NCR Country Club
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Application for Employment



APPLICATION OF EMPLOYMENT

NCR Country Club
4435 Dogwood Trail Dayton, Ohio 45249
Office: 937/299-3571   |   Fax: 937/643-6900 

NCR Country Club is an equal employment opportunity employer and does not discriminate against qualified applicants on the basis of race, color, creed, religion, ancestry, age, gender, gender identification, marital status, sexual orientation, national origin, disability, veteran status, or any other legally protected status.

* Denotes Required Field.  An automatic email replay will come when the application has successfully been submitted.

PERSONAL INFORMATION 
Name:*
Email:* 
Street Address:* 
City:* 
State:* 
Zip:* 
Home Phone:* 
Cell Phone:* 
  Are you under 18 years old?* 
If so, can you furnish a work permit if required?*
Have you ever been employed at NCR Country Club?*  If yes, when?
  Are you lawfully authorized to work in the United States?* 
 POSITION
 Please select the department you are applying for:*

 Food and Beverage Golf Department Turf Grass Department Office/Clerical Maintenance

Employment desired:*

 Full-Time Part-Time Seasonal

 
Available start date:*
Desired salary:*
EDUCATION
Starting with your most recent school attended, provide the following information.

 School       Address  # of Years Completed Degree Completed Major/Minor
EMPLOYMENT HISTORY
Starting with your most recent employer, provide the following information. You may want to include any verified work performed on a volunteer basis.  
EMPLOYER (1)
Employer:*


Phone number:* 
Address:* 
Supervisor name:*
  
Supervisor title:* 

Starting job title:* 

Final job title:*
     
Dates of Employment:*        
  
Starting pay rate:*
   
Ending pay rate:* 
  
             
May we contact your employer?*                                            

Summarize the type of work performed and job responsibilities:*
EMPLOYER (2)
Employer: 


Phone number: 
Address: 


Supervisor name:*
  
Supervisor title:* 
Starting job title:* 
Final job title:*
     
Dates of Employment:        
  
Starting pay rate:*
   
Ending pay rate:* 
  
             
May we contact your employer?                                         
Summarize the type of work performed and job responsibilities:
EMPLOYER (3)
Employer: 


Phone number: 
Address: 


Supervisor name:*
  
Supervisor title:* 
Starting job title:* 
Final job title:*
     
Dates of Employment:        
  
Starting pay rate:*
   
Ending pay rate:* 
  
May we contact your employer?                                             
Summarize the type of work performed and job responsibilities:
 SIGNATURE DISCLAIMER*
By submitting this application, I certify that my answers are true and complete to the best of my knowledge.   If this application leads to employment, I understand that false or misleading information in my application or interview may result in my employment being terminated. 
 Signature:*
Date:*