Application For Employment

PERSONAL INFORMATION
First Name
Middle Name
Last Name
Other Names Used
Address
City
State
  • --Select--
  • AK
  • AL
  • AR
  • AZ
  • CA
  • CO
  • CT
  • DC
  • DE
  • FL
  • GA
  • HI
  • IA
  • ID
  • IL
  • IN
  • KS
  • KY
  • LA
  • MA
  • MD
  • ME
  • MI
  • MN
  • MO
  • MS
  • MT
  • NC
  • ND
  • NE
  • NH
  • NJ
  • NM
  • NV
  • NY
  • OH
  • OK
  • OR
  • PA
  • RI
  • SC
  • SD
  • TN
  • TX
  • UT
  • VA
  • VT
  • WA
  • WI
  • WV
  • WY
Zip
Phone
Cell Phone
Business Phone
Referral Source:
DESIRED EMPLOYMENT
Desired Position(s)
Date Available to start work:
Compensation Desired
Have you previously applied for a position with the Oxbow Country Club?
If yes, give name and department
When?
Have you ever been employed by the Oxbow Country Club?
If yes, give name and department
When?
Do you have relatives currently employed by the Oxbow Country Club?
If yes, give name and department
Referral Source:
Days Available for Work (Please Circle)
Please Check All that Apply:
Are you currently employed?
May we contact your present employer?
May we contact your previous employers?
Please indicate any exception and/or reason for not contacting
If hired, can you provide proof that you are eligible to legally work in the United States?
Have you ever been convicted for a crime?
If yes, state nature of the crime(s), when and where convicted, and disposition of the case: (The Oxbow Country Club will not deny employment to any applicant solely because the person has been convicted of a crime. The Oxbow Country Club however, may consider the nature, date and circumstances of the offense as well as whether the offense is relevant to the duties of the position applied for).
EDUCATION
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
CURRENT EMPLOYER
Current Employer:
Address
City
State
  • --Select--
  • AK
  • AL
  • AR
  • AZ
  • CA
  • CO
  • CT
  • DC
  • DE
  • FL
  • GA
  • HI
  • IA
  • ID
  • IL
  • IN
  • KS
  • KY
  • LA
  • MA
  • MD
  • ME
  • MI
  • MN
  • MO
  • MS
  • MT
  • NC
  • ND
  • NE
  • NH
  • NJ
  • NM
  • NV
  • NY
  • OH
  • OK
  • OR
  • PA
  • RI
  • SC
  • SD
  • TN
  • TX
  • UT
  • VA
  • VT
  • WA
  • WI
  • WV
  • WY
Zip
Phone
Name and Title of Immediate Supervisor:
Dates Employed: From (Mo/Yr)
To (Mo/Yr)
Starting Salary:
Final Salary:
Job Title and Description of Duties:
Reason for Leaving:
FORMER EMPLOYERS
Previous Employer:
Address
City
State
  • --Select--
  • AK
  • AL
  • AR
  • AZ
  • CA
  • CO
  • CT
  • DC
  • DE
  • FL
  • GA
  • HI
  • IA
  • ID
  • IL
  • IN
  • KS
  • KY
  • LA
  • MA
  • MD
  • ME
  • MI
  • MN
  • MO
  • MS
  • MT
  • NC
  • ND
  • NE
  • NH
  • NJ
  • NM
  • NV
  • NY
  • OH
  • OK
  • OR
  • PA
  • RI
  • SC
  • SD
  • TN
  • TX
  • UT
  • VA
  • VT
  • WA
  • WI
  • WV
  • WY
Zip
Phone
Name Of Direct Supervisor
Dates Employed: From (Mo/Yr)
To (Mo/Yr)
Starting Salary:
Final Salary:
Job Title and Description of Duties:
Reason for Leaving:
Previous Employer:
Address
City
State
  • --Select--
  • AK
  • AL
  • AR
  • AZ
  • CA
  • CO
  • CT
  • DC
  • DE
  • FL
  • GA
  • HI
  • IA
  • ID
  • IL
  • IN
  • KS
  • KY
  • LA
  • MA
  • MD
  • ME
  • MI
  • MN
  • MO
  • MS
  • MT
  • NC
  • ND
  • NE
  • NH
  • NJ
  • NM
  • NV
  • NY
  • OH
  • OK
  • OR
  • PA
  • RI
  • SC
  • SD
  • TN
  • TX
  • UT
  • VA
  • VT
  • WA
  • WI
  • WV
  • WY
Zip
Phone
Name Of Direct Supervisor
Dates Employed: From (Mo/Yr)
To (Mo/Yr)
Starting Salary:
Final Salary:
Job Title and Description of Duties:
Reason for Leaving:
Previous Employer:
Address
City
State
  • --Select--
  • AK
  • AL
  • AR
  • AZ
  • CA
  • CO
  • CT
  • DC
  • DE
  • FL
  • GA
  • HI
  • IA
  • ID
  • IL
  • IN
  • KS
  • KY
  • LA
  • MA
  • MD
  • ME
  • MI
  • MN
  • MO
  • MS
  • MT
  • NC
  • ND
  • NE
  • NH
  • NJ
  • NM
  • NV
  • NY
  • OH
  • OK
  • OR
  • PA
  • RI
  • SC
  • SD
  • TN
  • TX
  • UT
  • VA
  • VT
  • WA
  • WI
  • WV
  • WY
Zip
Phone
Name Of Direct Supervisor
Dates Employed: From (Mo/Yr)
To (Mo/Yr)
Starting Salary:
Final Salary:
Job Title and Description of Duties:
Reason for Leaving:
REFERENCES
Name
Title
Company
Phone
Name
Title
Company
Phone
Name
Title
Company
Phone
CERTIFICATION OF APPLICATION OF EMPLOYMENT
(List experience on computers, office equipment, software programs, organizational skills, foreign languages, etc.)
I understand and agree that all of the foregoing terms and conditions will become part of my employment relationship with Oxbow Country Club if I am employed by the Company
Name of Applicant:
Date: