NYC Employee Information

Application for Employment

Personal Information
Date:

- Month - Day Year
Name *

First Name Last Name
E-mail *
So that we can get back to you
Cell Phone Number

- Area Code Phone Number
Home Phone Number

- Area Code Phone Number

Home Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Island Phone Number

- Area Code Phone Number

Island Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Are you under 18? *

Yes No
Are you currently employed? *

Yes No
If so, please list current employer

Education
High School

High School Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Business/Technical School
Degree/Major

Business/Technical School Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

College
Degree/Major

College Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Special Skills, Studies, Interests, & Hobbies
Special skills, studies, interests, & hobbies

References
Reference 1 Name
Reference 1 Address
Reference 1 Phone Number
Reference 1 Relationship
Reference 2 Name
Reference 2 Address
Reference 2 Phone Number
Reference 2 Relationship
Reference 3 Name
Reference 3 Address
Reference 3 Phone Number
Reference 3 Relationship

Work Experience #1
Former or current employer

Former Current
Starting Date Job 1

- Month - Day Year
Ending Date Job 1

- Month - Day Year
Position Held
Salary
Responsbilities
Employer Name, Address, Phone Number, Contact

Work Experience #2
Former or current employer

Former Current
Starting Date Job 2

- Month - Day Year
Ending Date Job 2

- Month - Day Year
Position Held
Salary
Responsibilites
Employers Name, Address, Phone Number, Contact

Work Experience #3
Former or current employer

Former Current
Starting Date Job 3

- Month - Day Year
Ending Date Job 3

- Month - Day Year
Position Held
Salary
Responsibilities
Employers Name, Address, Phone Number, Contact

Agreement & Authorization
Agreement
I certify that the information on this application is true, complete, and accurate. I authorize the Nantucket Yacht Club to investigate my past employment, education, activities, and work permits. I release from all liability all persons and companies supplying such information. I understand that false answers, statements, or omissions made by me on this form shall be grounds for denial of employment or discharge. I understand that prior to beginning work with the Nantucket Yacht Club I must provide proof of work eligibility. I understand that no verbal promises or guarantees relating to employment are binding upon the Nantucket Yacht Club and that, if employed, I will be an employee "at will" and may be discharged at any time for any reason.
Fair Credit Reporting Act Authorization
I certify that the information on this application is true, complete, and accurate. I authorize the Nantucket Yacht Club to investigate my past employment, education, activities, and work permits. I release from all liability all persons and companies supplying such information. I understand that false answers, statements, or omissions made by me on this form shall be grounds for denial of employment or discharge. I understand that prior to beginning work with the Nantucket Yacht Club I must provide proof of work eligibility. I understand that no verbal promises or guarantees relating to employment are binding upon the Nantucket Yacht Club and that, if employed, I will be an employee "at will" and may be discharged at any time for any reason.
Signature *

Clear
Date

- Month - Day Year
Should be Empty:

Application for Employment

Please provide us with your working dates. Note: Most positions require working through July and August.