Employment Form - Vero Beach Country Club

Date of Application:

* Position applied for:

Course:

Golf Operations:

Kitchen:

Dining:

Bar:

Maintenance:

Admin:

Availabilty:

Full Time

Part-Time/On-Call

* First Name:

* Last Name:

Street Address:

City:

State:

Zip:

Telephone:

Email:

Have you ever been employed at VBCC before?

Yes

No

If yes, list dates, department and manager

Are you under 18 years of age?
(If yes, you may be required to provide a work permit)

Yes

No

Do you have a legal right to work in the U.S.?
(Proof required upon hire)

Yes

No

Have you been convicted of a crime in the last seven (7) years?

Yes

No

General Information

When are you available to work?
(Mark all that apply)

Who referred you?

Friends/relatives employed by VBCC:

Are you currently employed?

Yes

No

When would you be able to start?

Employment History (List most recent employment first)

Company Name:

Dates Worked:

Address, City, State, Zip:

Phone:

Type of Business:

Duties/Responsibilities:

Positions held:

Name of Supervisor:

Reason for Leaving:

Income:

Starting Wage per hr/year:

Ending/Current Wage per hr/yr:

Work Hours:

Employment History

Company Name:

Dates Worked:

Address, City, State, Zip:

Phone:

Type of Business:

Duties/Responsibilities:

Positions held:

Name of Supervisor:

Reason for Leaving:

Income:

Starting Wage per hr/year:

Ending/Current Wage per hr/yr:

Work Hours:

Employment History

Company Name:

Dates Worked:

Address, City, State, Zip:

Phone:

Type of Business:

Duties/Responsibilities:

Positions held:

Name of Supervisor:

Reason for Leaving:

Income:

Starting Wage per hr/year:

Ending/Current Wage per hr/yr:

Work Hours:

Employment History

Company Name:

Dates Worked:

Address, City, State, Zip:

Phone:

Type of Business:

Duties/Responsibilities:

Positions held:

Name of Supervisor:

Reason for Leaving:

Income:

Starting Wage per hr/year:

Ending/Current Wage per hr/yr:

Work Hours:

High School Educational Background

Name:

Location:

Years Completed:

Did you graduate?:

Yes

No

Course of study:

College Educational Background

Name:

Location:

Years Completed:

Did you graduate?:

Yes

No

Course of study:

Other Educational Background

Name:

Location:

Years Completed:

Did you graduate?:

Yes

No

Course of study:

Skills and Qualifications

Summarize any training, skills, licenses, and/or certifications that may qualify you as being able to perform job-related functions in the position for which you are applying:

References (List business persons known, but not related to you, other than listed above)

Name:

Years Known:

Relationship and Title:

Company:

Home Phone:

Work Phone:

Work Address:

City:

State:

References

Name:

Years Known:

Company:

Relationship and Title:

Home Phone:

Work Phone:

Work Address:

City:

State:

* Denotes Required Field