Employment Application - Pine Lake Country Club

Pine Lake Country Club supports a Drug Free Workplace and post-offer/pre-employment drug testing is required as part of our hiring process

INSTRUCTIONS: Thank you for your interest in employment at Pine Lake Country Club. All team members at Pine Lake Country Club are employed by Pine Lake Country Club. Please complete all portions of this employment application to be considered for employment at Pine Lake Country Club. If you require accommodation during the employment application process, including assistance in the completion of this employment application, please let us know. Pine Lake Country Club is an equal opportunity employer. We do not discriminate on the basis of age, race, sex, religion, color, national origin, ancestry, marital status, disability, sexual orientation, arrest and court record or any other protected category recognized by Hawaii and federal laws. This employment application is valid for a six-month period after submission to Pine Lake Country Club and only for the desired position. Consideration for employment after the six-month period requires completion and submission of a new application. Use additional paper if necessary to fully answer any question. Upon hire, you will be required to present proof of age, authorization to work and your social security number.

NOTICE: After completing all relevant information: you must agree to all terms, type your name on the signature line and CLICK SUBMIT.

PERSONAL INFORMATION

First Name

Last Name

Other Names Used

Address

City

State

Zip

Phone

Cell Phone

Can you, upon employment, submit verification of your legal right to work in the United States?

Yes

NOTE: If offered employment you will be required to submit documentation required by law.

EDUCATION

High School (Name and Address)

Did you graduate?

Yes

Degree/Diploma/ Certificate

Major

# of Years Completed

College (Name and Address)

Did you graduate?

Yes

Degree/Diploma/ Certificate

Major

# of Years Completed

Graduate School (Name and Address)

Did you graduate?

Yes

Degree/Diploma/ Certificate

Major

# of Years Completed

Other Training (Name and Address)

Did you graduate?

Yes

Degree/Diploma/ Certificate

Major

# of Years Completed

Please account for the last ten years of your employment by answering all questions for each employer.

CURRENT EMPLOYER

If not currently employed, continue to FORMER EMPLOYERS

Current Employer:

Address

City

State

Zip

Starting Position

Current Position

Dates Employed: From (Mo/Yr)

To (Mo/Yr)

Job Title and Description of Duties:

Starting Salary:

Final Salary:

Starting Commission/Bonus

Final Commission/Bonus

Name Of Direct Supervisor

Title

Supervisor's Phone Number

May we contact your present employer?

Yes

Reason for Leaving:

FORMER EMPLOYERS

Previous Employer:

Address

City

State

Zip

Starting Date

Date Last Worked

Job Titles

Starting Salary:

Final Salary:

Starting Commission/Bonus

Final Commission/Bonus

Name Of Direct Supervisor

Title

Supervisor's Phone Number

Summarize Type Of Work Performed And Job Responsibilities

Reason for Leaving:

If You Were Terminated Or Asked To Resign, Please Explain:

Previous Employer:

Address

City

State

Zip

Starting Date

Date Last Worked

Job Titles

Starting Salary:

Final Salary:

Starting Commission/Bonus

Final Commission/Bonus

Name Of Direct Supervisor

Title

Supervisor's Phone Number

Summarize Type Of Work Performed And Job Responsibilities

Reason for Leaving:

If You Were Terminated Or Asked To Resign, Please Explain:

Previous Employer:

Address

City

State

Zip

Starting Date

Date Last Worked

Job Titles

Starting Salary:

Final Salary:

Starting Commission/Bonus

Final Commission/Bonus

Name Of Direct Supervisor

Title

Supervisor's Phone Number

Summarize Type Of Work Performed And Job Responsibilities

Reason for Leaving:

If You Were Terminated Or Asked To Resign, Please Explain:

EMPLOYMENT GAPS

Provides dates and reasons for any periods that you were not working during the past 10 years, other than due to personal illness, injury or disability.

From

Reason(s) For Not Working During These Periods

From

Reason(s) For Not Working During These Periods

From

Reason(s) For Not Working During These Periods

JOB SKILLS AND QUALIFICATIONS

Summarize any special training, skills, licenses and/or certificates that may assist you in performing the position for which you are applying.
(Note: If driving is required in the job for which you are applying, proof of valid drivers license and other related information will be required.)

Skill I

Skill II

Skill III

Skill IV

Skill V

Skill VI

RELATED INFORMATION

If you are a member of any job-related organizations (professional, trade, etc.) or have received any job-related awards or accomplishments, list and describe them. Exclude any information that would reveal your age, race, sex, religion, color, national origin, ancestry, marital status, disability, sexual orientation, arrest and court record or any other protected category recognized by Hawaii and federal laws.

Related Information I

Related Information II

Related Information III

Related Information IV

Related Information V

Related Information VI

REFERENCES

Name

Title

Company

Phone

Name

Title

Company

Phone

CERTIFICATION OF APPLICATION OF EMPLOYMENT

PLEASE READ CAREFULLY BEFORE SIGNING
A.		I certify that the information contained in this application for employment at PINE LAKE COUNTRY CLUB is correct and complete. I understand that any false or misleading statements or omissions made in this application or interview(s), whenever discovered, are grounds for disqualification from further consideration or for dismissal from employment, regardless of how discovered.
B.		I understand that if I am offered employment at PINE LAKE COUNTRY CLUB, MY EMPLOYMENT WITH PINE LAKE COUNTRY CLUB IS AT-WILL AND CAN BE TERMINATED AT ANY TIME AND FOR ANY REASON WITH OR WITHOUT ADVANCE NOTICE BY MYSELF OR THE COMPANY.
C.		I understand and agree that only the General Manager of Pine Lake Country Club has any authority to enter into any agreement to employ me for any specified period of time or to modify terms and conditions of my employment. I agree that such an agreement must be in writing and signed by the General Manager, and I will not rely upon any other representations regardless of the source.
D.		I understand and agree that PINE LAKE COUNTRY CLUB may make a full and complete investigation of my personal or employment history, and authorize any former employer, person, firm, corporation, school, government agency, or other entity to provide the Company with any information (including fact or opinion) they may have regarding me. In consideration of the Company's review of this application, I release the Company and all providers of any information from any liability which may arise as a result of furnishing and receiving this information. I understand and agree any employment offer or continued employment shall be conditional on the receipt of satisfactory references as determined by the Company. If employed by the Company, I further authorize the Company to provide truthful information (including fact or opinion) regarding my employment to any potential or future employer and release and waive any claims against the Company for truthfully communicating any such information to a potential or future employer.
E.		I understand and agree that I may be required to submit to drug testing and a complete post-offer medical examination as part of my application for employment. I also understand and agree that I may be required to submit to a complete medical examination during my employment with PINE LAKE COUNTRY CLUB provided that such examination is job-related and consistent with business necessity. I authorize the physician conducting the examination and any laboratory testing any specimen obtained by the physician or collection site to disclose the results of the examination and the laboratory test to the Company in accordance with state and/or federal laws. The Company will keep such results confidential and disclose the results only to persons who need to know or where required by law. Also, I agree to fully cooperate and provide the Company with any additional consent(s) and/or release(s) as required by the Company to investigate my employment application.
F.		I agree that PINE LAKE COUNTRY CLUB may inquire into and consider any criminal conviction record that I may have after it makes a conditional offer of employment. The Company may withdraw a conditional employment offer if I have a criminal conviction record which bears a rational relationship to the duties and responsibilities of the position for which I am applying. Any criminal conviction record that is more than 10 years old (excluding periods of incarceration) or that involves certain Family Court matters will not be considered.
G.		I understand and agree that I may have to provide proof of a valid drivers license, if driving is required in the job for which I am applying.
H.		I understand and agree that if offered employment by PINE LAKE COUNTRY CLUB I may be required to disclose military service information in accordance with law, and that any such employment offer shall be dependant upon the receipt of a satisfactory military record as determined by the Company.
I.		If hired, I agree not to disclose or use confidential information belonging to prior employers and that I will inform PINE LAKE COUNTRY CLUB of any agreements that would limit my ability to work for the Company.

I understand and agree that all of the foregoing terms and conditions will become part of my employment relationship with PINE LAKE COUNTRY CLUB if I am employed by the Company

Name of Applicant:

Date:

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Application For Employment

Pine Lake Country Club supports a Drug Free Workplace and post-offer/pre-employment drug testing is required as part of our hiring process