Dynamic Form - Tiburon Peninsula Club

We are an equal opportunity employer. We comply with all applicable Federal, State, and Local laws concerning employment discrimination. No question in this application is intended to elicit information in violation of any such law nor will any information obtained in response to any question be used in violation of any such law.

Which position are you applying for?:

For more information on each position, please click here to see the TPC Careers page.

General Information

Last Name:

First Name:

Middle Initial:

Home Address:

City:

State:

Phone:

Email Address:

If you are under 18, can you submit a work permit?

Yes

Are you legally eligible for employment in this country?

Yes

Work Experience

Please list present and former employers beginning with the most recent.

Employer:

Job Title:

Dates Employed: From / To

Supervisor’s Name:

Supervisor’s Phone:

Summary of work performed and job responsibilities:

Employer:

Job Title:

Dates Employed: From / To

Supervisor’s Name:

Supervisor’s Phone:

Summary of work performed and job responsibilities:

Employer:

Job Title:

Dates Employed: From / To

Supervisor’s Name:

Supervisor’s Phone:

Record of Education

High School:

Highest Grade Completed:

College/University:

Graduation Year:

Course of Study:

To be completed by all applicants – Please read carefully before signing.

I certify that the information contained in this application and in any resume provided by me or any party representing my interests is correct and complete to the best of my knowledge. I understand that any false statements, misrepresentations, or omissions made by me on this application or any supplement thereto, will be sufficient grounds for rejection of this application or dismissal after employment.

I give the employer the right to obtain pertinent information concerning me from former employers and others, and I release all those providing or requesting such information from any liability that may arise by truthful disclosures or such investigations.

If I am hired, I understand that I am free to resign at any time, with or without cause and without prior notice, and the employer reserves the same right to terminate my employment at any time with or without cause and without prior notice, except as may be required by law. This application does not constitute an agreement or contract for employment for any specified period or definite duration. I understand that no representative of the employer, other than an authorized officer, has the authority to make any assurances to the contrary. I further understand that any such assurances must be in writing and signed by an authorized officer.

I understand it is the company’s policy not to refuse to hire a qualified individual with a disability because of that person’s need for a reasonable accommodation as required by the ADA.

I also understand that if I’m hired, I will be required to provide proof of identity and legal work authorization.

Your signature acknowledges you have read and agree to the material above.

Applicant’s Signature: (E-signature)

Date:

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