Country Club of North Carolina
Country Club of North Carolina
Employment Application
APPLICATION INFORMATION 

We consider all applicants for positions without regard to race, color, religion, sex, national origins, citizenship, age, mental or physical disabilities, veteran/reserve/national guard or any other similarly protected status. We also comply with all applicable laws governing employment practices and do not discriminate on the basis of any unlawful criteria.

First Name Last Name 
Street Address:   Apartment/Unit #:  
City    State    Zip  
Home Phone No.  Cell Phone No. Email

How did you hear about us? (Select all that apply) 

OnlineNewspaper Ad

Current Employee Employment Agency 
 Other   
   
If by Current Employee, please list: 
If Other, please list:


Are you a citizen of the United States?
 Yes   No
If no, are you authorized to work in the U.S.?
 Yes   No   
(Proof of eligibility will be required upon offer of employment
 Have you ever been convicted of a felony?  
 Yes   No    
(A conviction will not necessarily disqualify you.)  

If yes, explain: 
 
Are you 18 years of age or older?
 Yes   No
(If no, you maybe required to provide authorization.
Can you with or without reasonable accommodation perform the essential functions of the job for which you are applying?
 Yes   No  
(If you have any questions about the functions of the job, please ask the interviewer before answering this question.)
Have you ever worked for CCNC before?
 Yes   No 

If so, when?
Are you related by blood or marriage to a current employee of CCNC?
 Yes   No   

If YES, please give name and relation to you  
Are you related to a current CCNC Member?
Yes NO


If YES, please give name and relation to you 

  

  


EMPLOYMENT
Type of Employment Desired

Position(s) Applied for
What is your means of transportation to work?
What hours and shift(s) would you prefer to work?


Date Available to start work?



Are you willing to work overtime? 
 Yes   No


Select days available to work:  Monday Tuesday 
 Wednesday Thursday 
 Friday Saturday 
 Sunday   

EDUCATION
High School  
Address
From  To  Did you graduate? 
 Yes   No
Degree:  

College  
Address 
From To Did you graduate?
 Yes   No 
Degree:  

Other 
Address   
From  To   
Did you graduate?
 Yes   No

Degree   

REFERENCES
Please list three professional references.
Reference 1
Full Name Number Years Known
Reference 2
Full Name   Number Years Known
Reference 3
Full Name   Number Years Known
EMPLOYMENT HISTORY

Begin with current or most recent employer. Do not exclude any employment. Include any applicable temporary employment-attach another sheet if necessary. Previous salary or wages will not be used to determine compensation at CCNC.

Employment 1
Company   Phone No.  
Street Address        
City    State
Zip
Supervisor's Name and Title
Dates Employed:
From  

To   
Rate of Pay:
From

To
 
Describe the Work Performed:    

May we contact your previous supervisor for a reference? 
Employment 2
Company    Phone No.
Street Address       
City     State 
Supervisor's Name and Title
Dates Employed:
From  

To
Rate of Pay:
From

To
 
Describe the Work Performed:   

May we contact your previous supervisor for a reference? 
Employment 3
Company   Phone No. 
Street Address      
City     State 
Supervisor's Name and Title  
Dates Employed:
From   

To   
Rate of Pay:
From

To
 
Describe the Work Performed  

May we contact your previous supervisor for a reference? 

PLEASE READ CAREFULLY BEFORE SIGNING

The Country Club of North Carolina is an equal opportunity employer. CCNC does not discriminate in employment on account of race, color, religion, national origins, ancestry, citizenship status, age, sex (including sexual harassment), sexual orientation, marital status, mental or physical disabilities, military status or unfavorable discharge from military service.

I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for CCNC to hire me. If I am hired, I understand that either CCNC or I can terminate my employment at any time for any reason, with or without cause and without prior notice. I understand that no representative of CCNC has the authority to make any assurance to the contrary.

I attest with my signature below that I have given CCNC true and complete information on this application. No requested information has been concealed. I authorize CCNC to contact references provided for employment reference checks. If any information I have provided is untrue, or if I have concealed material information, I understand that this will constitute cause for the denial of employment or immediate dismissal.

I also understand that in the event I become a CCNC employee I will be required to complete a screening test for illegal drugs, illegally used legal drugs and/or alcohol to determine the presence or use of alcohol, drugs or controlled substances in accordance with the Drug-Free Workplace Policy.

I further understand that in the event I become a CCNC employee I will be required to undergo a criminal background investigation.

By signing and or completing by printing my name below, I acknowledge that I have read, understood and agree to the above statements.

Signature  (provide initials)  Date  

Enter Verification Code   
 Change Code
                                  


1600 Morganton Road, Pinehurst, NC 28374 | 910-692-6565 | membership@ccofnc.com