Nashua Country Club, Nashua, NH – Careers

What Position Are you Interested In? DO NOT PUT ANY!

Position (s) you're primarily interested in?:

Contact Information

First Name:

Last Name:

Address 1:

Address 2:

City:

State:

Zip Code:

Phone Number:

Email:

Personal Information

Are you legally eligible to work in the U.S.?:

YesNo

If hired, can you furnish proof?:

YesNo

Rate of pay expected (per hour, how many hours?):

Were you previously employed by us?:

YesNo

If so, when?:

If hired, what date can you start?:

What hours/days are you available?:

Armed Forces Information

Were you in the U.S. armed forces?:

No
Marines
Navy
Army
Coast Guard

Rank at discharge:

Emergency Contact Information

In Case of Emergency please contact:

Address, City, State and Phone Number:

References

Please give us a reference. (Name, address and phone number):

Please give us one more reference.:

Education

High School (Name/Location):

Did you graduate?:

YesNo

If not, do you have an equivalent diploma?:

YesNo

College/Graduate School (Name/Loc/From-To/Degree/GPA/):

Job Abilities

Other Training/Special Studies/Professional Licences/Registrations:

Please list your job skills and abilities:

Qualifications:

Do you have transportation?:

YesNo

Tell Us About Your Work History

Company Name/ Address/ Supervisor/ Job Title:

Telephone/Dates Employed/Reason for Leaving:

Company Name/ Address/ Supervisor/ Job Title:

Telephone/Dates Employed/Reason for Leaving:

Company Name/ Address/ Supervisor/ Job Title:

Telephone/Dates Employed/Reason for Leaving:

More Information

Have you ever been discharged or asked to resign?:

YesNo

If yes, explain in full:

Have you ever been convicted of or plead guilty/contest to/had adjudication witheld with a misdemeanor?:

YesNo

Are you on probation?:

YesNo

Criminal Charges Pending?:

YesNo

If yes to any of the three items above, explain in full:

I hereby certify that the facts set forth in the application are true and complete, and I agree that you may investigate my statements in order to verify and expand upon the information given. During the application process and at any time during the tenure of employment with Nashua Country Club, I hereby authorize the Club and Choice Point Work Place Solutions Inc., on behalf of Nashua Country Club, to procure information regarding general reputation, personal characteristics, or mode of living. This report may be compiled with information from court record repositories, departments of motor vehicles, past or present employers and education institutions, governmental occupational licensing or registration entities, business or personal references, and any other source required to verify information that I have voluntarily supplied. I understand that I may request a complete and accurate disclosure of the nature and scope of the background verification; to the extent such investigation includes information bearing on my character, general reputation, personal characteristics of mode of living. I understand that I fail to answer any question, or if I give misleading or incomplete answers to any questions, that alone is sufficient basis for a failure to hire me, or if I have been hired, that alone is sufficient for my immediate termination.

I further understand that this is an application for employment and that no employment contract is being offered. I agree and acknowledge that should I become employed by the Club my employment can be terminated, with or without cause or notice, at any time by myself or the Club. I have had a full opportunity to ask whatever questions I have about the above statement.

If you agree, please put your initials In the box below.:

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Is four > than one? (true/false)

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