Employment Application - Lake Sunapee Yacht Club

Personal Information

Full Name

Address

City

State

Zip

Phone

Cell Phone

Email

Emergency Contact

Emergency Contact Phone

Are you a citizen of the US?

	Yes
	No

If no, are you authorized to work in the US?

	Yes
	No

Have you ever worked at Lake Sunapee Yacht Club?

	Yes
	No

If yes, when and in what position?

Have you ever been convicted of a felony?

	Yes
	No

If yes, please explain

Availability Information

Desired Position(s)

Date Available to start work:

List dates you have prior commitments during the summer.

If you're in school, what is the last date that you're available for the season?

Are you available to work these dates if needed? Please check all that you are available for.

	Friday, June 14
	Saturday, June 15
	Sunday, June 16
	Saturday, September 7

Education

Middle or High School

Did you graduate

	Yes
	No

If still a student, current grade

College

Did you graduate

	Yes
	No

Degree or Expected Graduation year

Previous Employment

Company

Address

Phone

Job Title(s)

Supervisor

Starting Wage:

Ending Wage

Responsibilities

Date Employed From (Month and year)

Date Employed to (Month and year)

Reason for Leaving:

May we contact your previous supervisor for a reference?

	Yes
	No

Company

Address

Phone

Job Title(s)

Supervisor

Starting Wage:

Ending Wage

Responsibilities

Date Employed From (Month and year)

Date Employed to (Month and year)

Reason for Leaving:

May we contact your previous supervisor for a reference?

	Yes
	No

Professional References

Reference Name

Phone

Relationship

Company

Address

Reference Name

Phone

Relationship

Company

Address

Reference Name

Phone

Relationship

Company

Address

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By checking the box above, I certify that my answers are true and complete to the best of my knowledge. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in immediate dismissal. I understand, also that I am required to abide by all rules and regulations of LSYC. I understand and agree that if employed, employment will be “AT WILL.” That is, either I or employer may end employment at any time, for any reason, or for no reason. I understand that receipt of this application does not imply employment and that this application or other documents are not a contract for employment. *

Full Name *

Date:

LSYC Employment Application

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