| Employment Application |
| First Name: |
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| Middle Name: |
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| Last Name: |
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| Address: |
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| City: |
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| State: |
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| Zip Code: |
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| Home Phone Number: |
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| Other Phone Number (mobile, work, etc.): |
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| E-mail Address: |
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| Can you provide a valid Social Security card? |
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| Can you provide a valid Driver's License? |
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| Last Grade Completed: |
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| School-related activities (sports, band, clubs, etc): |
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| How did you hear about this job? |
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| Seeking Full-Time or Part-Time Job? |
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| Can you work Saturdays & Sundays? |
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| Can you work week nights? |
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| Can you work after school? |
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| Any days you cannot work: |
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| Emergency Contact (name & relationship): |
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| Emergency Contact Home Phone: |
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| Emergency Contact Work Phone: |
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| Emergency Contact Other Phone (mobile, etc.): |
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| Last Employer: |
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| Dates Last Employed: |
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| Last Job Description: |
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| Reason for Leaving Last Job: |
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| Have you ever been convicted of a felony? |
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| Please provide 2 adult references who are not related to you that we may contact. |
| Reference Name: |
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| Reference Phone: |
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| Reference Name: |
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| Reference Phone: |
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By submitting this application, you certify the information in this application is accurate.
If hired, you understand incomplete or false information is grounds for termination.
You authorize Green Acres Golf and Games, Inc. to investigate my background
and you release them and any persons, schools, companies, or law enforcement
from any liability of claim for releasing all information concerning you background information.
You understand this application creates no contractual obligations on the part of Green Acres Golf and Games, Inc.,
or its employees, and that employment is "at will" and may be terminated at anytime by either party for any reason.
You agree to abide by all policies and practices of Green Acres Golf and Games, Inc. if hired.
You grant Green Acres Golf and Games, Inc. the right to photograph and use my likeness for advertising or publicity purposes.
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Please allow a few moments for this application to be submitted (do not click the "submit" button more than once).
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