Sunset Bay Beach Club & Cabana Sam’s Employment Application
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Today’s Date:
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Personal Information
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Name
(Last, First, MI)
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Street
address
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City,
State, Zip
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Home
phone number
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Cell
phone number
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E-Mail
Address (if
you use it)
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Social
Security Number
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Employment Desired
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Position applied for
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How
did you hear about this position?
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Date
available for work
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Desired
hours (days,
times, # of hrs, etc.)
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Education
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Name
of School
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Course
of Study
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Total
Years
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Degree/Diploma
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High School
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Undergraduate College
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Graduate/ Professional
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List
any seminars, classes or other education not listed above which may help
qualify you for this position:
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Employment History
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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
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1.
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Employer (current Yes No)
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Start
Date
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End
Date
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Essential job
functions of final position
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Address
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1.
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City,
State, Zip
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Starting
Salary
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Ending
Salary
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2.
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Phone
number
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3.
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Supervisor(s)
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Job
Position (s)
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4.
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Reason(s) for leaving
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2.
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Employer
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Start
Date
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End
Date
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Essential job
functions of final position
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Address
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1.
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City, State, Zip
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Starting
Salary
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Ending
Salary
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2.
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Phone number
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3.
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Supervisor(s)
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Job Position(s)
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4.
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Reason(s) for leaving
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Additional Information
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Have
you ever been employed with this company before?
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o Yes
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o No
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If Yes, when?
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Do
you have any friends or relatives employed by this company?
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o Yes
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o No
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If
Yes, please provide their names and relationship to you:
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Are you currently on “lay off” status and subject to recall?
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o Yes
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o No
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If
you are under 18 years of age, can you provide proof of your eligibility to
work?
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o Yes
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o No
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If
hired, can you provide proof of U.S. citizenship or proof of your legal right
to work in the U.S.?
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o Yes
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o No
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Are
you able to perform all of the essential functions of the job for which you
are applying with or without reasonable accommodation?
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o Yes
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o No
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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?
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o Yes
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o No
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If
Yes, please explain:
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If
hired, do you have a reliable means of transportation to and from work?
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o Yes
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o No
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Have
you ever been convicted of a felony or misdemeanor?
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o Yes
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o No
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If
Yes, please explain:
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References
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List
below two people not related to you who have knowledge of your work
performance.
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Name
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Occupation
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Company
name
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Address
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Telephone
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E-mail
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Relationship & years acquainted
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Name
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Occupation
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Company
name
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Address
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Telephone
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E-mail
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Relationship & years acquainted
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Please
read each statement closely and initial each acknowledging your understanding
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Equal Employment Opportunity Statement
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_____
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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.
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Discrimination and Sexual Harassment Policy
Statement
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_____
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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.
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Disclosure to Applicants Concerning
Drug/Alcohol Use and Testing
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_____
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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.
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Complete
and Accurate Information
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_____
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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.
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At-Will
Employment
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_____
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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.
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Testing
Authorization
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_____
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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.
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Investigation
Authorization
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_____
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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.
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Company
Obligation
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_____
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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.
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I HAVE READ AND
UNDERSTAND THE ABOVE POLICY STATEMENTS AND AGREE TO BE BOUND BY THEM IF
EMPLOYED BY THE COMPANY.
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Signature
|
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Date
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For Personnel Department Use Only
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1.
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Application
reviewed on
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by
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2.
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Action
Taken/Date
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3.
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Additional
Information
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