Applicant Information First Name Last Name Address City State Zip Home Phone Cell Phone E-mail Availability to Start: Desired Salary Referred by Choose from the following employment opportunities: Wait Staff Bartender Cook Dishwasher Grounds Crew/Golf Course Maintenance Locker Room Attendant Bag Room/Golf Outside Services Other: Have you ever worked for this company? Yes No If yes, when? Education High School Name High School Address Attended From Attended Until Did you Graduate? Yes No College or Vocational School Name College or Vocational School Address Attended From Attended Until Did you Graduate? Yes No Degree earned References Please List 3 professional references for us to contact include 1. name, 2. company, 3. address, 4. phone number and 5. relationship: Previous Employment Company Name May we contact your previous supervisor for a reference? Yes No Company Address Job Title Starting Salary Ending Salary Responsibilities From To Reason for Leaving   Company Name May we contact your previous supervisor for a reference? Yes No Company Address Job Title Starting Salary Ending Salary Responsibilities From To Reason for Leaving   Company Name May we contact your previous supervisor for a reference? Yes No Previous Employment Company Address Job Title Starting Salary Ending Salary Responsibilities From To Reason for Leaving Emergency Contact Name Emergency Contact Phone Disclaimer and Signature (Initial) I certify that the information in this application is true and correct and false statements are grounds for denial or dismissal. This application does not serve as an employment agreement. I certify that North Oaks Golf Club, Inc. reserves the right to check references and obtain a background check. I release liability for the reference or firm supplying the background information. Initials *