Employment Opportunities Name: Email Address: Present Address: Street, City, State, Zip Permanent Address: Street, City, State, Zip Phone Number: Are you 18 years or older?: Yes No Are you either a U.S Citizen or an Alien Authorized to work in the United States?: Yes No Desired Position: Available Start Date: Desired Salary: Are you employed now?: Yes No If so, may we inquire of your present employer?: Yes No Have you ever applied to this company before?: Yes No If so, when?: Referred By: Grammar School: Name & Location of School Number of Years Attended: Did you graduate?: Yes No High School: Name & Location of School Number of Years Attended: Did you graduate?: Yes No Subjects Studied: College: Name & Location of School Number of Years Attended: Did you graduate?: Yes No Subjects Studied: Trade, Business or Correspondence School: Name & Location of School Number of Years Attended: Did you graduate?: Yes No Subjects Studied: Subjects of special study of research work: Special Skills: Activities: Civic, Athletic, Etc. Exclude organizations the name of which indicates the Race, Creed, Sex, Age, Marital Status, Color or Nation of Origin of it's members. U.S. Military or Naval Service: Rank: Present Membership in National Guard of Reserves: Name & Location of Current Employer: If currently employed Start Date: End Date: Position: Salary: Reason for Leaving: Name & Location of Previous Employer: Start Date: End Date: Position: Salary: Reason for Leaving: Name & Location of Previous Employer: Start Date: End Date: Position: Salary: Reason for Leaving: Name & Location of Previous Employer: Start Date: End Date: Position: Salary: Reason for Leaving: Which of these jobs did you like best?: What did you like most about this job?: Name: References: Give the name of a person not related to you. Whom you have known for at least one year. Address: Business: Phone Number: Years Acquainted: Name: References: Give the name of a person not related to you. Whom you have known for at least one year. Address: Business: Phone Number: Years Acquainted: Name: References: Give the name of a person not related to you. Whom you have known for at least one year. Address: Business: Phone Number: Years Acquainted: Emergency Contact Name: Address: Phone Number: Signature (typed name is valid signature): I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references listed above to give you any and all information concerning my previous employment and any pertinent information they may have. And release all parties from all liability for any damage that they may result from furnishing same to you. I understand and agree that if hired, my employment is for no definite period and may, regardless of the date of payment of my wages and salary, be terminated at any time without prior notice and without cause. Date: Phone (801) 374-1347 Address 2701 N University Ave Provo Utah 84604 Email info@riversidecountryclub.org © 2021 Riverside Country Club - Utah. All Rights Reserved. Powered by Jonas Club Software