Step 1 of 4 25% Application for Employment Tidewater Golf ClubEmployment Desired:Position Desired Desired Compensation Personal Information:Incomplete information could disqualify you from further consideration.Name Today's Date MM slash DD slash YYYY Address Street Address City State Zip Home PhoneCell Phone Email Address Are you eligible to work in the United States? Yes No Are you at least 18 years of age or older?If no, you may be required to provide authorization to work. Yes No Can you work overtime, including weekends? Yes No Are you able to perform the essential functions of the job for which you are applying, with or without a reasonable accommodation.If you are unsure of the essential functions, please ask to review a job description. Yes No How did you hear about us? Walk-in Advertisement Referral Other Have you ever work for this company? Yes No If yes, please provide dates, supervisors, etc: Do you have any relatives currently working for this company? Yes No If yes, please provide name and relationship for each: Background:Are you currently employed? Yes No If Yes, may we contact your present employer? Yes No Have you ever been terminated from employment or asked to resign by an employer? Yes No If yes, please provide company names and contacts: Have you ever been convicted for a felony offence? Yes No (A conviction will not necessarily disqualify you for employment. Rather, such factors as age, date of conviction, seriousness, and nature of the crime will be considered.) If yes, please provide dates and location for all convictions. Employment HistoryInclude your last three positions (or your last ten (10) years of employment history), including periods of unemployment, starting with the most recent and working backwards in time. (Incomplete information could disqualify you for further consideration.)Current or Most Recent EmployerEmployed From Employed To Starting Salary Ending Salary Company Name May we contact them? Yes No Address Street Address City State Zip Phone Number Position Title Supervisor Supervisor's Title Nature of the Work Performed and Position Responsibilities Reason for Leaving Second Most Recent EmployerEmployed From Employed To Starting Salary Ending Salary Company Name May we contact them? Yes No Address Street Address City State Zip Phone Number Position Title Supervisor Supervisor's Title Nature of the Work Performed and Position Responsibilities Reason for Leaving Third Most Recent EmployerEmployed From Employed To Starting Salary Ending Salary Company Name May we contact them? Yes No Address Street Address City State Zip Phone Number Position Title Supervisor Supervisor's Title Nature of the Work Performed and Position Responsibilities Reason for Leaving EducationHigh SchoolName of School City/State No. of Years Attended Subjects/Major Degree - Y/N College or UniversityName of School City/State No. of Years Attended Subjects/Major Degree - Y/N Graduate SchoolName of School City/State No. of Years Attended Subjects/Major Degree - Y/N Trade or Business SchoolName of School City/State No. of Years Attended Subjects/Major Degree - Y/N Licenses or CertificationsName/Type Issue By Issue Date Expiration Date Name/Type Issue By Issue Date Expiration Date Name/Type Issue By Issue Date Expiration Date Special skills, experience and/or training that would enhance your ability to perform the position applied for.References Provide names/addresses/phone numbers of three persons, not related to you, whom you have known at least (3) three years.Name Address/Phone Occupation # Years Known Name Address/Phone # Years Known Occupation Name Address/Phone # Years Known Occupation ACKNOWLEDGEMENT It is the policy of Tidewater Golf Club to provide equal employment opportunity to all qualified persons without regard to citizenship, race, color, creed, religion, gender, sexual orientation, age, national origin, marital status, disability, or veteran status. This application will be given every consideration, but its receipt does not imply that there are any open positions-or that the applicant will be employed. Only applicants meeting the minimum requirements for a position as determined by the company will be considered for employment. Should more than one qualified person make application, the company reserves the right to select the applicant that, in its opinion, possesses the best qualifications: In making this application for employment an investigative consumer report may be prepared whereby information is obtained through personal interviews with neighbors, friends, or other acquaintances. Such an inquiry would include information as to character, general reputation, personal characteristics, and mode of living of the applicant. An applicant has the right to make a written request within a reasonable period of time to receive additional detailed information about the nature and scope of this investigation. AUTHORIZATION [Please Read Carefully Before Signing] I authorize investigation of all statements contained in this application' (if I am considered for employment) and hereby authorize previous employers, personal references named, or any other person or persons to whom the company may refer, to give any and all information regarding my background if requested. If employed, I agree to maintain confidentiality regarding any information concerning the company that may come to my knowledge. Further, I agree to comply with all of the policies and regulations of the company as set forth in the company's employee handbook or other communications distributed to all employees. I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation, for the company to hire me. I understand that if employment is offered to me such offer does not constitute a contract of employment. I understand that if I am employed by the company my employment will be for no definite period of time and that my employment can be terminated at any time and for any reason, with or without cause and without prior notice, at the option of either the company or myself. I also understand that-this status can only be altered by a written contract of employment, specific to all material terms, that is signed by an authorized officer of the company. I attest with my signature below that I have read all of the above statements and understand the same and that all statements made by me are true and accurate to the best of my knowledge and that I have withheld nothing that would, if disclosed, affect this application unfavorably. I understand that any false statements or material omissions may be grounds for refusal to hire, or for immediate dismissal. I certify that I am at least 18 years of age and am legally authorized to work in the United States. Additionally, I understand that nothing contained in this employment application or in the granting of an interview is intended to create an employment contract between myself and the company for either employment or for the providing of any benefit. I understand that as a condition of this application and any employment, I may be required to submit to testing for the presence of illegal drugs. I hereby consent to such testing. I further acknowledge that no promise or guarantee is binding upon the company unless made in a written contract of employment as described above. Applicant's Name: Please PRINT Applicant's SignatureI understand typing my full name in the box below is equivalent and binding as if I signed it by hand. Date MM slash DD slash YYYY This form is provided by way of example only, and is not intended to replace or supplant advice from an attorney, and does not create any relationship between Concept H.R. and/or any individual or entity using the form. This form is provided without any warranty, express or implied, as to its legal effect or completeness. In no event shall Concept H.R. or its agents or officers be liable for any damages whatsoever arising out of the use of or inability to use the material. If you would like to attach your resume please do so below.Accepted file types: pdf, doc, docx, docs, Max. file size: 256 MB.CAPTCHA