Applicant Note: This application form is intended for use in evaluating your qualifications for employment. This is not an employment contract. Please answer all appropriate questions completely and accurately. False or misleading statements during the interview and on this form are grounds for terminating the application process or, if discovered after employment, terminating employment. A conviction will not necessarily bar an applicant from employment. Additional testing of job-related skills and for the presence of drugs in your body will be required prior to employment.
Note: Do not fill out any part of this section you believe to be non-job-related.
Conviction will not necessarily be a bar to employment. In accordance with the company policy and applicable state and federal laws, factors such as age at time of the offense, remoteness of the offense, time since last conviction, nature of the job sought, and rehabilitation effort will be reviewed. Please attach a copy of the disposition of the incident.
Note: Your application will not be considered unless every question in this section is answered, since we will make every effort to contact your previous employers
Include only individuals familiar with your work ability. Do not include relatives
Note: Do not fill out any part of this section you believe to be non-job-related
I certify that I have read and understand the applicant note on page one of this form and that the answers given by me to the foregoing questions and statements made by me are complete and true to the best of my knowledge and belief. I understand that any false information, omissions, or misrepresentations of facts called for in this application, whether on this document or not, may result in rejection of my application or discharge at any time during my employment. I authorize the company and/or its agents, including consumer reporting bureaus, to verify any of this information. I authorize all former employers, persons, schools, companies, and law enforcement authorities from any liability for any damage whatsoever for issuing this information. I also understand the use of illegal drugs is prohibited during employment. If company policy requires, I am willing to submit to drug testing to detect the use of illegal drugs prior to and during employment.
I. In connection with my application for employment, I understand that an investigative consumer report may be requested that will include information as to my character, general reputation, personal characteristics, work habits, performance, and experience, along with any reason for termination of past employment. This information may be obtained by contacting my previous employers or references supplied by me. I understand that as directed by company policy and consistent with the job described, you may be requesting information from public and private sources about my worker’s compensation injuries, driving record, court record, education, and credentials. I also understand that I have the right to request, in writing within a reasonable time, a complete and accurate disclosure of the nature and scope of the information you are requesting. Such disclosure will be made to me within 5 days of the date you receive the request from me or within 5 days of the time the report was first requested. The Fair Credit Reporting Act gives me specific rights in dealing with consumer reporting agencies; upon my request, this will be given to me. By my signature below, I authorize you to obtain the information listed above in order to consider me for employment. If company policy requires, I am willing to submit to drug testing to detect the use of illegal drugs prior to and during employment.
II. Medical and workers’ compensation information will only be requested in compliance with the Federal Americans with Disabilities Act (ADA) and/or any other applicable state laws. According to the Fair Credit Reporting Act, I am entitled to know if employment is denied because of the information obtained by my prospective employer from a consumer reporting agency. If so, I will be notified and given the name and address of the agency or the source which provided the information.
III. I acknowledge that a telephonic facsimile (Fax) or photographic copy shall be as valid as the original. This release is valid for most federal, state, and county agencies.
IV. I hereby authorize, with reservation, any law enforcement agency, institution, information service bureau, school employer, reference, insurance company contacted by Whispering Pines Golf Club or its agent, to furnish the information described in Section I.
The following information is required by law enforcement agencies and other entities for positive identification purposes when checking public records. It is confidential and will not be used for any other purposes. I hereby release the employer and agents and all persons, agencies, and entities providing information or reports about me from any and all liability arising out of the requests for or release of any of the above mentioned information or reports.
The following states require sex and race to obtain information: AL, AR, FL, GA, IL, IN, MI, OR, TX, WI
