PERSONAL INFORMATION | Date: |
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EMPLOYMENT DESIRED |
Department (check all that apply)
Are you currently employed? Have you ever applied to or been employed by Des Moines Golf & Country Club before? |
EDUCATION |
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SPECIAL SKILLS OR CERTIFICATIONS |
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FORMER EMPLOYERS (List below your last three employers, starting with the most recent first.) |
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REFERENCES (Give the names of three people not related to you, whom you have known for at least one year.) |
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PHYSICAL RECORD |
Do you have any physical limitations that preclude you from performing any work which you are being considered? In case of emergency, notify: |
CRIMINAL RECORD |
Have you at any time been convicted, other than in juvenile court, of a felony or misdemeanor other than minor traffic violations? A criminal record does not constitute automatic bar to employment but will be considered in terms of the work to be performed. Failure to disclose a criminal conviction will result in termination.
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"I certify that answers given herein are true and complete. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. This application for employment shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time. I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an 'at will' nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause. It is further understood that this 'at will' employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization. In the event of employment, I understand that false or misleading information given in my applications or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the employer."
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Yes No |
ACKNOWLEDGE YOU HAVE READ THE ABOVE STATEMENTS BY INCLUDING YOUR INITIALS AND TODAY'S DATE:
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