Employment Application Form

Personal Information

Name & Phone

First Name *

Middle Name

Last Name *

Phone Number *

E-mail *

Address

Address 1 *

Address 2

City *

State *

Postal Code *

Are you legally eligible for employment in the U.S.A.? Yes No *

Are you over the age of 18? Yes No *

Are you or anyone in your family members of Sand Creek? Yes No

Position(s) applied for

Rate of pay expected ($/hour)

How did you find out about the job opening(s)? Newspaper Internet job posting Friend Other

If newspaper, internet job posting, or other, please specify

Were you referred by a current Sand Creek Employee? Yes No

If yes, who

Would you work Full Time Part Time

Specific days and hours if part time

Were you previously employed by us? Yes No

Employeed from

Employeed to

If your application is considered favorably, on what date would you be available for work

Are there any other experiences, skills, or qualifications which you feel would especially fit you for work with out organization? (255 chars left)

Record of Education

High School

High School Name

High School Address

High School City, State, Postal Code

High School Course of Study

High School Last Year Completed 9 10 11 12

Did you graduate high school? Yes No

High School Diploma

College 1

College 1 Name

College 1 Address

College 1 City, State, Postal Code

College 1 Course of Study

College 1 Last Year Completed 1 2 3 4

Did you graduate college 1? Yes No

College 1 Degree

College 2

College 2 Name

College 2 Address

College 2 City, State, Postal Code

College 2 Course of Study

College 2 Last Year Completed 1 2 3 4

Did you graduate college 2? Yes No

College 2 Degree

Other School (please specify)

Other School Name

Other School Address

Other School City, State, Postal Code

Other School Course of Study

Other School Last Year Completed 1 2 3 4

Did you graduate the other school? Yes No

Other School Degree

Record of Employment

List below all present and past employement, beginning with your most recent.

May we contact your present employer? Yes No

Employer 1

Employer 1 Name

Employer 1 Address

Employer 1 City, State, and Postal Code

Employer 1 Telephone

Employer 1 From

Employer 1 To

Describe the work you did for employer 1

Employer 1 weekly starting salary

Employer 1 weekly last salary

Reason for leaving employer 1

Name of employee 1 supervisor

Employer 2

Employer 2 Name

Employer 2 Address

Employer 2 City, State, and Postal Code

Employer 2 Telephone

Employer 2 From

Employer 2 To

Describe the work you did for employer 2

Employer 2 weekly starting salary

Employer 2 weekly last salary

Reason for leaving employer 2

Name of employee 2 supervisor

Employer 3

Employer 3 Name

Employer 3 Address

Employer 3 City, State, and Postal Code

Employer 3 Telephone

Employer 3 From

Employer 3 To

Describe the work you did for employer 3

Employer 3 weekly starting salary

Employer 3 weekly last salary

Reason for leaving employer 3

Name of employee 3 supervisor

Employer 4

Employer 4 Name

Employer 4 Address

Employer 4 City, State, and Postal Code

Employer 4 Telephone

Employer 4 From

Employer 4 To

Describe the work you did for employer 4

Employer 4 weekly starting salary

Employer 4 weekly last salary

Reason for leaving employer 4

Name of employee 4 supervisor

Personal References

Not former employees or relatives

Reference 1

Reference 2

Reference 3

Reference 4

Reference 5

Reference 6

Reference 7

Reference 8

Reference 9

Reference 10

Reference 11

Reference 12

Friends who work for Sand Creek

Relatives who work for Sand Creek

Have you ever been convicted of a felony? Yes No

If yes, explain

Optional Information

Date of Birth

Sex Male Female

Enter the text in the box

Employment Application Submitted

Your application has been successfully submitted.

The information you submitted will be carefully reviewed and shared with the department Supervisor that best fits your experience, background, and qualifications.

If you are a favorable candidate that closely meets our needs, we will contact you personally to schedule an interview.

Your interest in Sand Creek Country Club as a potential employer is appreciated.