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Employment Application

Applicant Information

First Name*:  
Last Name*:  
Address*:  
City*:  
State*:  
Zip Code*:  
Phone Number*:  
Email Address*:  
Date of Application*:  
Position(s) applied for*:
Are you 16 years or older?*  
If under 18, can you provide a work permit?  
Can you work overtime if necessary?*  
Date Available for Work:  
Referral Source:  Advertisement Walk-In Employee Relative Agency Other
If you checked 'other' please fill in here:  
Have you ever worked for SVCC before?  
*If yes, from:  to: 
What position: 
Are you legally eligible to work in this country?*   *If hired, you will have to provide proof.
Do you have any relatives that work or have worked at SVCC?*   If yes, please list name and position:  
Have you ever pled 'guilty' or 'no contest' to, or been convicted of a crime?*    If yes, provide date(s) & give details:  

Employment History

Begin with current or most recent employer.
Name of Employer: 
Telephone Number:  
Supervisor's Name and Title:  
May we contact for reference?   
Starting Job Title:  
Ending Job Title:  
Dates Employed
From:  
To:  
Rate of Pay
Beginning:  
Final:  
Summarize the type of work performed & job duties:  
Reason for leaving?  


Name of Employer:  
Telephone Number:  
Supervisor's Name and Title:  
May we contact for reference? 
Starting Job Title:  
Ending Job Title:  
Dates Employed
From:  
To:  
Rate of Pay
Beginning:  
Final:  
Summarize the type of work performed & job duties:  
Reason for leaving?  



Name of Employer:  
Telephone Number:  
Supervisor's Name and Title:  
May we contact for reference?  
Starting Job Title:  
Ending Job Title:  
Dates Employed
From:  
To:  
Rate of Pay
Beginning:  
Final:  
Summarize the type of work performed & job duties:  
Reason for leaving?  

Skills and Qualifications

List any special skills, training, certificates, awards and/or licenses that are applicable to the job-related functions of this position*:

List any special accomplishments, organizations, offices held, or civic memberships*:

Education

High School
Name and Address:  
Grade Completed:  
Did you Graduate?  
College
Name and Address:  
Grade Completed:  
Did you Graduate?  
Degree or Diploma:  
Course of Study:  
Technical School
Name and Address:  
Grade Completed:  
Did you Graduate?  
Degree or Diploma:  
Course of Study:  
Graduate School
Name and Address:  
Grade Completed:  
Did you Graduate?    
Degree or Diploma:  
Course of Study:  

Additional Skills

Administrative/Office Related
 Typing
wpm:
 Adding Machine
 Windows
 Microsoft Office Word
 Microsoft Office Excel
 Microsoft Office Access
 Switchboard
 Publishing Software
list: 
 Other Software
list:
Grounds/Maintenance Related
 Heavy Equipment
 Welding
 Painting
 Carpentry
 Mechanical
 Electrical or HVAC
 Plumbing or Irrigation
 Landscaping
 General Lawn Equipment
Food & Beverage Related
 Host/Hostess 
 Point-of-Sales 
 Table Bussing/Clearing
 French (Formal) Service
 Expediting 
 Purchasing 
 Kitchen/Formal Cooking
 Restaurant/Banquet Serving
 Dishwashing (Other than at Home)
List any Additional Job Related Skills or Qualifications:
 

Do you play: Golf  TennisSquash  Paddle Tennis

Professional References

REFERENCE #1

Name*:  
Phone #*:  
Company Name*:  
Relationship*:  
Years Known*:  

REFERENCES #2

Name:  
Phone #:  
Company Name:  
Relationship:  
Years Known:  

REFERENCE #3

Name:  
Phone #:  
Company Name:  
Relationship:  
Years Known:  
I certify that the information contained in this application is correct to the best of my knowledge and understand that falsification of this application or any detail is grounds for disqualification from further consideration or for dismissal from employment in accordance with SVCC policy. I authorize SVCC representatives to contact and obtain information from all references (personal and professional), employers, public agencies, licensing authorities and educational institutions and to otherwise verify the accuracy of all information provided by me in this application, resume and/or job interview. I understand that SVCC does not discriminate in employment and no question on this application will be used for the purpose of limiting any applicant from consideration for employment on a basis prohibited by local, state or federal law.

If I am hired, I understand that I am free to resign at any time, with or without cause and without prior notice, and SVCC reserves the same right to terminate my employment at any time, with or without cause and without prior notice, except as may be required by law. This application does not constitute an agreement or contract for employment for any specified period or definite duration. I understand that no supervisor or representative of SVCC is authorized to make any assurances to the contrary and that no implied oral or written agreements contrary to the above mentioned paragraphs are valid unless they are in writing and signed by the General Manager.

I also understand that if I am hired, I will be required to provide legal proof of authority to work in the US and that federal immigration laws require me to complete an I-9 Form. I certify that I have read, fully understand and accept all terms contained in this application.





Signature:  
Date: