LOCATION OF INTEREST

(Select one) Heritage Hills Golf/Hotel Knickers/Ironwoods/Catering Heritage Hotel/Loxley's Springwood Golf/Bogey Macaws Maewyn's Kidz Camp Double JJ Any

PERSONAL INFORMATION

Today's Date
First Name
Last Name
Present Address

City
State Zip
Present Address is Permanent Yes
Permanent Address

City
State Zip
Phone
Email
Are you at least 18 years of age? Yes No
Do you have a valid drivers license? Yes No
If so, list License #, State and Exp Date

DESIRED EMPLOYMENT

Position
Date you can start Desired salary
Are you employed now? Yes No
If so, may we contact your present employer? Yes No
Ever applied to this company before? Yes No
Position? When?
Ever worked for this company before? Yes No
Position? When?
Reason for leaving?
Name of last supervisor at this company?

SCHOOL HISTORY

Please list last completed
School
Course/Major
Years Completed
Degree/Diploma

FELONY CONVICTION

Have you been convicted of a felony within the last 5 years?
Yes No
If yes, please explain here. A positive answer will not necessarily exclude you from consideration.

REFERENCES

Please list three adult references that are non-relatives, whom you have known for at least one year, who will be contacted regarding your ability and experience.
Reference 1
Phone
Reference 2
Phone
Reference 3
Phone

EMPLOYMENT HISTORY

List your last three employers below.
Starting with the most recent first
Employer 1
Address

City
State Zip
Phone
Job Title
Dates
Salary/Wage
Reason for leaving
Employer 2
Address

City
State Zip
Phone
Job Title
Dates
Salary/Wage
Reason for leaving
Employer 3
Address

City
State Zip
Phone
Job Title
Dates
Salary/Wage
Reason for leaving

AUTHORIZATION

I certify that the information and facts contained in this application are true and complete to the best of my knowledge. I further understand that if I am employed, statements contained in this application that are not the truth shall be immediate grounds for dismissal.

I authorize investigation of all statements contained within this application and the references and employers listed above to give you any/all information concerning my previous employment and any pertinent information they may have (both personal and otherwise) and I agree to release the company from all liability for any damage that may result from such infrormation.

In addition, I understand and agree that no representative of the company has any authority to enter into any agreement for any specified period of time, or agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative.

I have read and agree to the terms of the above Authorization