Pre-Employment Release form

ALL CREATURES COUNTRY CLUB 423-639-2920

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PRE-EMPLOYMENT RELEASE FORM
To be completed by Applicant

* Indicates required field

Name *

First

Last

Aliases or Other Names (Include Maiden Names) *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Cell Phone Number *

Email *

Date of Birth - - Used for Criiminal and driving records). The age discrimination act in the employment act of 1967 prohibits discrimination in employment based on age. *

Sex *

Male Female

Race *

Must list all places lived in the past 10 years (Including Temporary Residences) List Street, City, State, Zip and Dates of Residence *

Explain any gaps between residence dates. *

Have you listed all Employment Information on your application for the last five years? *

Yes No

if "No", Please re-list all the employment information including Part-Time and Temporary Jobs. Any Gaps in employment must be explained. *

May we contact your present employer? *

Yes No

If "No", please give the reason *

Have you been convicted of a Traffic Violation involving Drugs or Alcohol within the past 10 years? *

Yes No

If "Yes", please explain. *

Have you ever been Convicted, Plead Guilty or No Contest to a crime? (This includes Local, State and Federal Crimes) *

Yes No

If "Yes", please explain. *

By typing my name and submitting this form, I understand and agree that as a Part of our hiring process. All Creatures Country Club will be investigating and verifying the information you've supplied in all parts of the release form, employment application and/or resume. This is a formal notice that such an investigation WILL take place. Some or all information may be verified before a decision is made on a job offer, and if an offer is made, some or all information may be verified after you're conditionally hired as specified by your employer. Pleae fill out this form COMPLETELY AND HONESTLY, I am aware that any false or misleading statement, omission or failure to disclose information may disqualify me for employment or, if employed, may result in disciplinary action up to and including dismissal without liability for salary, except such as may have been earned at the time of termination. I understand this document does not constitute a contract of employment or the extension of an employment offer. *

By typing my name and submitting this form, I understand and agree that All Creatures Country Club is a drug free workplace, and I will be required to submit to random drug or alcohol testing, and agree to such testing at any time without cause. *

By typing my name and submitting this form, I declare that I have read this form carefully. I understand it, and my typed name stands as my signature indicating my volunatry agreement with the above. *

Date *

Submit

423-639-2920

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2024 Holiday Client Hours:
5:00 - 5:15 pm
Jan 1 New Years Day
Mar 31 Easter
May 27 Memorial Day
Sep 2 Labor Day
Nov 11 Veterans Day
Nov 28 Thanksgiving
Dec 25 Christmas
Dec 31 New Years Day

PRE-EMPLOYMENT RELEASE FORMTo be completed by Applicant

PRE-EMPLOYMENT RELEASE FORM
To be completed by Applicant