Exmoor Country Club is an Equal Opportunity Employer, not discriminating in any of its policies or practices because of an individual’s race, religion, nationality, gender, age, citizenship status, sexual orientation, veteran status, disability, or medical condition. We truly value the quality and dimension that diversity brings to the workplace and to our members’ experience.

APPLICATION FOR EMPLOYMENT (Please print clearly)

Please complete the personal information requested in the space below.

Last Name: First Name: / Date of Completion:
Street Address: / Home Phone:
City/Sate/Zip: / Cell Phone:
E-mail address:
Position(s) of Interest:
Salary Requirements:
Availability to Begin:
Are you legally eligible for employment in the United States?
How did you learn of opportunities at Exmoor?

Required Information:

  1. If the job you are applying for at Exmoor will require you to drive a Club vehicle:

Do you have a valid driver’s license? _____ YES ____NO

Issuing state:______Driver’s License#______

  1. Are you able to perform the essential functions of the job for which you are applying, either with or without accommodation? _____ YES _____NO

Please describe the necessary accommodation you need to perform the job:______

______

  1. You are not required to disclose convictions that have been sealed, expunged or statutorily eradicated. A conviction record will not necessarily bar you from employment as the circumstances of the crime will be taken into consideration. Applicants will not be denied employment because of a conviction record unless there is a relationship between the offense and the job, or unless hiring would be an unreasonable risk to the organization. No criminal background check will be conducted until an offer of employment is extended and accepted (revised 1-1-2015).

Please list your educational achievements in the spaces below. If you possess hospitality industry certificates, please include those in the “Other” area.

Education Level / School Name / Location / Major Study Area / Degree or Diploma
High School
College
Graduate
Trade/Technical
Other

Please include below all of your prior employment experience of the past 15 years, starting with your present or most recent employment and follow in reverse sequence, accounting for any gaps in employment.

Company Name: / Phone:
( )
Work Location Address:
Position/Title Held: / From: MO______YR ______
To: MO______YR ______
Briefly Describe Work Performed: / Salary-Circle: Annual Hourly
Starting: ______
Current/Last______
Name of Manager/Supervisor:
Title of Manager/Supervisor: / Reason for Leaving:

Please include below all of your prior employment experience of the past 15 years, starting with your present or most recent employment and follow in reverse sequence, accounting for any gaps in employment.

Company Name: / Phone:
( )
Work Location Address:
Position/Title Held: / From: MO______YR ______
To: MO______YR ______
Briefly Describe Work Performed: / Salary-Circle: Annual Hourly
Starting: ______
Current/Last______
Name of Manager/Supervisor:
Title of Manager/Supervisor: / Reason for Leaving:
Company Name: / Phone:
( )
Work Location Address:
Position/Title Held: / From: MO______YR ______
To: MO______YR ______
Briefly Describe Work Performed: / Salary-Circle: Annual Hourly
Starting: ______
Current/Last______
Name of Manager/Supervisor:
Title of Manager/Supervisor: / Reason for Leaving:
Company Name: / Phone:
( )
Work Location Address:
Position/Title Held: / From: MO______YR ______
To: MO______YR ______
Briefly Describe Work Performed: / Salary-Circle: Annual Hourly
Starting: ______
Current/Last______
Name of Manager/Supervisor:
Title of Manager/Supervisor: / Reason for Leaving:

Please include three professional or employment references from your past work experience that would be helpful to Exmoor in learning more about your skills, knowledge and abilities to perform the work of the position for which you are applying.

Name of Person to Contact: / Phone Number:
Name of Company: / E-Mail Address:
Title or Position: / Years Known:
Work Relationship to You: / Best Time to Call:
Name of Person to Contact: / Phone Number:
Name of Company: / E-Mail Address:
Title or Position: / Years Known:
Work Relationship to You: / Best Time to Call:
Name of Person to Contact: / Phone Number:
Name of Company: / E-Mail Address:
Title or Position: / Years Known:
Work Relationship to You: / Best Time to Call:

Please know that the information you have provided to Exmoor with this application will be held in strict confidence. Even if not hired, we will maintain your application for 90 days after your signature date below. With this application and your signature, you confirm that all of the information provided in this application is true and verifiable, and that if hired and any information is found to be otherwise, it may result in an immediate dismissal.

Your offer of employment with Exmoor is also dependent on the negative results of a drug screen, satisfactory results of a criminal background check, references verification,and verification of any other information provided in this application.

Please sign, print your name and date the application where indicated below.

I understand that employment with Exmoor by no means creates an obligation or contract of employment on the part of Exmoor Country Club. I also understand this is an employment at will relationship, and either I or Exmoor may terminate my employment at any time.

Signature of Applicant:______

Printed name of Applicant:______

Date Applicant Signed:______

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