EMPLOYMENT APPLICATION Fields marked with (R) are required.
NAME: (R) STREET: (R) CITY: (R) STATE: (R) ZIP CODE: (R) TELEPHONE NUMBER: (R) EMAIL: (R)
EMPLOYMENT DESIRED DEPARTMENT: Golf Course Services Golf Course Maintenance Restaurant Support Staff POSITION APPLYING FOR: (R) HAVE YOU EVER WORKED FOR HGC? Yes No HAVE ANY RELATIVES WORKED FOR HGC? Yes No IF YES, WHAT IS HIS/HER NAME?
MILITARY SERVICE HAVE YOU EVER SERVED IN THE U.S. ARMED SERVICES? Yes No BRANCH OF SERVICE: INITIAL RANK: FINAL RANK: SPECIAL TRAINING:
HEALTH RECORD DO YOU HAVE ANY PHYSICAL OR MENTAL DISABILITIES WHICH PREVENT YOU FROM PERFORMING CERTAIN KINDS OF WORK? Yes No IF YES, DESCRIBE DISABILITY AND SPECIFIC WORK LIMITATIONS: HAVE YOU EVER RECEIVED WORKER'S COMPENSATION FOR AN INDUSTRIAL ILLNESS/INJURY? Yes No IF YES, WHAT TYPE OF INJURY?
EDUCATION: HIGH SCHOOL NAME: (R) ATTENDED: 1 2 3 4 year(s), From (R) To (R) DID YOU GRADUATE? Yes No (R) COLLEGE NAME: ATTENDED: 0 1 2 3 4 5 6 year(s), From To COURSE OF STUDY: DID YOU GRADUATE? Yes No LIST DIPLOMA OR DEGREE:
EMPLOYMENT: ARE YOU CURRENTLY EMPLOYED: Yes No (R) CURRENT EMPLOYER: STREET: CITY: STATE: ZIP CODE: TELEPHONE NUMBER: HOW LONG? Year(s) Month(s) FROM: TO: PREVIOUS EMPLOYER: STREET: CITY: STATE: ZIP CODE: TELEPHONE NUMBER: HOW LONG? Year(s) Month(s) FROM: TO: PREVIOUS EMPLOYER: STREET: CITY: STATE: ZIP CODE: TELEPHONE NUMBER: HOW LONG? Year(s) Month(s) FROM: TO:
Huntsville Golf Club 30 Hayfield Road Shavertown, PA 18708-9478 Email: info@golf-huntsville.com Phone: 570-674-6531 Fax: 570-674-9954 The Huntsville Golf Club logo is a Trademark of Huntsville Golf Club. Copyright © 2001 All Rights Reserved.