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Employment Application
First Name:
*
Middle Name:
Last Name:
*
Current Street Address:
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Current City:
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Current State:
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ZIP code:
*
Mobile Phone:
*
(
)
-
First three digits
Second three digits
Last four digits
Work Phone:
(
)
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First three digits
Second three digits
Last four digits
E-mail:
*
Emergency Contact First Name:
Emergency Contact Last Name:
Emergency Contact Phone:
(
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First three digits
Second three digits
Last four digits
Emergency Contact Relationship:
Do you have a valid driver's license?:
*
Yes
No
If so, State issued:
Do you have reliable transportation to get to and from work?:
*
Yes
No
Have you ever been convicted of a felony crime?:
*
Yes
No
How did you hear about this position (pick all that apply)?:
*
Online Ad
Job Service
Newspaper
Friend
Employee
Other
Employee Name or Other way you heard about position:
Why are you interested in joining the Moccasin Creek team?:
AVAILABILITY
Please indicate the department you would prefer to work in (pick all that apply):
*
Dining Room
Bar
Kitchen
Golf Shop
Golf Course Maintenance
If you are applying for a specific position, please indicate:
Please indicate the times you are available (pick all that apply):
*
Full-Time
Part-Time
Days
Evenings
Weekends
Approximately how many hours per week do you wish to work?:
*
When are you available to begin work?:
*
When do you anticipate the end of your work (ex: leaving for school, fall sports/activities, etc)?:
*
JOB RELATED SKILLS
Describe any training you have had that is related to the job for which you are applying:
Describe any work history applicable to the job for which you are applying:
EDUCATION
Please indicate the highest grade completed in school:
*
6th grade
7th grade
8th grade
9th grade-High Schhol
10th grade-High School
11th grade-High School
12th grade-High School graduate
13th-College
14th-College
15th-College
16th-College
16th+
Name of High School:
High School City & State:
High School number of years attended:
Did you graduate from High School?:
Yes
No
Name of College / Vocational School:
College / Vocational School City & State:
College / Vocational School Major Subject:
College / Vocational School number of years attended:
Did you graduate from College / Vocational School?:
Yes
No
Business / Trade:
Business / Trade City & State:
Business / Trade Major Subject:
Business / Trade number of years attended:
Did you graduate from Business / Trade?:
Yes
No
Additional education you have received:
PERSONAL REFERENCE #1
Personal Reference Full Name:
Personal Reference Phone:
(
)
-
First three digits
Second three digits
Last four digits
E-mail address:
Personal Reference Relationship:
Personal Reference number of years known:
PERSONAL REFERENCE #2
Personal Reference Full Name:
Personal Reference Phone:
(
)
-
First three digits
Second three digits
Last four digits
E-mail address:
Personal Reference Relationship:
Personal Reference number of years known:
PERSONAL REFERENCE #3
Personal Reference Full Name:
Personal Reference Phone:
(
)
-
First three digits
Second three digits
Last four digits
E-mail address:
Personal Reference Relationship:
Personal Reference number of years known:
MOST RECENT EMPLOYER
Are you currently working for this employer?:
Yes
No
If yes, may we contact?:
Yes
No
Company Name:
City & State:
Phone:
(
)
-
First three digits
Second three digits
Last four digits
Date Started Employment:
Date and time
Calendar
Today
Date Ended Employment:
Date and time
Calendar
Today
Job Title:
Supervisor's Name:
Duties / Work performed:
Salary (indicate per hour/week/month):
Reason for Leaving:
SECOND MOST RECENT EMPLOYER
Company Name:
City & State:
Phone:
(
)
-
First three digits
Second three digits
Last four digits
Date Started Employment:
Date and time
Calendar
Today
Date Ended Employment:
Date and time
Calendar
Today
Job Title:
Supervisor's Name:
Duties / Work performed:
Salary (indicate per hour/week/month):
Reason for Leaving:
THIRD MOST RECENT EMPLOYER
Company Name:
City & State:
Phone:
(
)
-
First three digits
Second three digits
Last four digits
Date Started Employment:
Date and time
Calendar
Today
Date Ended Employment:
Date and time
Calendar
Today
Job Title:
Supervisor's Name:
Duties / Work performed:
Salary (indicate per hour/week/month):
Reason for Leaving:
ADDITIONAL INFORMATION
Any Additional Comments:
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