Employment Application - Des Moines Golf and Country Club Des Moines Golf and Country Club – The Preeminent Family Golf and Country Club in Iowa.

Employment Application

PERSONAL INFORMATION

Date:

Name:
Address:
City:		State:	Zip:
Cell Phone #:
Home Phone #:
Email:
Are you 18 years old or older?	Yes No

EMPLOYMENT DESIRED

Full Time

Part Time

If Part Time, Hours Available:

Department (check all that apply)

Server	Bartender	Housekeeping / Locker Room Attendant
Golf Shop	Grounds/Maintenance	Receptionist
Lifeguard	Snack Bar	Bar Cart
Tennis	Intern	Cook

Preferred Position:

Date you can start:

Are you currently employed?

Yes No

If Yes, who is your employer?

Have you ever applied to or been employed by Des Moines Golf & Country Club before?

Yes No

EDUCATION

	Name & Location of School	# Yrs. Attended	Field of Study	Graduated
High School				Yes No
College				Yes No
Trade/Business/Military				Yes No

SPECIAL SKILLS OR CERTIFICATIONS

Type	Expiration Date	Authorizing Organization
WSI
CPR
First Aid
PT Certification
Lifeguarding Certificate

FORMER EMPLOYERS (List below your last three employers, starting with the most recent first.)

Date (month & year)		Employer Name & Address	Salary	Position	Reason for Leaving
From:	To:
From:	To:
From:	To:

REFERENCES (Give the names of three people not related to you, whom you have known for at least one year.)

Name	Address	Business	Phone	Years Known

Are your related to a Des Moines Golf & Country Club employee

Yes No

PHYSICAL RECORD

Do you have any physical limitations that preclude you from performing any work which you are being considered?

Yes No

If Yes, what can be done to accommodate the limitation?

In case of emergency, notify:

Name:
Address:
Phone:
Relationship:

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.

Yes No If yes, please give the date(s), city, offense and disposition:
Dates(s):
City:
Offense:
Disposition:

"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."

Yes No

ACKNOWLEDGE YOU HAVE READ THE ABOVE STATEMENTS BY INCLUDING YOUR INITIALS AND TODAY'S DATE:

Initials:

Date:

Des Moines Golf and Country Club is an Equal Opportunity Employer. The Club does not discriminate in employment opportunities or practices on the basis of race, color, religion, sex, national origin, age, disability, or veteran’s status in accordance with applicable federal and state laws. The Equal Employment Opportunity Commission and variuos state and local civil rights commissions have issued regulations declaring that sexual harassment is discrimination prohibited by Title VII of the Civil Rights Act of 1964 and the Iowa Civil Rights Act.

Des Moines Golf and Country Club
1600 Jordan Creek Parkway
West Des Moines, IA 50266

If you have any questions,
or need directions to the Club,
please contact us 515-440-7500

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