Application For Employment @ The Golf Club At Cimarron Trails
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Personal Information |
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Name: Today’s Date: |
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Referred by: |
Phone # |
Social Security # ___ ___ ___--- ____ ____ ---____ ____ ____ ____ |
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Present Address: |
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State: |
Zip Code: |
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Permanent Address: |
City: |
State: |
Zip Code: |
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Employment Desired |
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Position Applying For:
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Date you can start? |
Salary Desired? |
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Have you ever applied to this company before? ¨ Yes ¨ No |
If yes, list date(s), job title(s) & location(s) |
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Are you currently employed? ¨ Yes ¨ No |
If yes, list date(s), job title(s) & locations(s) |
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Education History |
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School |
Address, Location |
Years attended? |
Graduate? |
Subjects studied? |
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High School |
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College/University |
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Trade, business or correspondence |
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General Information |
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US military or Naval Service |
Rank? |
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Former Employers (List Below the last four employers, starting with the most recent one first). |
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Date, Month, Year |
Name & Phone of Employer |
Wages/ hr |
Position |
Reason for leaving? |
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From |
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To |
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From |
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To |
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From |
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To |
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From |
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To |
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REFERENCES: Give below the names of three persons not related to you whom you have known at least one year |
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NAME |
PHONE NUMBER |
BUSINESS |
YEARS KNOWN |
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Authorization
I certify that the facts contained in this application are true and complete to the best of my knowledge and I 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 damages that may result from my 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 and 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 Act (ADA) and other relevant federal and state laws
DATE______________________________ Signature__________________________________________________
Interviewed by_________________________________ Date____________________________________________
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Remarks:
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WORK ETHIC - |
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PERSONALITY - |
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ABILITY - |
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HIRED? YES NO |
POSITION: |
WILL REPORT:
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SALARY WAGES |
INITIAL |