Cog Hill Golf and Country Club

Date (MM/DD/YY)(*)

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Full Name (Last, First Middle)(*)

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Street Address(*)

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Apt/Unit

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City, State Zip Code(*)

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Main Phone Number(*)

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Email Address(*)

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Desired Work Status(*)

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Have you worked for this company before?(*)

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If yes, please include dates and position

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Are you 18? (For service related position)(*)

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If no, age

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Are you 21? (For service related position)(*)

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Cog Hill is an Equal Opportunity Employer

Education/Skills

High School (Name/Location)(*)

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Number of years attended(*)

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Did you graduate?(*)

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College (Name/Location)

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Major Course of Study

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Graduate (Name/Location)

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Employment Experience

Are you currently employed?(*)

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May we contact your current employer for a reference check?(*)

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LIST YOUR THREE PREVIOUS EMPLOYERS (most recent first). Please account for all time periods including unemployment, self employment and military service. This section must be completed in full in addition to any attached resume.

Present or Last Employer #1(*)

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Street Address(*)

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City, State Zip Code(*)

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Main Phone Number(*)

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Your Title or Position(*)

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Name and Title of Supervisor (*)

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Employed from (MM/YY) to (MM/YY)(*)

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Present or Last Employer #2

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Street Address

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City, State Zip Code

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Main Phone Number

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Your Title or Position

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Name and Title of Supervisor

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Employed from (MM/YY) to (MM/YY)

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Present or Last Employer #3

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Street Address

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City, State Zip Code

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Main Phone Number

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Your Title or Position

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Name and Title of Supervisor

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Employed from (MM/YY) to (MM/YY)

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Cog Hill is an Equal Opportunity Employer

Personal References

Please list persons who know you well, not former employers or relatives.

Reference Name #1(*)

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Occupation(*)

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Telephone #(*)

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Number of years you have known reference?(*)

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Reference Name #2(*)

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Occupation(*)

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Telephone #(*)

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Number of years you have known reference?(*)

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Reference Name #3(*)

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Occupation(*)

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Telephone #(*)

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Number of years you have known reference?(*)

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Please indicate any actual experience, special training and qualifications you have which are relevant to the position(s) for which you are applying(*)

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When can you start?(*)

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Total hours available per week(*)

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For seasonal employees only: Do you have any comittments that would require you to request time off for more than 3 days?

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If yes, please explain

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I CERTIFY THAT ALL OF THE INFORMATION I PROVIDED ON THIS APPLICATION IS TRUE AND ACCURATE. I ATTEST WITH MY INITIALS BELOW I ACKNOWLEDGE THAT I HAVE READ, UNDERSTOOD AND AGREE TO THE ABOVE STATEMENTS.

Initials(*)

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Date (MM/DD/YY)(*)

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Cog Hill is an Equal Opportunity Employer

APPLICANT'S STATEMENT AND AGREEMENT

Cog Hill Golf & Country Club provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for Cog Hill Golf & Country Club to hire me. If I am hired, I understand that either Cog Hill Golf & Country Club or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of Cog Hill Golf & Country Club has the authority to make any assurance to the contrary. I attest with my initials below that I have given to Cog Hill Golf & Country Club true and complete information on this application. No requested information has been concealed. I authorize Cog Hill Golf & Country Club to contact references provided for employment reference checks. If any information I have provided is untrue, or if I have concealed material information, I understand that this will constitute cause for the denial of employment or immediate dismissal.

BY INITIALING BELOW I ACKNOWLEDGE THAT I HAVE READ, UNDERSTOOD, AND AGREE TO THE ABOVE STATEMENTS.

Initials(*)

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Date (MM/DD/YY)(*)

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If you would like to upload any supplemental documents (ie resume), please do so here

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Cog Hill is an Equal Opportunity Employer

Cog Hill - Application for Employment

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