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Employment Opportunities

at The Country Club of Peoria

First Name:*

Last Name:*

If applying for a bartender position state law requires that you are 21 years of age. Do you meet this requirement?:*

Yes
No
N/A

If applying for a server position state law requires that you be 19 years of age to serve alcohol. Do you meet this requirement?:*

Yes
No
N/A

If applying for lifeguarding, snack bar, bag room or valet positions you will be required to drive a golf cart. State law requires that you are 16 years of age with a valid driver's license. Do you meet this requirement?:*

Yes
No
N/A

Street Address:*

City:*

State / Province:*

Country:*

Zip / Postal Code:*

Phone Number:*

()-First three digitsSecond three digitsLast four digits

Additional Phone:

()-First three digitsSecond three digitsLast four digits

Email:*

Have you ever been employed with us?:

Position applying for:*

Position Type:*

Full-TimePart-TimeSeasonal

Days Available:

Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday

Hours Available:

Date Available to Start:*

Date and timeToday

Are you legally authorized to work in the U.S.? Proof of identity and work eligibility is required within 72 hours of hire.:*

NoYes

Do you have any friends or relatives currently employed by the Country Club of Peoria? If so, who?:

How did you hear about us?:*

List specific skills or training you posess related to the position you are applying for:*

Education

Highschool

Highschool Name and Address of Institution:

Highschool Level Completed:

9
10
11
12

Highschool Degree Received:

NoYes

Post-secondary

Post-secondary Name and Address of Institution:

Type Of Post-secondary Education:

College
Graduate School
Trade and Vocational School
Other

If other, please specify:

Area Of Study:

Certification:

Military

Military Branch:

Date Entered:

Date and timeNow

Rank Attained:

Date of Discharge:

Date and timeNow

Employment History

Employer #1

Employer #1:*

Address:*

City:*

State / Province / Region:*

ZIP / Postal Code:*

Country:*

Start Date:*

Date and timeNow

End Date:*

Date and timeNow

Position held and duties performed:*

Employer's phone number:*

()-First three digitsSecond three digitsLast four digits

Supervisor's Full Name:*

Employer #2

Employer #2:*

Address:*

City:*

State / Province / Region:*

ZIP / Postal Code:*

Country:*

Start Date:*

Date and timeNow

End Date:*

Date and timeNow

Position held and duties performed:*

Employer's phone number:*

()-First three digitsSecond three digitsLast four digits

Supervisor's Full Name:*

Employer #3

Employer #3:*

Address:*

City:*

State / Region / Province:*

ZIP / Postal Code:*

Country:*

Start Date:*

Date and timeNow

End Date:*

Date and timeNow

Position held and duties performed:*

Phone Number:*

()-First three digitsSecond three digitsLast four digits

Supervisor's Full Name:*

I agree to comply with all rules of this company. I understand that any falsification or omission of information provided on this application and related documents or while interviewing will be grounds for dismissal from employment, even if not discovered until after my employment begins with this company. I authorize a thorough investigation to be conducted with the information and statements made in this application, resume, related documents and any verbal statements in the interview process. I release liability from all persons or employers supplying such information. I also release the company from all liability that may result from the findings of this investigation. If I am hired, I agree that my employment is AT-WILL and my employment and compensation can be terminated with or without cause and with or without notice at any time at the option of the Country Club of Peoria or myself. I have read and affirm the above statement as my own. This application will remain active for 90 days.:*

I Agree

Signature (type full name):*

By typing my name and clicking submit I am stating that I understand the above terms and recognize that my electronic signature will act as my official signature on this application.

Date:*

Date and timeNow

Enter security code:

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Get in touch with Peoria today!

Learn More About Peoria!

Phone

(309) 686-2582

Address

4700 N. Grandview Drive
Peoria Heights
IL, 61616

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