PLEASE READ CAREFULLY-WRITE CLEARLY-ANSWER ALL QUESTIONS
Equal Opportunity Employer
THE QUESTIONS FOUND ON THIS FORM ARE BEING ASKED TO PROPERLY EVALUATE YOUR ABILITY AND CHANCE FOR SUCCESS IN THE POSITION
FOR WHICH YOU ARE APPLYING. EVERY EFFORT HAS BEEN MADE TO COMPLY WITH APPLICABLE FEDERAL LAW AND LAWS OF OUR STATE. IT IS
NOT OUR INTENTION TO DISCRIMINATE IN EMPLOYMENT ON ACCOUNT RACE, COLOR, SEX, ANCESTRY, RELIGION, AGE, NATIONAL ORIGIN,
HANDICAP, SEXUAL PREFERENCE, GENDER IDENTITY, DISABILITY, MARITAL STATUS OR VIETNAM ERA VETERAN STATUS.
Note: THIS APPLICATION MUST BE COMPLETED IN ITS ENTIRETY BEFORE IT WILL BE ACCEPTED. OTHER FORMS OF APPLICATION ARE
NOT ACCEPTABLE.
Name: ____________________________________________________________________ Today’s Date: _____________________
Address: _______________________________________________ City:____________________ State: _______ Zip: ____________
Cell Phone: (_____)___________________ Home Phone: (_____)___________________ Email: _____________________________
YOU ARE REQUIRED TO COMPLETE AN I-9 APPLICATION AND WILL BE EXPECTED TO PROVIDE APPROPRIATE DOCUMENTATION OF
YOUR LEGAL RIGHT TO WORK IN THE UNITED STATES AND YOUR IDENTITY.
Please mark the position(s) for which you are applying:
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Banquet Server
Set-Up Staff
Bartender
Grill Server
Busser
Food Runner
Beverage Cart
Line Cook
Prep Cook
Pastry Chef
Sous Chef
Dishwasher
Catering
Gate House Attendant
Receptionist
Administrative
Accounting
Housekeeping
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Facilities
Locker Room Attendant
Fitness Desk Attendant
Fitness Instructor
Massage Therapist
Esthetician
Golf Shop Attendant
Golf Instructor
Cart Attendant
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Tennis Shop Attendant
Course Maintenance
Landscaping
Other:________________
Seasonal:
Pool Supervisor
Pool Attendant
Pool Server
Summer Camp Assistant
If you are under the age of 21 and applying for a position that requires you serve alcohol, please state your date of birth: ___/___/___
If you are under the age of 18 and applying for a position that requires you to drive a cart, please state your date of birth: ___/___/___
Please indicate the shifts you are available to work, prefer to work, or not available to work by using the codes:
A = Available, P = Prefer, NA = Not Available. Make sure each day has a code for the two shifts.
(If you are in school, factor in classroom time and study hours. If you have another job, factor in travel time and hours of work.)
MONDAY
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY
SATURDAY
SUNDAY
DAY Before 5PM
NIGHT After 5PM
Have you ever been employed by Spanish Hills Country Club? Yes  No If yes, when and in what capacity? __________________
Reason for Leaving: _____________________________________________________________________________________________
Date available to start ____________ Pay expected $_________ Are you available for full time work?  Yes  No
How many hours a week do you expect to work? _____Min _____ Max Are you willing to work holidays and weekends?  Yes  No
Are you willing to undergo a criminal background check and drug testing if a job offer is extended?  Yes  No
Have you ever been discharged (fired) from a job? Yes  No If yes, what were the circumstances? ________________________
____________________________________________________________________________________________________________
Are you employed now?  Yes  No Where? _________________________ May we contact your present employer?  Yes  No
EDUCATION
High school attended ______________________________________________________________ Did you graduate?
Yes No
College Attended _________________________________________________________________ Number of years completed _____
Major/Minor ______________________________________________________________________ Did you graduate?
Yes No
Please list any special abilities or knowledge which you possess that relates specifically to the job that you are applying for.
____________________________________________________________________________________________________________
Do you have any hobbies, interests or belong to any club, organization, society or professional group which has a direct bearing on your
qualification for the job which you are seeking? Yes No
If yes, explain:_______________________________________________________________________________________________
CONVICTIONS
Have you, since the age of 18, ever been convicted of a crime (felony and/or misdemeanor)? Yes No
If yes, explain (Give Dates):______________________________________________________________________________________
NOTE: Exclude convictions for marijuana-related offenses more than two years old, and convictions that have been sealed,
expunged, or legally eradicated. A conviction will not necessarily bar you from employment. Each conviction will be judged on its
own merits with respect to time, circumstances and seriousness.
Employment Experience
Name of Company
Reason for leaving
Job title
Dates of Employment
From:
Name of Supervisor
Name of Company
Reason for leaving
Job title
Dates of Employment
To:
From:
Phone
Name of Supervisor
Typical number of hours worked per week:
To:
Phone
Typical number of hours worked per week:
Weekly Gross income
Start: $
Last: $
Weekly Gross income
Start: $
Last: $
Hourly Rate
Start: $
Last: $
Hourly Rate
Start: $
Last: $
What are/were your work responsibilities?
What are/were your work responsibilities?
What training responsibilities did you have?
What training responsibilities did you have?
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Name of Company
Reason for leaving
Job title
Dates of Employment
From:
Name of Supervisor
N/A
Name of Company
Reason for leaving
Job title
Dates of Employment
To:
From:
Phone
Name of Supervisor
Typical number of hours worked per week:
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N/A
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N/A
To:
Phone
Typical number of hours worked per week:
Weekly Gross income
Start: $
Last: $
Weekly Gross income
Start: $
Last: $
Hourly Rate
Start: $
Last: $
Hourly Rate
Start: $
Last: $
What are/were your work responsibilities?
What are/were your work responsibilities?
What training responsibilities did you have?
What training responsibilities did you have?
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N/A
GENERAL INFORMATION In case of emergency, please notify (optional):
Name: _________________________________ Address: __________________________________ Phone # ____________________
PROFESSIONAL REFERENCES List individuals you have worked with:
1.
Name _______________________________ Phone # _______________________________ Years Known _______________
2.
Name _______________________________ Phone # _______________________________ Years Known _______________
REFERRAL SOURCE
Advertisement (specify) _______________________
 Employee
 Friend/Relative
 Walk-in
Do you have any relatives working for Spanish Hills Country Club? Yes No If so, what department? _________________________
Are you able to perform the essential functions of the position for which you are applying for with or without reasonable
accommodation?  Yes  No
Will you abide by the safety, work or other rules of this company?
Yes No
PLEASE READ THE FOLLOWING CAREFULLY AND SIGN BELOW
I certify that the information contained in this application is correct to the best of my knowledge and understand that any misrepresentation or omission of
the information requested on this form is grounds for immediate dismissal. I understand that weekend work, overtime, changes of the schedule and
location may be required during my employment. Further, I understand that my employment is for no definite period and may, regardless of the date of
payment of my wages and salary, be terminated at any time without any previous notice, with or without cause. In consideration of my employment, I
agree to conform to all rules, regulations and policies of the company. No modification of the se statements shall be valid unless written and signed by
the company president. I, the undersigned, understand that I am being considered as a potential employee of Spanish Hills Country Club (the
“Company”), and hereby certify that: I understand that if I am hired, such hiring will not be for any definite period of time. Even though, If hired, I will be
paid my wages on a monthly, semi-monthly, weekly or hourly basis, I understand that this does not mean I am being hired for any definite period of time.
I understand that if hired, I will be an employee at-will and I can be terminated at anytime, with or without cause, with or without notice. I understand that
this agreement cannot be changed except in a written document signed by me and the company president. I have been given the opportunity to ask
questions regarding company rules and my potential status as an employee-at-will. No representative of Spanish Hills Country Club has made any
promises or other statement to me which imply that I will be employed under any other terms than stated above. I understand that if hired this statement
is part of the employment agreement between the company and me, and will be binding on me. Finally, I understand that no part of this application is
intended to be nor shall be construed as an offer of employment.
Date:_______________________________________________
Signature: ________________________________________________________