Glenhaven Lakes Club, Inc.
APPLICATION FOR EMPLOYEMENT
Name
First
Address
Middle
Last
City
State
Zip Code
Date of Birth
Email Address
Cell Phone
Home Phone
Social Security Number
Date Available
PERSONAL
1.
Are you legally entitled to work in the United Stated?
2.
Do you have relatives employed by Glenhaven?
3.
What position(s) are you applying for?
4.
What are your minimum salary requirements?
5.
Have you previously worked for Glenhaven?
Yes
No
Yes
Yes
No
No (If yes, provide
dates:
6.
)
Are there hours or days you cannot or will not work?
Yes
No (If yes,
please list:
)
7.
Are you willing to work overtime, if required?
Yes
No
8.
List any reasons known to you why you might be unable to perform consistently and promptly
any of the job duties for the position(s) for which you are applying?
9.
If applying for a position that involves receiving and/or dispensing funds, indicate whether or
not you have been convicted of a crime related to theft or mismanagement of funds or
property within the last seven years:
Yes
No
Glenhaven Lakes Club, Inc.
APPLICATION FOR EMPLOYEMENT
10.
Have you ever been convicted of a felony?
No (If yes, explain – a
Yes
criminal record does NOT automatically disqualify an applicant for employment.
EDUCATION
High School Graduate
Yes
No
High School Attended:
Date of Graduation/GED Completion:
Highest Grade Completed:
College, Business, Training Courses or Other Schools Attended:
Name
Dates Attended Degree (if any)
Do you plan further education?
currently enrolled in school?
Yes
Yes
Major Field of Study
No (If yes, starting date:
) Are you
No (If yes, where?
)
Activities and other interests (civic, athletic, etc.)
Exclude organizations, the name or character of which indicates race, age, sex, color or national
origin of its members.
MILITARY SERVICE Were you in the U.S. Armed Forces?
branch?
Yes
No (If yes, which
)
Glenhaven Lakes Club, Inc.
APPLICATION FOR EMPLOYEMENT
EMPLOYMENT HISTORY
List below present and past employment, beginning with the most recent (attach additional sheets if
necessary).
Position/ Job Title
Company Name
Supervisor Name and Phone Number
Address
State
City
Zip Code
Hours Per Week
Phone Number
Start Date
Starting Pay
End Date
Ending Pay
Description of Duties
Reason for Leaving
May we contact this employer?
Yes
No
______________________________________________________________________
Position/ Job Title
Company Name
Supervisor Name and Phone Number
Address
State
City
Zip Code
Hours Per Week
Phone Number
Start Date
Starting Pay
End Date
Ending Pay
Description of Duties
Reason for Leaving
May we contact this employer?
Yes
No
Glenhaven Lakes Club, Inc.
APPLICATION FOR EMPLOYEMENT
___________________________________________________________________________________
Position/ Job Title
Company Name
Supervisor Name and Phone Number
Address
State
City
Zip Code
Hours Per Week
Phone Number
Start Date
Starting Pay
End Date
Ending Pay
Description of Duties
Reason for Leaving
May we contact this employer?
Yes
No
___________________________________________________________________________________
PERSONAL REFERENCES (No previous or current employers)
Name
Telephone
City
Name
Telephone
City
Name
Telephone
City
Relationship to Applicant
Address
State
Zip Code
Relationship to Applicant
Address
State
Zip Code
Relationship to Applicant
Address
State
Zip Code
Glenhaven Lakes Club, Inc.
APPLICATION FOR EMPLOYEMENT
READ BEFORE SIGNING
I understand that employment with Glenhaven Lakes Club, Inc. will be on a three (3) month probationary
basis. If employed, I will abide by its rules and regulations. I understand that this application is not a
contract of employment, nor does this application obligate the employer in any way if the employer
decides to employ me. Further, I give permission to contact all or any of my previous employers for full
information, except those I have requested not be contacted. All of the foregoing information I have
supplied in this application is a full and complete statement of the facts and it is understood that, if any
falsification be discovered, it will constitute grounds for dismissal upon discovery thereof.
Signature of Applicant
Date