Public Employment Application - Vestavia Country Club

Employment Application

Full Legal Name :

Today's Date :

Employment History

List below your last three (3) employers, assignments or volunteer activities. Please start with your last or current employment, including military experience.

List most current or last employment first:

Name of Employer :

Phone :

Address :

City :

State :

Zip :

Direct supervisor's name and title :

Your job title :

Summary of your job duties :

Reason for leaving :

Dates employed From :

To :

Starting wage $ :

Ending wage $ :

Name of Employer :

Phone :

Address :

City :

State :

Zip :

Direct supervisor's name and title :

Your job title :

Summary of your job duties :

Reason for leaving :

Dates employed From :

To :

Starting wage $ :

Ending wage $ :

Name of Employer :

Phone :

Address :

City :

State :

Zip :

Direct supervisor's name and title :

Your job title :

Summary of your job duties :

Reason for leaving :

Dates employed From :

To :

Starting wage $ :

Ending wage $ :

List any Skills, Knowledge or Qualifications that you acquired from employment or other experiences that you feel may be relevant and of interest to Vestavia Country Club :

Education Background

High School :

City :

State :

Did you graduate ?

Yes

College :

City :

State :

Did you graduate ?

Yes

Trade School :

City :

State :

Did you graduate ?

Yes

Other :

City :

State :

Did you graduate ?

Yes

REFERENCES – Do not list relatives, doctor, school personnel or former employer

Name :

Phone :

Years Known

Name :

Phone :

Years Known

Name :

Phone :

Years Known

PLEASE READ CAREFULLY BEFORE SIGNING
If you have any questions regarding this statement, please ask before signing.

Vestavia Country Club is an Equal Opportunity Employer. No question on this application is asked for the purpose of limiting or excluding any applicant from consideration of employment because of his or her race, color, religion, sex, national origin, physical disability, mental disability, age or veteran status.

I understand that this application is not an offer of employment and that by accepting my application, Vestavia Country Club does not guarantee that I will be offered a job. I also understand that Vestavia Country Club reserves and retains the right to make such changes in the terms and conditions of any employment relationship, with or without notice, as Vestavia Country Club determines to be necessary or appropriate.

I understand that no employment relationship with Vestavia Country Club is for any guaranteed length of time, that employment is based on the consent of both Vestavia Country Club and the individual employee, and that both Vestavia Country Club and its employees have the freedom to terminate the employment relationship whenever either chooses to do so. I also understand that no policy, procedure or practice of Vestavia Country Club may in any way constitute or be construed as either a contract of employment between Vestavia Country Club and any employee or a promise of employment. I understand that no one other than the Chief Operating Officer of Vestavia Country Club has authority to make any other agreement and any such agreement by the Chief Operating Officer must be in writing.

I understand that any offer of employment may be conditioned on the successful completion of a test for drug/alcohol abuse. If offered a job, I agree to submit to such drug/alcohol test and/or physical examinations and to have the results released to appropriate company officials.

I understand and agree that employment with Vestavia Country Club is contingent upon the successful completion of a drug screening test and that successful completion of the test is not guarantee of employment or job availability.

The Immigration Reform and Control Act of 1986 require employers verify the legal work authorization and identity of all new employees. An offer of employment will depend upon Vestavia Country Club’s ability to verify this necessary information.

Failure to sign an authorization and release for employment verification or any other document required by Vestavia Country Club may be deemed a withdrawal of my application for employment.

I certify that all statements made by me on this application as well as in employment interviews are true and complete to the best of my knowledge and that I have withheld nothing. Moreover, I understand that any omission or misrepresentation of fact may result in refusal of employment or immediate dismissal if and whenever discovered.

Signature :

Date :

Signature :

Date :

A parent or legal guardian signature is required If applicant is under the age of 18 years.

Authorization to release employment reference information

I hereby (a) authorize inquiries seeking information and/or verification concerning my personal and employment history, and (b) release from all liability, damage and/or responsibility all persons, schools, corporations, governmental agencies or other organizations furnishing information and/or documents, regarding my personal or employment history, and (c) authorize the release of any such information and/or documents, including law enforcement records.

Signature :

Date :

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