Canterbury Golf Club Job Application

Contact Information

First Name

Last Name

Address 1

Address 2

Address 3

City

State

Postal Code

Home Phone

Work Phone

Email Address

Applicant Information

Start Date

Position Applied For

Are you a citizen of the United States of America?

yes

no

If no, are you authorized to work in the U.S.?

yes

no

Have you ever worked for Canterbury Golf Club?

yes

no

If yes, when

Have you ever been convicted of a felony?

yes

no

If yes, explain

Education

High School

Start

End

Did you Graduate

College

Start Date

End Date

Did you Graduate?

Diploma/Degree

Other

Start Date

End Date

Did you Graduate

Diploma/Degree

References

Please list three professional references:

Reference 1

Name

Relationship

Company

Phone Number

Address

Reference 2

Name

Relationship

Company

Phone Number

Address

Reference 3

Name

Relationship

Company

Phone Number

Address

Previous Employment

Company

Address

Job Title

Responsibilities

Start Date

End Date

Reason for Leaving

Supervisor Name

Phone Number

May we contact your supervisor for a reference?

yes

no

Company

Address

Job Title

Responsibilities

Start Date

End Date

Reason for Leaving

Supervisor Name

Phone Number

May we contact your supervisor for a reference?

yes

no

Military Service

Branch

Start Date

End

Rank at Discharge

Type of Discharge

If other than honorable, please explain

Disclaimer & Signature

By checking this box I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release

Please type your Initials

Date