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Sulgrave Club

Application for Employment

Sulgrave Club complies with the law regarding reasonable accommodation for disabled employees. Applicants requiring reasonable accommodation in order to participate in the interview process are requested to contact the Manager in order to arrange such accommodation. We are an equal opportunity employer and make all employment decisions, including those related to recruitment, hiring, training, promotion, and recognition of individuals on the basis of their ability and job related qualifications and without regard to race, creed, color, religion, gender, sex, marital status, sexual orientation, national origin, age, physical or mental disability, genetic predisposition or carrier status, military status, veteran status and any other c classification protected by law. Please complete the application in its entirety.

Position Applying for:*

Are you willing to be cross trained and work in different departments?*

YesNo

Application Date*

Applicant Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number*

Area CodePhone Number

E-mail*

How did you hear about us?

Are you at least 18 years old?*

YesNo

Have you ever been employed by Sulgrave Club before?*

YesNo

If yes, please give dates and positions:

Identity and employment eligibility of all new hires will be verified as required by the Immigration Reform and Control Act. If a job is offered, will you be able to provide verification of your legal right to work in the US?*

YesNo

Date available for work*

Date

Salary desired*

Type of employment desired:*

Full-TimePart-TimeOn CallTemporary

Days available to work:*

Please list any days or hours you are NOT available to work:

Employment History

Starting with your most recent employer, please provide the following information:

Employer #1*

Employer Phone Number*

Area CodePhone Number

Date Hired*

Date

Date Left

Date

Employer Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Starting Job Title*

Starting Pay Rate*

Final Job Title

Final Pay Rate

Immediate Supervisor and Title*

May we contact for a reference?*

YesNo

Why did you leave?*

Summarize the type of work performed and job responsibilities.*

Employer #2

Employer Phone Number

Area CodePhone Number

Date Hired

Date

Date Left

Date

Employer Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Starting Job Title

Starting Pay Rate

Final Job Title

Final Pay Rate

Immediate Supervisor and Title

May we contact for a reference?

YesNo

Why did you leave?

Summarize the type of work performed and job responsibilities.

Employer #3

Employer Phone Number

Area CodePhone Number

Date Hired

Date

Date Left

Date

Employer Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Starting Job Title

Starting Pay Rate

Final Job Title

Final Pay Rate

Immediate Supervisor and Title

May we contact for a reference?

YesNo

Why did you leave?

Summarize the type of work performed and job responsibilities.

Skills and Qualifications

Summarize any special training, skills, licenses and/or certificates that may assist you in performing the position for which you are applying

Educational Background

Starting with your most recent school attended, provide the following information.

School*

Include City & State

Years Completed*

Degree attained

Major and/or Minors

School

Include City & State

Years Completed

Degree attained

Major and/or Minors

References

Please list name and telephone numbers of three additional business/work references who are not related to you and are not mentioned above. If not applicable, list three school or personal references that are not related to you.

Reference Name*

Title

Relationship to you

Phone Number

Area CodePhone Number

Number of years known

Reference Name*

Title

Relationship to you

Phone Number

Area CodePhone Number

Number of years known

Reference Name*

Title

Relationship to you

Phone Number

Area CodePhone Number

Number of years known

Cover Letter & Resume

Please attach a copy of you cover letter

Browse Files

Please attach a copy of your recent resume

Browse Files

Certification of Information

I certify that the information given herein is true and complete to the best of my knowledge. I authorize Sulgrave Club to investigate any information, including my employment history and educational background that it believes is relevant to my employment application. Subject to compliance with the Fair Credit Reporting Act, I authorize and agree that a personal background investigation may be conducted as a condition of my employment. My former employers, educational institutions, and personal references may provide information that they may have about me in response to inquiry from the employer. I understand that false information, omissions or misleading information or misrepresentations given in my application or during the interview process may result in a refusal to hire, or discharge in the event of employment. I understand that I shall be required to provide documentation establishing my legal authorization for employment within the first three days of my employment. I understand that if employed, my employment will be at will and that I will not have a contract for employment nor a guarantee of employment. Sulgrave Club is an Equal Opportunity Employer and shall treat all employees and all applicants for employment equally and fairly based upon job-related qualifications and in accordance with all applicable local, state and federal laws.

Signature

Please verify that you are human*

Applications are kept active for sixty (60) days. If you have not been hired within sixty (60) days of the date of this application, you must re-apply to be considered for future employment.