Pre-Employment Application

The Verrado Golf Club (the "Company") is an equal opportunity employer and will consider all applicants for all positions equally without regard to their race, sex, age, color, religion, national origin, disability, military status, genetic information or any other status protected by law or regulation. It is our intention that all qualified applicants be given equal opportunity and that selection decisions are based on job-related factors.

This application will be given every consideration, but its receipt by the Company does not imply that the applicant will be employed. Each question should be answered in a complete and accurate manner, as no action can be taken on this application until all questions have been answered.

Name*
Address*
How did you hear about Verrado's employment opportunities?*
Were you referred by a current Verrado Golf Club employee?*
Are you 18 years or older?*
Are you a citizen of the U.S. or do you have the legal right to be employed in the U.S.?*
Have you ever been convicted of a felony, including DWI/DUI in the last 10 years?*
NOTE: A conviction will not necessarily disqualify you from employment.
Do you engage in the illegal use of drugs?*
Are you willing to be tested for illegal use of drugs?*
Do you have any obligations or conditions, which would limit your ability to work overtime?*
Are you seeking:
Date available to start work
Are you now or do you expect to be engaged in any other business or employment?
Please specify the days you would be available to work
Have you ever been employed by us before?*
Do you have any relatives currently in our employment?*
Have you ever filed an application here before?
Have you ever been discharged by an employer?

Employer #1

List names of employers in consecutive order with present or last employer listed first. Account for all periods of time including military service and any periods of unemployment. If self-employed, give firm name and supply business references. Please complete even if you are including a resume.

Start Date
End Date
May we contact this employer?

Employer #2

Start Date
End Date
May we contact this employer?

Employer #3

Start Date
End Date
May we contact this employer?

Education

Years Completed
Graduated
Years Completed
Graduated
Years Completed
Graduated
Are you planning to pursue further studies?

Military

Have you ever served in the military?
Date Entered
Date Separated
Are you a member of a reserve organization?

Special Skills

Operate power tools?
Operate machinery?

Capabilities / Reliability / Medical Examination

You may be required to pass a physical exam and drug screen as a condition of employment with Verrado.


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

Personal Reference #1

Name
Address

Personal Reference #2

Name
Address

Personal Reference #3

Name
Address

Affidavit

Affidavit*
Please type your full name, indicating that you agree to the above Affidavit.
Date*