Job Application for Employment

The Colonial Club is an equal opportunity and affirmative action employer that does not discriminate in employment and ensures equal employment opportunity for all persons regardless of their race, color, religion, sex, sexual orientation, gender identity, national origin, or status as a qualified individual with a disability or Vietnam era or other protected veteran. The Colonial Club’s policy applies to all terms and conditions of employment. To achieve our goal of equal opportunity, we maintain an affirmative action program through which we take good faith efforts to recruit, hire and advance in employment qualified minorities, women, persons with disabilities, Vietnam era veterans, and other protected veterans.

Application Date *
Application Date
PERSONAL INFORMATION
Name *
Name
Present Address *
Present Address
Permanent Address (if different from above)
Permanent Address (if different from above)
Phone *
Phone
Cell
Cell
Have you ever been convicted of any violations of the law or are subject pending charges? *
(IN ACCORDANCE WITH THE LAW, PENDING CHARGES OR CONVICTIONS WILL NOT BE USED OR CONSIDERED FOR EMPLOYMENT PRACTICES UNLESS THEY ARE SUBSTANTIALLY RELATED TO CIRCUMSTANCES OF THE PARTICULAR POSITION. A BACKGROUND CHECK WILL BE CONDUCTED BEFORE EMPLOYMENT IS OFFERED.)
EMPLOYMENT OBJECTIVES
Date Available for Work *
Date Available for Work
Are there any restrictions on your availability to attend work on a regular basis and/or work overtime? *
Have you ever applied to Colonial Club? *
If so, when?
If so, when?
Were you offered employment?
EDUCATION AND TRAINING
Date Completed
Date Completed
Name of School
Date Completed
Date Completed
Name of School
Date Completed
Date Completed
Name of School
Date Completed
Date Completed
Name of School
Date Completed
Date Completed
EMPLOYMENT
Are you currently employed?
If yes, may we contact your present employer?
Name of Employer
Employer Address
Employer Address
Start Date
Start Date
$
End Date
End Date
$
Phone Number
Phone Number
Did you voluntarily terminate your employment?
Name of Employer
Employer Address
Employer Address
Start Date
Start Date
$
End Date
End Date
$
Phone Number
Phone Number
Did you voluntarily terminate employment?
SPECIALIZED SKILLS AND KNOWLEDGE
REFERENCES
Please provide the names of three people (not related to you) we may contact, whom you have known at least one year.
Reference #1
Reference #1
Phone
Phone
Reference #2
Reference #2
Phone
Phone
Reference #3
Reference #3
Address
Address
Phone
Phone
In Case of Emergency Notify:
In Case of Emergency Notify:
Phone #1
Phone #1
Phone #2
Phone #2
I understand and acknowledge the following:
1. I authorize investigation of all statements contained in this application and any supporting documents. I authorize Colonial Club to secure information about my experience from former employers, educational institutions, government agencies, or any references I have provided, and for those parties to provide information concerning my qualifications for employment, and I hereby release all parties from any liability arising from such investigation.
2. I understand that if I am employed, any false statement, misrepresentation, or omission of facts on this application or on any supporting documents, regardless of when discovered to be false, may result in my immediate dismissal.
3. My signature below certifies that I have read, understand, and agree to the foregoing and to the best of my knowledge and belief, the information on the application form is true and correct.
I have agreed to submit this application by electronic means. I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written signature. By checking this box and typing my name below, I am electronically signing my application.
VOLUNTARY SELF-IDENTIFICATION/DISCLOSURE FORM
In an attempt to determine the effectiveness of our recruitment efforts, we request that you Voluntarily provide the following information.
Sex
Race/Ethnicity/Cultural Identity
How did you find out about the position?