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Contact Information
First Name
Last Name
Address 1
Address 2
City
State
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DE
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ID
IL
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Zip Code
How can we contact you?
Home Phone
Cell Phone
Email Address
Are you 18 years of age or older?
Yes
No
Are you either a U.S. citizen or an alien authorized to work in the U.S.?
Yes
No
Have you ever worked or attended school under another name?
Yes
No
If so, what name?
Position Desired
Server
Pub Staff
Lifeguard
Busser
Housekeeping
Golf Staff
Bartender
Grounds Maintenance
Tennis Staff
Security
Building Maintenance
Squash Staff
Cook
Camp Counselor
Other
Dishwasher
Days of the week you are available to work
Sunday
Wednesday
Friday
Monday
Thursday
Saturday
Tuesday
Date You Can Start:
Hourly rate/monthly salary desired:
Do you prefer:
Full-time
Part-time
If part-time, hours per week desired:
Hours you are available to work:
Are you available to work holidays?
Yes
No
Are you available to work nights?
Yes
No
Are you available to work overtime?
Yes
No
Have you previously worked for this company?
Yes
No
If so, when?
Reason for leaving:
Former Supervisor at this company:
Education
High School
Graduated?
Yes
No
Technical School
Course of Study
Graduated?
Yes
No
College / University
Course of Study
Graduated?
Yes
No
Other Education or Training
Military Experience
Branch of Service
Dates of service
Rank at Discharge
Other Education or Training
Work Experience
Please list previous employment, beginning with the most recent. History must cover 5 years of employment.
Employer and Address
Dates of service
Postition Held
Reason for Leaving
Supervisor's Name and Title
May we Contact
Yes
No
Description of Duties
Employer and Address
Dates of Employment
Postition Held
Reason for Leaving
Supervisor's Name and Title
May we Contact
Yes
No
Description of Duties
Employer and Address
Dates of Employment
Postition Held
Reason for Leaving
Supervisor's Name and Title
May we Contact
Yes
No
Description of Duties
Additional Previous Employment
Authorization and Acknowledgment
I certify that the facts contained in this application are true and complete to the best of my knowledge. I understand that if I am employed, any false statements on this application may be grounds for dismissal.
I authorize investigation of all statements contained in this application. I also grant permission to contact all references listed above, and authorize them to release all information concerning my previous employment and any other pertinent information these references might have, personal or otherwise. I release all parties from all liability for any damage that may result from furnishing this information to you.
I understand and agree that, if hired, my employment is for no definite period and may be terminated at any time and without prior notice.
Applicant Signature
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