Des Moines Golf and Country ClubDes Moines Golf and Country Club

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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 TimePart 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

Preferred Position:Date you can start:

Are you currently employed?
Yes   NoIf 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. AttendedField of StudyGraduated
High SchoolYes
No
CollegeYes
No
Trade/Business/MilitaryYes
No
SPECIAL SKILLS OR CERTIFICATIONS
TypeExpiration DateAuthorizing 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 & AddressSalaryPositionReason 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.)
NameAddressBusinessPhoneYears Known
Are your related to a Des Moines Golf & Country Club employeeYes   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
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or need directions to the Club,
please contact us 515-440-7500
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