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Employment Application

Applications are considered for all positions without regard to race, sex, national origin, age, marital or veteran status, or the presence of a non-job related medical condition or handicap.

Name _____________________________________    Date ______________________

Address ____________________________________   Phone _____________________

City/State/Zip _______________________________   Social Security # _____________

Position Desired __________________________________________

Apart from religious observance, are you available for full-time work?

_______ Yes  ________ No   If not, what hours can you work? ____________________

When will you be available to begin work? _____________________________________

This position involves bending, twisting and lifting; do we need to make any accommodation for you? ________ Yes  _________ No

Are you legally eligible for employment in the United States? ______________________

Other special training or skills (languages, machine operation, licenses, etc.) ________________________________________________________________________

 

Education

 

 

 

School

 

Name of Institution

 

Course of Study

Number of Years Completed

 

Did you Graduate?

 

 

Degree

 

Graduate

 

 

 

 

 

 

College

 

 

 

 

 

 

Business/Trade

 

 

 

 

 

 

High School

 

 

 

 

 

 

Elementary

 

 

 

 

 

 

 

Employment History

 

Company Name:

 

 

Telephone:

Address:

 

 

Employed (month/year)

From:                To:

Job Title and brief description of duties:

 

 

 

Reason for Leaving:

Name of Supervisor:

Weekly Pay

Start:                  Last:

 

 

Company Name:

 

 

Telephone:

Address:

 

 

Employed (month/year)

From:                  To:

Job Title and brief description of duties:

 

 

 

Reason for Leaving:

Name of Supervisor:

Weekly Pay

Start:                   Last:

 

I Certify that the answers given herein are true and complete to the best of my knowledge.  I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.  I understand that this application is not, and is not intended to be a contract of employment.  In the event of employment, I understand that false or misleading information given in my application or interview may result in termination. 

Signed __________________________________________  Date __________________


Complete and mail to:

Legacy Golf
Attn: Greg Paine

1515 Shumway Avenue
Faribault, MN 55021

 
 
 

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