Employment

Name
Telephone
Address

Position Applied For
Date Available
Salary Expected
Are you available for work
Full-TimePart-TimeShift
Hours Preferred
Are you currently employed?
YesNo

Education

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

Name of School
Address
Did you graduate?
YesNo

Name of School
Address
Did you graduate?
YesNo

Work Experience

Previous Employer 1
Telephone
Address
Position Title
Supervisor
Dates Employed
Reason for leaving

Previous Employer 2
Telephone
Address
Position Title
Supervisor
Dates Employed
Reason for leaving

Previous Employer 3
Telephone
Address
Position Title
Supervisor
Dates Employed
Reason for leaving

Personal

List three references (not relatives or former employers)
Reference 1
Telephone
Occupation
Address

Reference 2
Telephone
Occupation
Address

Are you authorized to work in the United States?
YesNo
Have you ever been employed by The Blairmont Club?
YesNo
Can you perform the job functions required by the position sought?
YesNo
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?
YesNo
Criminal convictions are not a bar to employment, but will only be considered in relation to the specific requirements of the position sought.