Employment Application

Contact Information

First Name

Last Name

Address

City

State

Applicant Information

Phone Number

Email Address

Position applying for
(select all that apply)

Kitchen

Housekeeping

Any

Can you perform the essential functions of the position with or without accomodations?

Are you at least 18 years of age?

If under 18, do you have working papers?

Are you legally eligible for employment in the U.S.?

Which shifts are you able and willing to work?
(select all that apply)

If Hired, when will you be able to report to work?

If you are in college, when would be the last day that you would be able to work?

Who were you referred by if applicable?

Employment HIstory

Please list the last three employers, starting with the last one first.

Company Name, address & phone number

Job Title

Supervisor name and contact information

Last Hourly Rate/Salary

Job Description: (duties, skills, equipment used)

Dates employed

Company #2 Name, address & phone

Company #2 Job Title

Company #2 Supervisor name & contact info

Company #2 Last Hourly Rate/Salary:

Company #2 Job Description: (duties, skills, equipment used)

Company #3 Name, address & phone

Company #3 Job Title

Company #3 Supervisor name & contact info

Company #3 Last Hourly Rate/Salary:

Company #3 Job Description: (duties, skills, equipment used)

Which of these jobs did you like best?

What did you like most about this job?

Education

High School

Years Attended

Field of Study

Did you graduate?

College/University

College years attended

College Field of Study

Did you graduate college

Other education

References

Give the name of three persons not related to you whom you have known for at least 1 year

Reference #1 Full Name

Reference #1 Phone Number

Reference #1 Business

Reference #1 Years Known

Reference #2 Full Name

Reference #2 Phone Number

Reference #2 Business

Reference #2 Years Known

Reference #3 Full Name

Reference#3 Phone Number

Reference #3 Business

Reference #3 Years Know

The information that you provide on this application is subject to verification. Falsifications or misrepresentations may disqualify you from consideration for employment or, if hired, may be grounds for termination.

With my signature below I certify that all information on this application are true, correct and complete to the best of my knowledge.

I authorize all former employers to release job-related information that they may have about me and I release all persons or companies from any liability for providing such information.

If employed, I will be required to provide original documents which verify my identity and right to work in the United States under the Immigration Reform and Control Act. (IRCA) of 1986.

The documents provided will be used for the completion of Form I-9.

I hereby acknowledge that I have read and agree to the above statements.

Signature

Date Signed

Your employment with Albany Country Club is a voluntary one and is subject to termination by your or Albany Country Club at will, with or without cause, and with or without notice, at any time.

Nothing on this application shall be interpreted to be in conflict with or to eliminate or modify in any way the employment-at-will status of ACC employees.

This policy of employemnt-at-will may not be modified by any officer or employee and shall not be modified in any publication or document.

The only exception to this policy is a written employment agreement approved at the discretion of the President or the Board of Directors, whichever is applicable.

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, sex, age, nation origin, marital status, sexual orientation or disability.

* Bold Fields are Required