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Employee Application
Last Name
First Name
Middle
Phone
Email Address
Current Address
City
State
Zip
State age if under 21
Yes
No
Are you related to a member of Brookridge Golf & Fitness?
If yes, what is the name of the member?
What position are you seeking?
Yes
No
Are you able to perform the essential functions of the job with or without reasonable accommodations?
Full-Time
Part-Time
Hours & Days Available
Rate of pay expected
per
Yes
No
Have you in the last five years been convicted of a felony?
Yes
No
Have you in the last five years have you ever been convicted for any crime, including sex-related or child abuse related offenses?
Yes
No
Are you legally eligible for employment in the United States?
How did you learn about the job you are applying for?
Education
Name and Address
Graduated
Degree
Received
GPA
High School
Yes
No
College
Yes
No
Graduate School
Yes
No
Trade/Technical/Military/Other
Yes
No
List any special training, education or skills you have received which have relevance to the position you are applying:
GIVE EMPLOYMENT HISTORY AS COMPLETELY AS POSSIBLE, STARTING WITH YOUR PRESENT OR LAST EMPLOYER
Company Name
Job Title
Job Duties
Supervisors Name
Address
Phone
Start Date
Start Pay
End Date
End Pay
Reason for leaving
Company Name
Job Title
Job Duties
Supervisor's Name
Address
Phone
Start Date
Start Pay
End Date
End Pay
Reason for leaving
Company Name
Job Title
Job Duties
Supervisor
Address
Phone
Start Date
Start Pay
End Date
End Pay
Reason for leaving
I certify that I have read, understand and agree to the above I also certify that all of the information in this application is complete and accurate.
Signature
Date of Application
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