Application For Employment

(Pre-Employment Questionnaire) (An Equal Opportunity Employer)


Have you ever applied for employment with us? *
Apart from absence for religious observance, are you available for full-time work? *
Will you work overtime if asked?
Are you legally eligible for employment in the United States? *
Are you 16 year of age or older?

(if under 18 years of age, you must provide working papers)


Graduate School

Did you graduate?


Did you graduate?


Did you graduate?

High School

Did you graduate or receive your G.E.D.?


Did you serve in the U.S. Armed Forces?


Please give accurate, complete full-time and part-time employment record. Start with your present or most recent employer.

Employer 1

May we call this reference?

Employer 2

May we call this reference?

Employer 3

May we call this reference?


Give the names of three (3) persons not related to you whom you have known at least one year.

Reference 1

Reference 2

Reference 3

Drug and Alcohol Policy

Brookside Country Club has a vital interest in maintaining a drug-and-alcohol-free environment for its employees, members, customers and visitors. Therefore, Brookside Country Club prohibits the use of, purchase or sale of, transfer of, trafficking in, and working or reporting for work under the influence of intoxicants, drugs or controlled or illegal substances.

Applicant Certification

I certify that I have not knowingly withheld or misrepresented any information required on the Employment Application of Brookside Country Club and that the answers given by me are true and correct to the best of my knowledge. I further certify that I, the undersigned applicant, have personally completed this application. I understand that any omission or misstatement of material fact on this application or on any document used to secure employment shall be grounds of rejection of this application or for immediate discharge if I am employed regardless of time elapsed before discovery.

I certify that I have read and understand the drug alcohol policy of Brookside Country Club and agree to abide by its terms.

I authorize Brookside Country Club to thoroughly investiage my referenced work record, education, and other matters related to my stability for employment. Furthermore, I authorize my former employers to disclose to Brookside any and all letters, imports, and other information related to my work records, without giving me prior notice of such disclosure. In addition, I hereby release Brookside Country Club, my former employers, and all persons, corporation, partnerships and associations from any and all claims, demands or liabilities arising out of or in any way related to such investigation or disclosure.

I understand that nothing contained in the application or conveyed during any interview that may be granted is intended to and does not create any employment contract between Brookside Country Club and me. In addition, I understand and agree that if I am employed, my employment is at will for no definite or determinable period and may be terminated at any time with Brookside Country Club, no promise or representation contrary to the foregoing is binding on Brookside Country Club unless made in writing and signed by me and a designated representative of Brookside Country Club.