image image
Position(s) Applied For: Last Name: First Name: MI: Address: City: State: Home Phone: Cell Phone: Email: If under 18, can you provide a work permit? (Type Yes or No) Have you ever filed an application here before? (Type Yes or No) If yes, give date Have you ever been employed here before? (Type Yes or No) If yes, give date General Information Are you currently employed? (Type Yes or No) If yes, may we contact your present employer? (Type Yes or No) Are you a US citizen? (Type Yes or No) If no, do you have a valid work permit? (Type Yes or No) (Proof of citizenship or immigration status may be required upon employment) Employment Desired: What days and hours would you be available? Convictions In the past five years, have you been convicted
of a misdemeanor? (Type Yes or No) If yes, please explain. In the past five years, have you been convicted
of a felony? (Type Yes or No) If yes, please explain. Education Type of School-------------Name of School---------------Location-----------Yrs completed--------Major / Degree High School College Graduate School Professional School Other special honors & skills: Work Experience Please list your work experience beginning with your MOST RECENT job. If you were self employed, give firm name. Employer Name: Job Title: Most Recent Employer Dates Employed From / To: Superviser: Employer Address: Phone Number: Reason for Leaving: Work Performed: Employer Name: Dates Employed From / To: Superviser: Employer Address: Job Title: Phone Number: Reason for Leaving: Work Performed: Next Previous Employer Employer Name: Dates Employed From / To: Superviser: Employer Address: Job Title: Phone Number: Reason for Leaving: Work Performed: Next Previous Employer Please list two work-related references other than relatives Name: Email: Position: Company: Address: Telephone: Name: Email: Position: Company: Telephone: Address: ............................................. Briefly tell us why you would be a valuable asset to Hackers Golf Park:

AT-WILL EMPLOYMENT

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 and agree that, if hired, my employment will be at-will in nature and may be terminated, with or without cause, at any time, by either 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.

CERTIFICATION OF TRUTH AND ACCURACY

I certify that the information in this application is true, complete and correct. 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.

NOTIFICATION AND AUTHORIZATION TO REQUIRE A MEDICAL EXAMINATION

I hereby certify that, if hired, I will disclose any limitations I have that may impact my ability to do the job. I understand that I may also be required to undergo a pre-employment or post-employment medical exam by Hackers Golf Park designated health practitioner.

NOTIFICATION AND AUTHORIZATION TO CONDUCT BACKGROUND INVESTIGATION

I understand that I may be subject to a background check, and hereby authorize Hackers Golf Park to investigate my background to determine any and all information of concern as to my record, whether same is of record or not, and I release employers and persons named in my application from all liability for any damages on account of his/her furnishing said information.

Additionally, you are hereby authorized to make any investigation of my personal history, educational background, military record, motor vehicle records, criminal records and credit history through an investigative or credit agency or bureau of your choice. I authorize the release of this information by the appropriate agencies to the investigating service. This authorization, in original or copy form, shall be valid for this and for any future reports and updates that may be required.

I understand that passing the background check is a condition of employment. A negative background check can be grounds for dismissal, even if an offer has been made to me and I have been hired.

ACCOMODATIONS FOR APPLICANTS WITH DISABILITIES

Do you require special examination accommodations because of a disability? If so, please check the box below asking us to call. PRIOR ARRANGEMENTS ARE NECESSARY. Not that in order to receive accommodations for testing or interview you must (1) Tell us that you need an examination accommodation PRIOR to the test or interview. (2) Have the accommodation authorized BEFORE being tested or interviewed and (3) Provide documentation to show the need for the accommodation (if requested by Hackers Golf Park). Your Full Legal Name. This will serve as your digital signature: Check here ONLY if we should call you to discuss special accommodations Today's Date: Resume' Upload (Optional):

Staff Login



Design by Plantation Media of Statesboro.