Applicants for employment are considered without regard to race, color, religion, sex, marital status, national origin, age, handicap or sexual orientation. It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.
Date of Application _____________________
Position (s) Applied For __________________________________________________________________
Referral Source: ______Internet ______Newspaper ______ Friend/Relative ______ Other
Name ________________________________________________________________________________
Current Address _______________________________________________________________________
Telephone ( ) _______________________ E-mail Address ___________________________________
Are You Under 18? _____ Yes _____ No Previously Applied @ CBC? _____ Yes _____ No
Are You a U.S. Citizen?____Yes____No (Proof of citizenship/immigration status is required upon hiring)
Employment Experience (list most recent first; include any verified work performed on a volunteer basis. Exclude organizational names which indicate race, color, religion, sex or national origin.)
Dates Name & Address of Employer Salary Position Reason Left
From
To __________________________________________________________________________________________
From
To __________________________________________________________________________________________
From
To __________________________________________________________________________________________
Special Skills & Qualifications ___________________________________________________________________
____________________________________________________________________________________________
List Certifications/Licenses _____________________________________________________________________
____________________________________________________________________________________________
Education
High School __________________________________________________________ Diploma? ___ Yes ___ No
College ______________________________________________________________ Degree? ___ Yes ___ No
Describe Course of Study _______________________________________________________________________
Describe Specialized Training, Apprenticeship or Extra-Curricular Activities _____________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
Exact Date of Availability for Work ___________________________________
Exact Date School/College Begins in Fall _______________________________
Dates Available For Personal Interview at CBC ______________________________________________________
It is my understanding that this employment application, or the granting of an oral interview, does not represent a contact of employment or a promise of future benefits by this organization. I understand that if hired my employment will be at-will in nature and may be terminated, with or without cause, at any time, either by myself or my employer. I also understand that this written statement supersedes any and all oral representations made by agents or representatives of this organization.
AGREEMENT: I certify that the information on this application is true, complete and correct. I authorize Chappaquiddick Beach Club, Inc. to investigate my past employment, education and activities and I release from liability all persons, companies and corporations supplying such information. I understand that false answers, statements or significant omissions made by me on this form shall be sufficient cause for denial of employment or discharge.
________________________________________________________
Signature and Date
IN CASE OF EMERGENCY NOTIFY:
Name ______________________________________________________________________
Address ____________________________________________________________________
Telephone (Home) _________________________ (Work) ____________________________