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Application Information
First Name
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Last Name
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M.I.
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Address
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City
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State
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Email
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ZIP / Postal Code
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Date Available
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Position / Area Applying To
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Member Lounge / Waitstaff Bar
Golf Course / Grounds Crew
Pro Shop Help
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Are you over 18 years old?
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No
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Are there any days or shifts that you cannot work?
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No
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If yes, please explain.
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Are you a citizen of the United States?
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No
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Have you ever applied/worked for our Segregansett?
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No
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How did you learn of our Company?
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Education Information
High School
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Did you graduate?
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No
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College
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Did you graduate?
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No
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High School Address
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Did you obtain a degree?
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No
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College Address
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Did you obtain a degree?
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Previous Employment
Company
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Company Address
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Company Phone
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Supervisor
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Job Title
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From
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To
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Responsibilities
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May we contact your previous supervisor for a reference?
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No
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Reason for Leaving
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Company
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Company Address
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Phone
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Date
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