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Desired Position: *
Desired Start Date: *
First Name: *
Last Name: *
Email: *
Phone: *
Address 1:
Address 2:
Address 3:
City:
State:
Postal Code:
Type of Employment Desired: Full Time Part Time Seasonal
Are you willing to work overtime? Yes No
Are you willing to work weekends? Yes No
Full Time Salary Required:
Part Time Salary Required:
Seasonal Salary Required:
High School Name:
High School Status: Still in School Graduated Did Not Graduate
Trade School Name:
Trade School Status: Still in School Graduated Did Not Graduate
Diploma, Degree, Course of Study:
College Name:
College Status: Still in School Graduated Did Not Graduate
Other Pertinent Information:
Have you ever worked for Willowbend Country Club? Yes No
If yes, when?
What department?
Reason for Leaving:
Most Recent Employer's Name:
From (Month/Year):
To (Month/Year):
Position/Title:
Hours Worked Per Week:
Supervisor's Name:
Supervisor's Phone #:
Type of Business:
Description of Duties:
(2) Employer:
Additional Comments
