Application For Employment


PERSONAL INFORMATIONCollapse

First Name
Last Name
Other Names Used
Address
City
State
Zip
Phone
Cell Phone
Email
Can you, upon employment, submit verification of your legal right to work in the United States?

DESIRED EMPLOYMENTCollapse

Desired Position(s)
Date Available to start work:
Compensation Desired
Have you previously applied for a position with the Northstar Country Club?
If yes, give name and department
When?
Have you ever been employed by the Northstar Country Club?
If yes, give name and department
When?
Referral Source:
Days Available for Work (Please Circle)
Please Check All that Apply:
Would you be available to work overtime if necessary?

EDUCATIONCollapse

High School (Name and Address)
Did you graduate?
Degree/Diploma/ Certificate
Major
# of Years Completed
College (Name and Address)
Did you graduate?
Degree/Diploma/ Certificate
Major
# of Years Completed
Graduate School (Name and Address)
Did you graduate?
Degree/Diploma/ Certificate
Major
# of Years Completed
Other Training (Name and Address)
Did you graduate?
Degree/Diploma/ Certificate
Major
# of Years Completed

Please account for the last ten years of your employment by answering all questions for each employer.

CURRENT EMPLOYERCollapse

If not currently employed, continue to FORMER EMPLOYERS

Current Employer:
Address
City
State
Zip
Starting Position
Current Position
Dates Employed: From (Mo/Yr)
To (Mo/Yr)
Job Title and Description of Duties:
Starting Salary:
Final Salary:
Starting Commission/Bonus
Final Commission/Bonus
Name Of Direct Supervisor
Title
Supervisor's Phone Number
May we contact your present employer?
Reason for Leaving:

FORMER EMPLOYERSCollapse

EMPLOYMENT GAPSCollapse

Provides dates and reasons for any periods that you were not working during the past 10 years, other than due to personal illness, injury or disability.

From
To
Reason(s) For Not Working During These Periods
From
To
Reason(s) For Not Working During These Periods
From
To
Reason(s) For Not Working During These Periods

JOB SKILLS AND QUALIFICATIONSCollapse

Summarize any special training, skills, licenses and/or certificates that may assist you in performing the position for which you are applying.
(Note: If driving is required in the job for which you are applying, proof of valid drivers license and other related information will be required.)

Skill I
Skill II
Skill III
Skill IV
Skill V
Skill VI

RELATED INFORMATIONCollapse

If you are a member of any job-related organizations (professional, trade, etc.) or have received any job-related awards or accomplishments, list and describe them. Exclude any information that would reveal your age, race, sex, religion, color, national origin, ancestry, marital status, disability, sexual orientation, arrest and court record or any other protected category recognized by Hawaii and federal laws.

Related Information I
Related Information II
Related Information III
Related Information IV
Related Information V
Related Information VI

REFERENCESCollapse

Name
Title
Company
Phone
Name
Title
Company
Phone

CERTIFICATION OF APPLICATION OF EMPLOYMENTCollapse

PLEASE READ CAREFULLY BEFORE SIGNING
A. I certify that the information contained in this application for employment at NORTHSTAR COUNTRY CLUB is correct and complete. I understand that any false or misleading statements or omissions made in this application or interview(s), whenever discovered, are grounds for disqualification from further consideration or for dismissal from employment, regardless of how discovered.
B. I understand that if I am offered employment at NORTHSTAR COUNTRY CLUB, MY EMPLOYMENT WITH NORTHSTAR COUNTRY CLUB IS AT-WILL AND CAN BE TERMINATED AT ANY TIME AND FOR ANY REASON WITH OR WITHOUT ADVANCE NOTICE BY MYSELF OR THE COMPANY.
C. I understand and agree that only the General Manager of Northstar Country Club has any authority to enter into any agreement to employ me for any specified period of time or to modify terms and conditions of my employment. I agree that such an agreement must be in writing and signed by the General Manager, and I will not rely upon any other representations regardless of the source.
D. I understand and agree that NORTHSTAR COUNTRY CLUB may make a full and complete investigation of my personal or employment history, and authorize any former employer, person, firm, corporation, school, government agency, or other entity to provide the Company with any information (including fact or opinion) they may have regarding me. In consideration of the Company's review of this application, I release the Company and all providers of any information from any liability which may arise as a result of furnishing and receiving this information. I understand and agree any employment offer or continued employment shall be conditional on the receipt of satisfactory references as determined by the Company. If employed by the Company, I further authorize the Company to provide truthful information (including fact or opinion) regarding my employment to any potential or future employer and release and waive any claims against the Company for truthfully communicating any such information to a potential or future employer.
E. I understand and agree that I may be required to submit to drug testing and a complete post-offer medical examination as part of my application for employment. I also understand and agree that I may be required to submit to a complete medical examination during my employment with NORTHSTAR COUNTRY CLUB provided that such examination is job-related and consistent with business necessity. I authorize the physician conducting the examination and any laboratory testing any specimen obtained by the physician or collection site to disclose the results of the examination and the laboratory test to the Company in accordance with state and/or federal laws. The Company will keep such results confidential and disclose the results only to persons who need to know or where required by law. Also, I agree to fully cooperate and provide the Company with any additional consent(s) and/or release(s) as required by the Company to investigate my employment application.
F. I agree that NORTHSTAR COUNTRY CLUB may inquire into and consider any criminal conviction record that I may have after it makes a conditional offer of employment. The Company may withdraw a conditional employment offer if I have a criminal conviction record which bears a rational relationship to the duties and responsibilities of the position for which I am applying. Any criminal conviction record that is more than 10 years old (excluding periods of incarceration) or that involves certain Family Court matters will not be considered.
G. I understand and agree that I may have to provide proof of a valid drivers license, if driving is required in the job for which I am applying.
H. I understand and agree that if offered employment by NORTHSTAR COUNTRY CLUB I may be required to disclose military service information in accordance with law, and that any such employment offer shall be dependant upon the receipt of a satisfactory military record as determined by the Company.
I. If hired, I agree not to disclose or use confidential information belonging to prior employers and that I will inform NORTHSTAR COUNTRY CLUB of any agreements that would limit my ability to work for the Company.
I understand and agree that all of the foregoing terms and conditions will become part of my employment relationship with NORTHSTAR COUNTRY CLUB if I am employed by the Company

Name of Applicant:
Date:
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