Application for Employment

We are an equal opportunity employer

We consider applicants for all positions without regard to race, color, religion, sex, national origin, age (over 40), veteran status, non-job-related handicap or disability, or sexual preference (except where a bona fide occupational qualification may exist).

* Indicates a required field

Your Personal Information

* Position(s) Applied For:

* Date of Application:

* First name:

Middle Name:

* Last name:

* Address:

City

* State:

* Zip Code

* Email address:

* Phone:

* Best time to contact you:

*If you are under 18 years of age, can you provide required proof of your eligibility to work? (Birth certificate, driver's license, work permit, etc.)

*Only U.S. citizens and aliens who have a legal right to work in the U.S. will be considered for employment. Can you, upon employment, provide documentation establishing your identity and eligibility to be legally employed in the United States?

*Have you ever been convicted of a crime or violation other than a minor traffic infraction? (A conviction record will not necessarily make you ineligible for employment. Factors such as job relations, age and time of the offence, seriousness and nature of the violation, and rehabilitation will be taken into account.)

If yes, in which state was the conviction?

* What date could you begin work?

* How many hours a week are you available to work?

* What days/times are you available to work?

* If applying for a seasonal position, what will be the last day you will be able to work?

Work Experience & Education

Business Name:

Dates of Employment:

Name & Title of person to whom you reported:

Phone Number:

Job Duties:

Rate of Pay:

Reason for Leaving:

Business Name:

Dates of Employment:

Name & Title of person to whom you reported:

Phone Number:

Job Duties:

Rate of Pay:

Reason for Leaving:

Special Skills & Qualifications

*Summarize special job-related skills and qualifications acquired from school, employment or other experience:

Education

Please list the last school you attended/are attending and your course of study

School Name:

Location:

Course of study/degree:

If still attending, when do you expect to graduate/complete the course?

References

Please list the names and phone numbers of three references who are not related to you and are not previous employers. If you know someone who works at ACC, please list them.

Name:

Phone Number:

How do you know this person?

Name:

Phone Number:

How do you know this person?

Name:

Phone Number:

How do you know this person?

*How did you hear about job opportunities at ACC?

Employee referral
Newspaper ad
Internet posting
Other

If Employee referral, please provide a name. If Other, please explain

*Consistent attendance and punctuality are essential requirements of every job with ACC. Is there anything that would interfere with your attendance if you are offered a job with the company?

*If Yes, please explain

*Why would you be a good addition to the Allegheny Country Club staff?

Applicant's Statement

*I certify that answers given herein are true and complete to the best of my knowledge. I understand that a background screening will be done upon a contingent offer of employment. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I also understand also that I am required to abide by all rules and regulations of the Allegheny Country Club.

* Denotes Required Field

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