Employment Application Form

We consider applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, or any other legally protected status.

*Once you have completed your answers, be sure to click the “Submit Employment Application” button.

Today's Date*

First Name*	Last Name*
Phone*	Email*
ADDRESS
Street Address/ City / State / Zip*

POSITION INFORMATION

Please indicate the department(s) that you are interested in working in.

Administration
Golf Shop
Golf Course Maintenance
Kitchen
Food and Beverage Service
Pool
Clubhouse Maintenance

You may also specify what position you desire.

Examples: Server, Bartender, Cook, Lifeguard, Grounds Crew, etc.

Select Days of Week Available (select all that apply)

(Morning)
Sunday AM
Monday AM
Tuesday AM
Wednesday AM
Thursday AM
Friday AM
Saturday AM

(Evening)
Sunday PM
Monday PM
Tuesday PM
Wednesday PM
Thursday PM
Friday PM
Saturday PM

Are you interested in Full-Time, Part-Time, or Seasonal work?

Full-Time Part-Time Seasonal

Date available to work?*

Have you ever worked for our company before? If so, please indicate dates.

Yes No

Do you have any friends or family who are employed at Long Beach?

Yes No If Yes - Please fill in names below:

Are you under 18 years of age?
Yes No

Are you authorized to work in the United States?
Yes No

Do you have reliable transportation to and from work?
Yes No

RECORD OF PREVIOUS EMPLOYMENT
Please list the names of your present and/or previous employers in chronological order with present or last employer listed first.

EMPLOYER #1

Name of Employer & Job Title

Employer Address

Describe work performed and scope of responsibilities

Dates Employed
(Month/Year)

EMPLOYER #2

Name of Employer & Job Title

Employer Address

Describe work performed and scope of responsibilities

Dates Employed
(Month/Year)

EMPLOYER #3

Name of Employer & Job Title

Employer Address

Describe work performed and scope of responsibilities

Dates Employed
(Month/Year)

EDUCATION

High School

Name

Did you graduate?
Yes No

College

Name

Major

Did you graduate?
Yes No

Degree Awarded

REFERENCES

Provide the names and contact information for two professional or equivalent references whom you have known for at least three years and are familiar with your work performance. References should not include immediate or extended family. Equivalent references can include academic references, such as professors, mentors, counselors, or advisors.

Reference #1* (Name, Contact Information, Relationship)

Reference #2* (Name, Contact Information, Relationship)

OTHER QUALIFICATIONS

Why do you want to work at Long Beach Country Club?

State any additional information you feel may be helpful to us in considering your application.

PLEASE READ AND SIGN BEFORE SUBMITTING:

AT-WILL EMPLOYMENT: The relationship between you and the Long Beach Country Club is referred to as "employment at will." This means that your employment can be terminated at any time for any reason, with or without cause, with or without notice, by you or the Long Beach Country Club. No representative of Long Beach Country Club has authority to enter into any agreement contrary to the foregoing "employment at will" relationship. You understand that your employment is "at will," and that you acknowledge that no oral or written statements or representations regarding your employment can alter your at-will employment status, except for a written statement signed by you and either our Executive Vice-President/Chief Operations Officer or the Company's President.

Signature*:

RECORD OF PREVIOUS EMPLOYMENT Please list the names of your present and/or previous employers in chronological order with present or last employer listed first.

EDUCATION

REFERENCES

RECORD OF PREVIOUS EMPLOYMENT
Please list the names of your present and/or previous employers in chronological order with present or last employer listed first.