Employment Application

APPLICANT INFORMATION

First Name*
Middle Name

Last Name*
Street Address*
City*
State*
Zip*
Phone Number*
Email*
Referred By
Position Applied For*
Salary Desired*
*Are you at least 18 years of age?*Yes  No
*Are you authorized to work in the United States?*
(Proof of eligibility will be required upon hire)
Yes  No
*Have you ever been convicted of or fined and/or sentenced, including probation, for any criminal offense (misdemeanor or felony), or have you ever pleaded guilty or ‘no contest” (nolo contendere) to any criminal offense (misdemeanor or felony)??*Yes  No
If yes, give dates and places of any convictions, pleas, fines and/or sentences, and explain or describe them. (Attach separate paper, if necessary). A conviction will not necessarily disqualify you from employment. Factors such as the seriousness and nature of the offense, age at time of the conduct, and rehabilitation will also be taken into account.

AVAILABILITY

DAYMONTUEWEDTHUFRISATSUN
A.M.
P.M.





*Are you employed?*
Yes  No
If yes, may we contact your present employer?*
Yes  No
* Work you are available for:*Full-Time   Part-Time   Seasonal
 
*Available to Start Work*
*Specify restrictions, if any of days and hours(e.g. class schedule)
If non applicable type N/A.*
Please describe any accommodations you may need to perform the essential functions of the job for which you have applied. If non applicable type N/A.

EDUCATION INFORMATION

 *Please include name and address of school
and under what name attended,if different
     
EDUCATIONName & Location of School
Subjects Studied
Year Completed  1-4
Did you Graduate
Diploma or Degree
High School






College






Other School(specify)




FORMER EMPLOYERS (List below last three employers, starting with the most recent)

EMPLOYER PRESENT/MOST RECENT Name*
Street Address*
City*
State*
Zip*
Supervisors Name*
Phone #*
Employed From*
Employed To*
Describe Work Duties*
Reason for Leaving*
Salary Beginning*
Salary Ending*
EMPLOYER 2 Name

Street Address

City

State

Zip

Supervisors Name

Phone #

Employed From

Employed To

Describe Work Duties

Reason for Leaving

Salary Beginning

Salary Ending

EMPLOYER 3 Name

Street Address

City

State

Zip

Supervisors Name

Phone #

Employed From

Employed To

Describe Work Duties

Reason for Leaving

Salary Beginning

Salary Ending

REFERENCES

Reference 1 Name*
Reference 1 Phone #*
Reference 1 Relationship*
Reference 2 Name*
Reference 2 Phone #*
Reference 2 Relationship*

Employment conditions - PLEASE READ Carefully before signing BELOW

By my signature below, I certify that all information provided on this application is true and accurate. I understand that any false statements, misrepresentation, or omissions made on this application will be considered sufficient cause for Eagle Creek Golf & Country Club to deny or terminate my employment upon discovery. I understand that employment with Eagle Creek Golf & Country Club is “at will” and therefore for an indefinite period of time. If employed, I may terminate my employment at any time and Eagle Creek Golf & Country Club may terminate or modify the employment relationship at any time, with or without motive or cause. I understand that I am not guaranteed a specific shift, schedule or work assignment to work overtime. If employed by Eagle Creek Golf & Country Club, I will abide by its rules, regulations, policies and procedures.
I hereby authorize all individuals and organizations named or referred to on this application to answer all questions that may be asked and give all information that may be sought in connection with this application. This may include, but is not limited to work history, criminal records, licensure, certification, education and driving record. I also certify that any individual or organization furnishing information concerning me shall not be held accountable for giving this information. I hereby release said individuals and organizations from any and all liability that may be incurred as a result of furnishing such information.
Finally, I freely and voluntarily agree to undergo drug testing as part of the application process, or at any time during my employment with Eagle Creek Golf & Country Club. I understand that either refusal to submit to the test or failure of the test per Eagle Creek Golf & Country Club policy will disqualify me from consideration and/or continuation of employment.
*Eagle Creek Golf & Country Club is an Equal Opportunity Employer and does not discriminate on the basis of race, color, age, sex, religion, national origin, disability, marital status or any other characteristic protected by law.

Signature*
Date*