Street Address: Apartment/Unit #: City State Zip Home Phone No. Cell Phone No. Email Have you previously worked for Blue Hills?
Are you a citizen of the United States? If no, are you authorized to work in the U.S.? Proof of eligibility will be required upon offer of employment ) Have you ever been convicted of a felony? A conviction will not necessarily disqualify you. ) Are you 18 years of age or older? If no, you maybe required to provide authorization. ) Can you with or without reasonable accommodation perform the essential functions of the job for which you are applying? If you have any questions about the functions of the job, please ask the interviewer before answering this question. ) Are you related by blood or marriage to a current employee of BHCC? Are you related to a current BHCC Member? Have you ever been in the Armed Forces? Are you now a member of the National Guard? If YES, Specialty Date Entered Discharge Date POSITION Type of Employment Desired Select... Seasonal Full-time Part-time Position(s) Applied for What is your means of transportation to work? What hours and shift(s) would you prefer to work? Select days available to work: EDUCATION High School Address From To Did you graduate? Degree: College Address From To Did you graduate? Degree: Other Address From To Degree EMPLOYMENT HISTORY Begin with current or most recent employer. Do not exclude any employment. Include any applicable temporary employment-attach another sheet if necessary. Previous salary or wages will not be used to determine compensation at BHCC.
Employment 1 Company Phone No. Street Address City State Zip Supervisor's Name and Title Dates Employed: Rate of Pay: Describe the Work Performed: Select... Yes No Employment 2 Company Phone No. Street Address City State Supervisor's Name and Title Dates Employed: Rate of Pay: Describe the Work Performed: Select... Yes No Employment 3 Company Phone No. Street Address City State Supervisor's Name and Title Dates Employed: Rate of Pay: Describe the Work Performed Select... Yes No REFERENCES Please list three professional references. Reference 1 Full Name Number Years Known Reference 2 Full Name Number Years Known Reference 3 Full Name Number Years Known PLEASE READ CAREFULLY Authorization & Application Form Waiver
To indicate that you have read and understood each sentence, please type your initials in the space provided below. Application must be signed prior to submitting.
BLUE HILLS COUNTRY CLUB strongly believes in its responsibility to provide a safe and healthful workplace for all its employees. I understand that at any time before or after I am hired, the club may require me to submit to a test for the presence of controlled substance. I authorize investigation of all statements contained in this application and on my resume, if provided. Furthermore, I understand that if I am hired, employment with Blue Hills Country Club is "at will", which means that either the company or I can terminate my employment for any reason not prohibited by state or federal law. All offers of employment by Blue Hills Country Club are contingent on the provision of satisfactory proof of your identity and legal authority to work in the United States. Prior to or on your first day of employment, you must comply with the requirements of the Immigration and Naturalization Service's Employment Eligibility Verification (I-9 Form). By signing and or completing by printing my name below, I acknowledge that I have read, understood and agree to the above application. Signature (provide initials) Date
