General Employment Application
We accept applications from individuals age 16 and older.
Personal Details
Name
*
First Name
Last Name
Email
Phone Number
*
-
Area Code
Phone Number
Home Address
*
Are you legally eligible to work in the US?
Yes
No
Have you applied to QLLA/Quechee Club before?
Yes
No
If yes, please provide application date(s)
Have you ever worked for QLLA/Quechee Club before?
Yes
No
If yes, please provide the dates of employment
Are you related to anyone currently employed by QLLA/Quechee Club?
Yes
No
If yes, name and relationship
How did you hear about us?
Please Select
choose one
Indeed.com
VT Job Link
Other online ad
Employment Agency
Current Employee/Quechee Club Member
Other
If Employee/Member/Other, please provide details
Postion(s) Applying For:
*
Are you seeking:
Full-Time
Part-Time
Seasonal
Date Available to Begin Work
-
Month
-
Day
Year
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Desired Pay Rate Per Hour
Driving Record - Do you have a valid driver's license?
Yes
No
Issuing State & License #
Attach your resume or complete pages 2 and 3 of this application.
Browse Files
Drag and drop files here
Choose a file
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Education, Certifications & Skills
High School
Name and Address
Diploma or Degree Received
Yes
No
Course of study and/or # years Completed
College
Name and Address
Diploma or Degree Received
Yes
No
Course of study/major and/or # years completed
Graduate
Name and Address
Diploma or Degree Received
Yes
No
Course of study/major and/or # years completed
Other Education & Training
Please list any relevant training programs completed, academic honors, scholarships, professional memberships, offices held. (do not list any which reflect your race, color, gender, national origin, age, disabilities or veteran status)
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Employment Experience
Include all types of employment starting with current or most recent.
Current or Most Recent
Company
City/State
Employment Date From
Employment Date To
Supervisor
First Name
Last Name
Phone Number
-
Area Code
Phone Number
Job Title & Description of Duties
Previous Employment
If more than 3, please attach a resume
Company
City/State
Employment Date From
Employment Date To
Supervisor
First Name
Last Name
Phone Number
-
Area Code
Phone Number
Job Title & Description of Duties
Company
City/State
Employment Date From
Employment Date To
Supervisor
First Name
Last Name
Phone Number
-
Area Code
Phone Number
Job Title & Description of Duties
Company
Employment Date From
Employment Date To
City/State
Phone Number
-
Area Code
Phone Number
Job Title & Description of Duties
Employment References
List 3 people not related to you, whom have known you for at least 1 year.
Name & Relationship
Phone Number
-
Area Code
Phone Number
Company & Address
Name & Relationship
Phone Number
-
Area Code
Phone Number
Company & Address
Name & Relationship
Phone Number
-
Area Code
Phone Number
Company & Address
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APPLICANT ACKNOWLEDGEMENT AND AUTHORIZATION
Please Read Carefully Before Signing this Form I hereby certify that all of the information provided by me in this application (or any other accompanying or required documents) is correct, accurate and complete to the best of my knowledge. I understand that the falsification, misrepresentation or omission of any facts in said documents will be cause for denial of employment or immediate termination of employment regardless of the timing or circumstances of discovery. I understand that submission of an application does not guarantee employment. I further understand that, should an offer of employment be extended by QLLA/The Quechee Club that such employment with QLLA/The Quechee Club is at will, for no specified duration and may be terminated by either QLLA/The Quechee Club or myself at any time, with or without cause or notice. I understand that none of the documents, policies, procedures, actions, statements of QLLA/The Quechee Club or its representatives used during the employment process is deemed a contract of employment real or implied. I understand that no representative of QLLA/The Quechee Club except the Hiring Manager has the authority to enter into any agreement guaranteeing any conditions of employment or any agreement contrary to the foregoing statements and that any such agreements must be made in writing and signed by the Hiring Manager of QLLA/The Quechee Club. In consideration for my employment, I agree to abide by the rules and regulations of QLLA/The Quechee Club, which rules may be changed, withdrawn, added or interpreted at any time, at the company’s sole option and without prior notice to me. I understand that if offered a position with QLLA/The Quechee Club, I may be required to submit to a pre-employment medical examination, drug screening and/or background check as a condition of employment. I understand that unsatisfactory results from, refusal to cooperate with, or any attempt to affect the results of these pre-employments tests and checks will result in withdrawal of any employment offer or termination of employment if already employed. I hereby authorize any and all schools, former employers, references, courts and any others who have information about me to provide such information to QLLA/The Quechee Club and/or any of its representatives, agents or vendors and I release all parties involved from any and all liability for any and all damage that may result from providing such information. I understand that this application is considered current for three months. If I wish to be considered for employment after this period I must fill out and submit a new application. BY SIGNING BELOW I ACKNOWLEDGE THAT I HAVE READ, UNDERSTOOD AND AGREE TO THE ABOVE STATEMENTS.
Signature
Date
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Month
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Day
Year
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