EMPLOYMENT APPLICATION

APPLICANT INFORMATION
Full Legal Name:*
Street Address:*
City, State:*
U.S. ZIP code:*
Phone/Cell Number:*	()-First three digitsSecond three digitsLast four digits
E-mail:*

Position Applied For:*
Hours Desired:*	FTPTSeasonal
Are you Authorized to work in the U.S.?:*	YesNo
Have you ever worked for this company?:*	YesNo
If so, when?:

EDUCATION
Name and Location of High School:*
Did you graduate?:	YesNo
Name and Location of College:
Did you graduate?:	YesNo

REFERENCES
Professional Reference #1 Name, Address, Company :
U.S. phone number:	()-First three digitsSecond three digitsLast four digits
Professional Reference #2 Name, Address, Company:
U.S. phone number:	()-First three digitsSecond three digitsLast four digits
I authorize Lehigh Country Club to verify my references:	YesNo

PREVIOUS EMPLOYMENT
Company Name and Address:
U.S. phone number:	()-First three digitsSecond three digitsLast four digits
Supervisor:
Job Title:
Employment Dates (start):
Employment Dates (end):
May we contact your previous supervisor for a reference?:
Company Name and Address:
U.S. phone number:	()-First three digitsSecond three digitsLast four digits
Supervisor:
Job Title:
Employment Dates (start):
Employment Dates (end):
May we contact your previous supervisor for a reference?:
Employee Referral:
Are you a relative of a current or former member of LCC?:*	YesNo
If so, please list names:

DISCLAIMER AND SIGNATURE
The facts set forth in my application are true and complete. I understand that false statements on this application shall be considered sufficient cause for rating me ineligible for employment or for dismissal after employment. As part of the employment screening process, Lehigh Country Club may verify criminal, employment, education and credit references and motor vehicle records as well as administer a pre-employment drug screening. Please read the Summary of Your Rights under the Fair Credit Reporting Act at https://files.consumerfinance.gov/f/documents/bcfp_consumer-rights-summary_2018-09.pdf and sign below. I authorize Lehigh Country Club to verify references as deemed appropriate by the Club. By e-signing below I verify that the above is correct.

Digital Signature:*
Date:*	Date and timeToday

Upload Resume (optional):	Upload file

Address: 2319 S Cedar Crest Blvd, Allentown, PA 18103

Phone: 610-433-7443

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EMPLOYMENT APPLICATION

APPLICANT INFORMATION

EDUCATION

REFERENCES

PREVIOUS EMPLOYMENT

Employee Referral:

DISCLAIMER AND SIGNATURE

Digital Signature:*

Date:*