The Hartford Golf Club Application for Employment

Personal Information

First Name

Last Name

Street Address 1

Street Address 2

City

State

Zip Code

Contact Information

Home Phone

Cell Phone

Email Address

Information Requested

Previous Address (If less than 2 years at present address)

-

Are you legally able to work in the U.S.A?

Yes

No

Proof of identity & legal authority to work in the U.S.A. is a condition of employment

Postion desired

If other please specify

Starting salary expected

Are you over 18?

Yes

No

Have you previously worked at the Hartford Golf Club

Yes

No

If yes, what position & when

Do you have any relatives employeed by the Hartford Golf Club

Yes

No

If yes, list their name & department they work in & their relationship to you

Who referred you to the Hartford Golf Club

Date available for employment

Is there any day of the week you are unable to work

EDUCATION

Name of high school

Graduate or GED?
  Yes
  No
Name of college

Major

Extracurricular activities

Leadership Positions
Held

VOLUNTEER & MILITARY EXPERIENCE
Skills acquired

Military experience

REFERENCES
1. Name, Title, Years Known, Phone #

2. Name, Title, Years know, Phone #

3. Name, Title, Years Know, Phone #

EMPLOYMENT HISTORY - PRIOR 10 YEARS
Please give accurate, complete full-time and part-time information. Start with your present or most recent employer.
Previous Employer 1

Full Address

Supervisor's name

Dates Employed
From Month/Day/Year

To Month/Day/Year

Job title when hired

Job title at termination

Describe work preformed

Average # of hours worked per week

Reason for leaving

Previous Employer 2

Full address

Supervisor's name

Dates employed
From Month/Day/Year

To Month/Day/Year

Job title when hired

Job title at termination

Work preformed

Average # of hours worked per week

Reason for leaving

Previous Employer 3

Full address

Supervisor's name

From Month/Day/Year

To Month/Day/Year

Job title when hired

Job title at termination

Work performed

Average # of hours worked per week

Reason for leaving

Previous Employer 4

Full Address

Supervisor's Name

From Month/Day/Year

To Month/Day/Year

Job title when hired

Job title at termination

Work Performed

Average # of hours worked per week

Reason for leaving

Identify all periods of unemployement during the last 5 years

I authorize the Hartford Golf Club (HGC) or its designed agent(s) to: 1. Investigate the truthfulness of all statements made on my application. 2. Contact my former employers & any other persons who can verify information 3. Discuss the results of any investigation with employees or agents involved in the hiring process
I affirm that all information in this application in true and complete. Any misrepresentation, false statement, or omission of facts called for shall be grounds for refusal of employment or, if hired, dismissal from employment. I understand that any violation of company rules, policies, standards, and/or procedures shall be grounds for dismissal. I agree to confirm to the rules, policies, standards & regulations of the Hartford Golf Club. I understand that my employment and compensation can be terminated with or without cause, and with or without notice, at any time the option of the Hartford Golf Club or myself, and I understand that no representative of the company has the authority to make any modifications, either verbally or in writing to the contrary. It is the policy of the Hartford Golf Club to hire U.S. citizens and aliens who are lawfully authorized to work in the United States. All employees will be asked to verify employment eligibility prior to beginning any work.
I agree to the information above
  Yes
  No