------------------------------------
INTERVIEWED BY
DATE
REMARKS
................
................
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