Sunset Bay Beach Club & Cabana Sam’s Employment Application

Today’s Date:

Personal Information

Name (Last, First, MI)

Street address

City, State, Zip

Home phone number

Cell phone number

E-Mail Address (if you use it)

Social Security Number

Employment Desired

Position applied for

How did you hear about this position?

Date available for work

Desired hours (days, times, # of hrs, etc.)

Education

Name of School

Course of Study

Total Years

Degree/Diploma

High School

Undergraduate College

Graduate/ Professional

List any seminars, classes or other education not listed above which may help qualify you for this position:

Employment History

List below all present and past employers, starting with your most recent employer. Account for all periods of unemployment. May we contact your current employer? YES NO

Employer (current Yes No)

Start

Date

End

Date

Essential job functions of final position

Address

1.

City, State, Zip

Starting

Salary

Ending

Salary

2.

Phone number

3.

Supervisor(s)

Job Position (s)

4. Reason(s) for leaving

Employer

Start

Date

End

Date

Essential job functions of final position

Address

City, State, Zip

Starting

Salary

Ending

Salary

Phone number

Supervisor(s)

Job Position(s)

Reason(s) for leaving

Additional Information

Have you ever been employed with this company before?

o Yes

o No

If Yes, when?

Do you have any friends or relatives employed by this company?

o Yes

o No

If Yes, please provide their names and relationship to you:

Are you currently on “lay off” status and subject to recall?

o Yes

o No

If you are under 18 years of age, can you provide proof of your eligibility to work?

o Yes

o No

If hired, can you provide proof of U.S. citizenship or proof of your legal right to work in the U.S.?

o Yes

o No

Are you able to perform all of the essential functions of the job for which you are applying with or without reasonable accommodation?

o Yes

o No

If hired, are there any accommodations the company would need to provide so that you can perform all those essential functions and duties of the position being applied for?

o Yes

o No

If Yes, please explain:

If hired, do you have a reliable means of transportation to and from work?

o Yes

o No

Have you ever been convicted of a felony or misdemeanor?

o Yes

o No

If Yes, please explain:

References

List below two people not related to you who have knowledge of your work performance.

Name

Occupation

Company name

Address

Telephone

E-mail

Relationship & years acquainted

Name

Occupation

Company name

Address

Telephone

E-mail

Relationship & years acquainted

Please read each statement closely and initial each acknowledging your understanding

Equal Employment Opportunity Statement

_____

We are an Equal Opportunity Employer. All applicants are considered without regard to race, color, religion, disability, sex, national origin, age, or any other basis protected by federal, state, or local law. This employment application is only active for 30 days. After this time a separate employment application must be submitted in order to be considered for employment. This company is committed to the principles of equal employment opportunity and is committed to make employment decisions based on merit. The Company desires to maintain a work environment that is free of sexual harassment and discrimination due to race, religion, color, national origin, physical or mental disability, age or any other status protected by Federal, State or local laws. The Company will make reasonable efforts to accommodate those physical or mental limitations of an otherwise qualified employee unless undue hardship would result for the company.

Discrimination and Sexual Harassment Policy Statement

_____

This Company will not tolerate any form of unlawful discrimination, including sexual harassment. Any employee who engages in unlawful discrimination or sexual harassment will be subject to appropriate discipline, up to and including termination. Prohibited sexual harassment is defined as follows: Unwelcome sexual advances, requests for sexual favors and other verbal or physical conduct of a sexual nature constitutes sexual harassment when (1) submission to such conduct is made whether explicitly or implicitly a term or condition of an individual’s employment; (2) Submission to or action of such conduct by an individual is used as the basis for employment decisions affecting such individuals; or (3) Such conduct has the purpose or effect of unreasonably interfering with an individual’s work performance or creating an intimidating, hostile or offensive work environment.

Disclosure to Applicants Concerning Drug/Alcohol Use and Testing

_____

This company takes drug and alcohol abuse as a serious matter and will not tolerate it. The company absolutely prohibits the use, sale or solicitation of non-prescribed drugs at the work place or while on company premises. The company prohibits the use of alcohol by any employee while working or before scheduled to work. Employees under 21 are forbidden by law to use alcohol on company premises. The company also discourages non-work place drug and alcohol abuse. The use, sale or possession of alcohol or non-prescription drugs while on the job or on company property may result in immediate suspension or discharge.

The company also cautions against use of prescribed or over-the-counter medication which can affect your work place performance. You may be suspended or discharged if the company concludes that you cannot perform your job properly or safely because of using over-the-counter or prescribed medication. Please inform your supervisor prior to working under the influence of a prescribed or over-the-counter medication which may affect your performance.

Complete and Accurate Information

_____

I hereby certify that I have not knowingly withheld any information that might adversely affect my chances for employment and that the answers given by me are true and correct to the best of my knowledge. I further certify that I have personally completed this application. I understand that any omission or misstatement of material fact on this application, or any other document used to secure employment, shall be grounds for rejection of this application or for immediate discharge if I am employed, regardless of the time elapsed before discovery.

At-Will Employment

_____

I understand and agree that if I am employed, my employment will be “at-will”, which means that the Company may terminate the employment relationship at any time, with or without cause and with or without notice. Likewise, the Company will respect my right to terminate my employment at any time, with or without cause and with or without notice. I further understand that any prior representation, whether expressed or implied to the contrary is hereby superceded and that no promise or representation contrary to the foregoing is binding on the Company unless made in writing and signed by the Company’s president.

Testing Authorization

_____

If offered a position with the Company, I hereby agree to any legally permitted physical, psychological, skill, drug or medical test required by the Company as a condition of employment.

Investigation Authorization

_____

I authorize investigation into all statements and references contained in this application. Said investigation may include credit, driving, criminal background, references and other background checks. By applying for this job, I also authorize post-hire investigation into my credit, driving and criminal background.

Company Obligation

_____

I understand and agree that the Company’s acceptance of this job application does not mean that a position for which I am qualified is open (unless specifically posted) or that the company has agreed to hire me. I understand that the Company is under no obligation to hire me as the result of accepting this completed application.

I HAVE READ AND UNDERSTAND THE ABOVE POLICY STATEMENTS AND AGREE TO BE BOUND BY THEM IF EMPLOYED BY THE COMPANY.

Signature

Date