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Application for Employment


(PLEASE ANSWER ALL QUESTIONS)

WE ARE AN EQUAL OPPORTUNITY EMPLOYER
First Name
Last Name
Email
Address
City
State
How Long Have You Lived At The Above Address?
Home Phone
Business Phone
Social Security #
Have You Ever Applied For Employment With Us?
If Yes: Month And Year
Have You Ever Been Bonded?
On What Jobs?
Work Permit Number
Desired Position(s)
Date You Can Start
Pay Expected
If The Position You Are Applying For Is Not Available Are You Willing To Work In Another Area?
Are You Applying For
If One Of Our Employees Encouraged You To Apply For Work Here, Please Give Name
If Related To Anyone In This Establishment, Give Name
What Hours Are You Available For Work?
Will You Work Overtime If Asked?
Are You Legally Eligible For Employment In The United States?
Are You At Least 18 Years Of Age? (Not a condition of employment)

Name And Location Of The School
Course Of Study
No. of years completed
Did you graduate
Degree/Diploma/ Certificate
Name And Location Of The School
Course Of Study
No. of years completed
Did you graduate
Degree/Diploma/ Certificate
Name And Location Of The School
Course Of Study
No. of years completed
Did you graduate
Degree/Diploma/ Certificate
Name And Location Of The School
Course Of Study
No. of years completed
Did you graduate
Degree/Diploma/ Certificate
If Military Service: Honorable Discharge?
Any Unfulfilled Military Obligations?
Other Special Training/Skills, Or Coursework

EMPLOYMENT HISTORY

Please give accurate, complete full-time and part-time employment record.
Start with present or most recent employer.

Current or Most Recent Company Name :
Telephone (W/ Area Code) :
Address :
Name of Supervisor :
From :
To :
Start :
Last :
State Job Title and Describe your Work :
Reason for Leaving :

Second Most Recent Company Name :
Telephone (W/ Area Code) :
Address :
Name of Supervisor :
From :
To :
Start :
Last :
State Job Title and Describe your Work :
Reason for Leaving :

Third Most Recent Company Name :
Telephone (W/ Area Code) :
Address :
Name of Supervisor :
From :
To :
Start :
Last :
State Job Title and Describe your Work :
Reason for Leaving :

Are you currently employed ?
If Yes, may we contact your current employer? If not, Please Explain :
Are You Willing To Take A Physical Exam At Our Expense ?
Have You Been Convicted Of A Crime In The Past Seven Years ?
If Yes, Please Explain (Convictions Are Not An Automatic Bar To Employment) :
Are Any Criminal Charges Pending ?
If Yes, Please Explain (Criminal Charges Are Not An Automatic Bar To Employment) :
Have You Ever Been Discharged From Employment Or Agreed To Leave In Lieu Of Discharge ?
If Yes, Please Explain:
IN CASE OF EMERGENCY, IF ANY, PLEASE NOTIFY (NAME, PHONE, ADDRESS, & RELATIONSHIP OF A LOCAL CONTACT) :

PLEASE READ THE FOLLOWING STATEMENT CAREFULLY
PRIOR TO SIGNING THIS APPLICATION

I :

hereby, apply for employment with The Kansas City Country Club (hereinafter referred to as Employer.) I specifically verify that all the information provided in this application for employment is true, complete and correct and authorize investigation of all statements contained in this Application for Employment. I release all parties from all liability for any damage that may result from furnishing this information to you. I understand and agree that the omission or misrepresentation of any fact in the Application for Employment will be sufficient reason for Employer to deny me employment. I also understand and agree that should I become employed by Employer and it is later discovered I have omitted or misrepresented any fact in this Application for Employment, in any supplement thereto, or any other corporate record, Employer may immediately terminate my employment upon discovery of such omission or misrepresentation.

I will abide by the rules of this company.

If injured, I authorize my employer to use its best judgment for treatment unless I instruct otherwise.

I understand that should Employer employ me I will be asked to conform to the rules and policies of The Kansas City Country Club, and that such rules and policies may change from time to time. I also understand and agree that should Employer employ me, either The Kansas City Country Club or I may terminate my employment with or without cause and with or without notice at any time. I understand that no manager or representative Employer, other than the General Manager, has any authority to enter into any agreement for employment for any specified period of time or to make any agreement contrary to the foregoing.

Applicant Signature :
Date :