Employment Application - Lexington Country Club

Lexington Country Club is an Equal Opportunity Employer. All qualified applicants will receive consideration without regard to race, color, religion, sex, age, disability, marital status or national origin. In accordance with the Americans with Disabilities Act, Lexington Country Club will provide reasonable accomodation upon request to applicants to facilitate the application process. This is a Drug- and Alcohol-Free Workplace.

About You

First Name:*

Last Name:*

Address:*

How Long:

Phone:*

()-

Other Phone:

()-

E-mail:*

Do you have relatives or friends presently working for Lexington Country Club:

Yes
No

Are you 18 years of age or over:

Yes
No

If not, employment is subject to verification that you are of legal minimum age and can furnish any required work permit.

Job Interest

Position(s) Desired:

Are you applying for full time or part time work? :*

Full time
Part time
Seasonal

Hours Per Week Desired:

Date Available:*

Now

Desired Salary:

Why Do You Want This Position:

Education and Training

Highest Grade Level Completed:

High School

High School:

Address:

College or University

College/University:

City/State:

Attendance Dates:

Field of Study:*

Type of Degree Obtained:

Other Education or Training

Other Education:

City/State:

Attendance Dates:

Driving Record

If you are applying for a position that requires driving a vehicle, please provide the following information:

Drivers License #:

State:

Expiration:

Today

Do you have a valid State of Florida drivers license?:

Yes
No

Has your license ever been revoked or suspended:

Yes
No

If Yes, Please Explain:

Employment History

List all places of employment over the past 10 years, including Military Service. Please account for all self-employment and gaps in employment. If you were employed under a different name, please provide that name. If you have had more than 3 employers in the past 10 years, please list information below.

Other Names Used:

Please List any Additional Employers:

Present or Last Employer

Company 1:

Phone:

()-

Address:

Job Title:

Responsibilities:

Supervisor:

From:

To:

Starting Salary:

per:

Reason for Leaving:

May we Contact this Employer:

Yes
No

Previous Employer #1

Company 2:

Phone:

()-

Address:

Job Title:

Responsibilities:

Supervisor:

From:

To:

Salary:

per:

Reason for Leaving:

May we Contact this Employer:

Yes
No

Previous Employer #2

Company 3:

Phone:

()-

Address:

Job Title:

Responsibilities:

Supervisor:

From:

To:

Starting Salary:

per:

Reason for Leaving:

May we Contact this Employer:

Yes
No

Personal References

1st Reference

Reference #1 Name:

Occupation:

Years Known:

Address:

Day Phone:

()-

2nd Reference

Reference #2 Name:

Occupation:

Years Known:

Address:

Day Phone:

()-

General Information

Do you smoke:

Yes
No

If Yes, How Much and How Often:

Background Information

Are you legally eligible to work in the U.S.?:*

Yes
No

If yes, please explain:

A criminal record will not necessarily be a bar to employment.

Are there any other experiences, skills or qualifications which you feel especially qualify you for work with Lexington Country Club:

Emergency Contact Information

Emergency Contact Name:

Phone Number:

Relationship:

Address:

Applicant's Statement:

Please read the following carefully before entering name

I understand that Lexington Country Club will attempt to verify statements made on my application and made during my employment interview. I give permission for my former employers and personal references, as well as law enforcement officials, to answer any questions and to furnish information concerning me. I release Lexington Country Club and all former employers and my references from any liability as a result of the furnishing and receiving of this reference and background information.

I understand that false, incomplete or misleading statements or omissions on this application or any other pre- or post-employment documents, or any verbal misrepresentations, may result in disqualification from further employment consideration or termination from employment.

I understand that if I am employed by Lexington Country Club, I must conform to the policies and rules of Lexington Country Club. I understand that my employment relationship will be at-will and that both Lexington Country Club and I have the right to terminate my employment, with or without cause, and with or without notice. I understand my job duties and schedule may be changed at any time during my employment by Lexington Country Club. I understand I may be required to work scheduled and unscheduled overtime and scheduled weekend and holiday work when requested by Lexington Country Club.

I consent and agree to taking any pre-employment physical examinations and such future physical examinations and any drug and alcohol tests as part of or separate from any such physical examinations, as may be required by federal or state law/regulation, as well as Lexington Country Club’s policy.

The Immigration Reform and Control Act of 1986 requires that, after employment, employers verify the legal work authorization and identity of all new employees. An offer of employment will depend on Lexington Country Club’s ability to verify this necessary information.

Applicant Name:*

Date:

Today

Thank you for completing this application form and for your interest in employment with us. Due to the volume of applications received, we may not interview every applicant. In the event you are selected for interview, we will contact you. Applications are considered inactive after 30 days from the date of application unless renewed, in writing, by the application at this location.

INCOMPLETE APPLICATIONS OR APPLICATIONS CONTAINING ADDITIONAL NON-REQUESTED INFORMATION WILL NOT BE CONSIDERED.

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