Employment

Applicant Information

* First Name

* Last Name

* Email Address

* Telephone

* Street Address

Apt

* City

* State

* Zipcode

Interest and Availability

* Position Applied For

Date Available

* Salary Expected

* Are you available for work...

* Hours Preferred

* Are you currently employed?

Yes

No

Education

List any education, training or foreign launguage ability that may be relevant

Name of School

School Street Address

Apt

City

State

Zipcode

Did you graduate?

Yes

No

Name of Secondary School

Secondary School Street Address

Apt

City

State

Zipcode

Did you graduate from secondary school?

Yes

No

Work Experience

Previous Employer 1 Name

Phone

Street Address

Apt

City

State

Zipcode

Position / Title

Supervisor

Dates Employed

Reason for Leaving

Previous Employer 2 Name

Phone

Street Address

Apt

City

State

Previous Employer 3 Name

Phone

Position / Title

Supervisor

Dates Employed

Reason for Leaving

References

* Reference 1 First Name

* Reference 1 Last Name

* Reference 1 Phone

* Reference 1 Occupation

Reference 1 Street Address

Reference 1 Apt

Reference 1 City

Reference 1 State

Reference 1 Zipcode

* Reference 2 First Name

* Reference 2 Last Name

* Reference 2 Phone

* Reference 2 Occupation

Reference 2 Street Address

Reference 2 Apt

Reference 2 City

Reference 2 State

Reference 2 Zipcode

Required Questions

* Are you authorized to work in the United States?

Yes

No

* Have you ever been employed by the Blairmont Club?

Yes

No

* Can you perform the job functions required by the position sought?

Yes

No

The Blairmont Club may require a medical examination after an offer of employment but before commencement of employment.

* Have you been convicted of a felony in the last 5 years?

Yes

No

Criminal convictions are not a bar to employment, but will only be considered in relation to the specific requirements of the position sought.

* Denotes Required Field