Sample Application For Employment - New Orleans Country Club Page 2
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3List any academic, professional, trade, civic, or social activities, office held or other related
accomplishments. (Exclude those which may indicate race, color, religion, sex or national origin).
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EMPLOYMENT ELIGIBILITY STATUS
Are you lawfully eligible to be employed in the United States? Yes ________ No ________
(Proof of citizenship or immigration status is required upon employment).
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EMPLOYMENT HISTORY: List below all of your previous employment. Account for period of
unemployment. (If you have been self-employed, please give details). Begin with your most recent job
and work back. Attach additional sheets, if necessary.
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Company ______________________________
Type of Business ________________________
Address _______________________________
Phone Number __________________________
Date Started _________ Date Left __________
Position ________________________________
Supervisor’s Name ______________________
Description of Duties _____________________
______________________________________
Reason for Leaving _______________________
_________________________________________________________________________________
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Company ______________________________
Type of Business ________________________
Address _______________________________
Phone Number __________________________
Date Started _________ Date Left __________
Position ________________________________
Supervisor’s Name ______________________
Description of Duties _____________________
______________________________________
Reason for Leaving _______________________
_________________________________________________________________________________
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Company ______________________________
Type of Business ________________________
Address _______________________________
Phone Number __________________________
Date Started _________ Date Left __________
Position ________________________________
Supervisor’s Name ______________________
Description of Duties _____________________
______________________________________
Reason for Leaving _______________________
_________________________________________________________________________________
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Please explain any period during which you were not employed (except for military service).
__________________________________________________________________________
Have you ever been terminated or asked to resign from a job? Yes ______ No ______
If yes, explain ______________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
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MILITARY SERVICE
Date of Date of
Rank at
Branch
Entry
Discharge
Discharge
__________________________________________________________________________
__________________________________________________________________________
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