Employment Application
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Any offer of employment may be conditioned on the Applicant submitting to and passing a drug/alcohol screen. |
Contra Costa Country Club
The policy of Contra Costa Country Club (“the Club”) is to fill every position without regard to race, color, religion, creed, sex, marital status, age, national origin, ancestry, physical or mental disability, medical condition, sexual orientation or any other consideration made unlawful by federal, state, or local laws. The Club is an equal opportunity employer and selects employees on the basis of ability, experience, training, and character.
Please Note: The Club considers applications for only a 30-day period. If you wish to be considered after 30 days from the date of application, please reapply.
APPLICATION FOR EMPLOYMENT
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PERSONAL INFORMATION: Date: ________________________ Social Security Number:___________________________ Name:____________________________________________________________________________ Permanent Address:________________________________________________________________ City/State/Zip Code:________________________________________________________________ Phone Number:_______________________ E-Mail Address: ____________________________ Referred By:______________________________________________________________________
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EMPLOYMENT DESIRED:
Position You Are Applying For? ______________________________
Date You Can Start? _______________
Type of Position You Are Applying For:
Regular full-time ______ Regular part-time_______ Temporary (seasonal/holiday)______
What Pay Do You Expect? _____________
What Days and Hours are You Willing to Work? _______
Are You Employed Now?_____________________
If So, May We Inquire of Your Present Employer? _____
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Have You Ever Worked for the Club? ____
If so, When?________________________
Have You Ever Applied to the Club? ___
If so, When?________________________
EDUCATION AND SKILLS
List of certificates or licenses you hold that may help qualify you for employment with the Club:
______________________________________________________________________________
______________________________________________________________________________
List any job-related professional or technical organizations to which you belong:
______________________________________________________________________________
______________________________________________________________________________
U.S. Military or Naval Service?
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Dates of Service____________ Rank:_____________
What foreign languages you can speak, read, and/or write: _________________________
Driver’s License Information: State: ______ Number: ____________ Expiration Date:________
List all traffic violations/citations received within the last three years: ______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
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Have you been convicted of a crime (excluding any sealed or expunged conviction)? Do not provide information about marijuana related convictions more than two years old.
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Yes No
Describe and explain (convictions will not necessarily disqualify an applicant from employment):
____________________________________________________________
Are you currently awaiting trial for any criminal offense?
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Yes No
If so, explain:
____________________________________________________________
Is there any reason you may not be able to attend work on a regular basis or be to work on time?
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Yes No
If so, explain: ____________________________________________________________
FORMER EMPLOYERS:
List below each of your previous employers, starting with last one first (use an additional page if necessary):
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Date Month and Year |
Name, Address and Telephone Number of Employer |
Rate of Pay |
Position and Immediate Supervisor |
Reason for Leaving |
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Have you been discharged for cause from any of the above positions?
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No Yes
If so, explain ______________________________________________
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REFERENCES: Give the names of three persons, not related to you, whom you have known for |
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at least one year. |
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Name Address Business Years Acquainted |
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I understand and acknowledge the following:
1. I authorize investigation of all statements contained in this application and any supporting documents. I authorize the Club to secure information about my experience from former employers, educational institutions, government agencies, or any references I have provided, and for those parties to provide information concerning my experience. I specifically authorize investigation of my D.M.V. record, criminal record, and consumer credit history. ________ Initials
2. If I am offered employment, I will, as a condition of employment, be required to submit proof of my identity and legal right to work in the U.S. ________ Initials
3. If I am offered employment, I will, as a condition of employment, furnish proof that I am over 18 years of age. ________ Initials
4. If I am employed, any false statement, misrepresentation, or omission of facts on this application or on any supporting documents, regardless of when discovered, will result in my immediate dismissal. _______Initials
5. I will be required to possess a current and valid California driver’s license and be insurable if my job requires me to drive in the course of my work. _________Initials
6. I agree that, if I am offered employment, I will be required to conform to the rules and regulations of the Company. _________Initials
7. I understand that if I am offered a position, it will be offered on condition that my employment shall be at will and for no definite period, and that my employment may be terminated at any time with or without cause and with or without prior notice. In consideration for employment, I specifically agree that my employment shall be at will. I also understand and agree that, except for the General Manager of the Club, no supervisor or manager may alter or amend the above conditions. Only the General Manager of the Club has authority to enter into any agreement for employment for any specified period of time or to make any agreement contrary to the foregoing, and then only in writing signed by the Club’s General Manager and me. ________ Initials
8. I understand that, as a condition of employment, I may be requested to sign a written at will employment agreement and/or an agreement to arbitrate all disputes arising out of my employment or the termination of my employment. I agree to do so if I accept the offer. _________ Initials
9. My signature below and my initials at the end of this paragraph and each paragraph above, certify that I have read, understand, and agree to the foregoing and that, to the best of my knowledge and belief, all information I have provided on the application form is true and correct. _________ Initials
Date: _____________ Signature:__________________________