Application For Employment

PERSONAL INFORMATION
First Name
Last Name
Other Names Used
Address
City
State
  • --Select--
  • AK
  • AL
  • AR
  • AZ
  • CA
  • CO
  • CT
  • DC
  • DE
  • FL
  • GA
  • HI
  • IA
  • ID
  • IL
  • IN
  • KS
  • KY
  • LA
  • MA
  • MD
  • ME
  • MI
  • MN
  • MO
  • MS
  • MT
  • NC
  • ND
  • NE
  • NH
  • NJ
  • NM
  • NV
  • NY
  • OH
  • OK
  • OR
  • PA
  • RI
  • SC
  • SD
  • TN
  • TX
  • UT
  • VA
  • VT
  • WA
  • WI
  • WV
  • WY
Zip
Phone
Cell Phone
Email
Can you, upon employment, submit verification of your legal right to work in the United States?
DESIRED EMPLOYMENT
Desired Position(s)
Date Available to start work:
Compensation Desired
Have you previously applied for a position with The Standard Club?
If yes, give name and department
When?
Have you ever been employed by The Standard Club?
If yes, give name and department
When?
Referral Source:
Days Available for Work (Please Circle)
Please Check All that Apply:
Would you be available to work overtime if necessary?
EDUCATION
High School (Name and Address)
Did you graduate?
Degree/Diploma/ Certificate
Major
# of Years Completed
College (Name and Address)
Did you graduate?
Degree/Diploma/ Certificate
Major
# of Years Completed
Graduate School (Name and Address)
Did you graduate?
Degree/Diploma/ Certificate
Major
# of Years Completed
Other Training (Name and Address)
Did you graduate?
Degree/Diploma/ Certificate
Major
# of Years Completed
CURRENT EMPLOYER
Current Employer:
Address
City
State
  • --Select--
  • AK
  • AL
  • AR
  • AZ
  • CA
  • CO
  • CT
  • DC
  • DE
  • FL
  • GA
  • HI
  • IA
  • ID
  • IL
  • IN
  • KS
  • KY
  • LA
  • MA
  • MD
  • ME
  • MI
  • MN
  • MO
  • MS
  • MT
  • NC
  • ND
  • NE
  • NH
  • NJ
  • NM
  • NV
  • NY
  • OH
  • OK
  • OR
  • PA
  • RI
  • SC
  • SD
  • TN
  • TX
  • UT
  • VA
  • VT
  • WA
  • WI
  • WV
  • WY
Zip
Starting Position
Current Position
Dates Employed: From (Mo/Yr)
To (Mo/Yr)
Job Title and Description of Duties:
Starting Salary:
Final Salary:
Starting Commission/Bonus
Final Commission/Bonus
Name Of Direct Supervisor
Title
Supervisor's Phone Number
May we contact your present employer?
Reason for Leaving:
FORMER EMPLOYERS
Previous Employer:
Address
City
State
  • --Select--
  • AK
  • AL
  • AR
  • AZ
  • CA
  • CO
  • CT
  • DC
  • DE
  • FL
  • GA
  • HI
  • IA
  • ID
  • IL
  • IN
  • KS
  • KY
  • LA
  • MA
  • MD
  • ME
  • MI
  • MN
  • MO
  • MS
  • MT
  • NC
  • ND
  • NE
  • NH
  • NJ
  • NM
  • NV
  • NY
  • OH
  • OK
  • OR
  • PA
  • RI
  • SC
  • SD
  • TN
  • TX
  • UT
  • VA
  • VT
  • WA
  • WI
  • WV
  • WY
Zip
Starting Date
Date Last Worked
Job Titles
Starting Salary:
Final Salary:
Starting Commission/Bonus
Final Commission/Bonus
Name Of Direct Supervisor
Title
Supervisor's Phone Number
Summarize Type Of Work Performed And Job Responsibilities
Reason for Leaving:
If You Were Terminated Or Asked To Resign, Please Explain:
Previous Employer:
Address
City
State
  • --Select--
  • AK
  • AL
  • AR
  • AZ
  • CA
  • CO
  • CT
  • DC
  • DE
  • FL
  • GA
  • HI
  • IA
  • ID
  • IL
  • IN
  • KS
  • KY
  • LA
  • MA
  • MD
  • ME
  • MI
  • MN
  • MO
  • MS
  • MT
  • NC
  • ND
  • NE
  • NH
  • NJ
  • NM
  • NV
  • NY
  • OH
  • OK
  • OR
  • PA
  • RI
  • SC
  • SD
  • TN
  • TX
  • UT
  • VA
  • VT
  • WA
  • WI
  • WV
  • WY
Zip
Starting Date
Date Last Worked
Job Titles
Starting Salary:
Final Salary:
Starting Commission/Bonus
Final Commission/Bonus
Name Of Direct Supervisor
Title
Supervisor's Phone Number
Summarize Type Of Work Performed And Job Responsibilities
Reason for Leaving:
If You Were Terminated Or Asked To Resign, Please Explain:
Previous Employer:
Address
City
State
  • --Select--
  • AK
  • AL
  • AR
  • AZ
  • CA
  • CO
  • CT
  • DC
  • DE
  • FL
  • GA
  • HI
  • IA
  • ID
  • IL
  • IN
  • KS
  • KY
  • LA
  • MA
  • MD
  • ME
  • MI
  • MN
  • MO
  • MS
  • MT
  • NC
  • ND
  • NE
  • NH
  • NJ
  • NM
  • NV
  • NY
  • OH
  • OK
  • OR
  • PA
  • RI
  • SC
  • SD
  • TN
  • TX
  • UT
  • VA
  • VT
  • WA
  • WI
  • WV
  • WY
Zip
Starting Date
Date Last Worked
Job Titles
Starting Salary:
Final Salary:
Starting Commission/Bonus
Final Commission/Bonus
Name Of Direct Supervisor
Title
Supervisor's Phone Number
Summarize Type Of Work Performed And Job Responsibilities
Reason for Leaving:
If You Were Terminated Or Asked To Resign, Please Explain:
EMPLOYMENT GAPS
From
To
Reason(s) For Not Working During These Periods
From
To
Reason(s) For Not Working During These Periods
From
To
Reason(s) For Not Working During These Periods
JOB SKILLS AND QUALIFICATIONS
Skill I
Skill II
Skill III
Skill IV
Skill V
Skill VI
RELATED INFORMATION
Related Information I
Related Information II
Related Information III
Related Information IV
Related Information V
Related Information VI
REFERENCES
Name
Title
Company
Phone
Name
Title
Company
Phone
CERTIFICATION OF APPLICATION OF EMPLOYMENT
I understand and agree that all of the foregoing terms and conditions will become part of my employment relationship with THE STANDARD CLUB if I am employed by the Company
Name of Applicant:
Date: