APPLICATION FOR EMPLOYMENT
Applicants for employment are considered without regard to race, color, religion, sex, marital status, national origin, age, disability, sexual orientation, veteran status or any other factor protected by law. It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.
Date of Application _____________________
Position (s) Applied For __________________________________________________________________
Referral Source: ______Internet ______Newspaper ______ Friend/Relative ______ Other
Name ________________________________________________________________________________
Current Address _______________________________________________________________________
Telephone ( ) _______________________ E-mail Address ___________________________________
Are You Under 18? _____ Yes _____ No Previously Applied @ CBC? _____ Yes _____ No
Are You a U.S. Citizen?____Yes____No (Proof of citizenship/immigration status is required upon hiring)
Employment Experience (list most recent first; include any verified work performed on a volunteer basis. You may exclude organizational names which indicate race, color, religion, sex, marital status, national origin, age, disability, sexual orientation or veteran status.)
Dates Name & Address of Employer Salary Position Reason Left
From
To __________________________________________________________________________________________
From
To __________________________________________________________________________________________
From
To __________________________________________________________________________________________
Special Skills & Qualifications ___________________________________________________________________
____________________________________________________________________________________________
List Certifications/Licenses _____________________________________________________________________
____________________________________________________________________________________________
Education
High School _______________________________________________________________________________
College __________________________________________________________________________________
Describe Course of Study _______________________________________________________________________
Describe Specialized Training, Apprenticeship or Extra-Curricular Activities _____________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
Exact Date of Availability for Work ___________________________________
Exact Date School/College Begins in Fall _______________________________
Dates Available For Personal Interview at CBC ______________________________________________________
It is my understanding that this employment application, or the granting of an oral interview, does not represent a contract of employment or a promise of future benefits by this organization. I understand that if hired my employment will be at-will in nature and may be terminated, with or without cause, at any time, either by myself or my employer. I also understand that this written statement supersedes any and all oral representations made by agents or representatives of this organization.
AGREEMENT: I certify that the information on this application is true, complete and correct. I authorize Chappaquiddick Beach Club, Inc. to investigate my past employment, education and activities and I release from liability all persons, companies and corporations supplying such information. I understand that false answers, statements or significant omissions made by me on this form shall be sufficient cause for denial of employment or discharge.
________________________________________________________
Signature and Date
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IN CASE OF EMERGENCY NOTIFY:
Name ______________________________________________________________________
Address ____________________________________________________________________
Telephone (Home) _________________________ (Work) ____________________________