EMPLOYMENT APPLICATION SOLICITUD DE EMPLEO

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1 EMPLOYMENT APPLICATION SOLICITUD DE EMPLEO BRAEBURN COUNTRY CLUB an Equal Opportunity Employer Name Social Security Number Nombre: No. del Seguro Social: - - Last (Dure) First (El Primer) Middle (Centro) 8101 Bissonnet Houston, Texas To Applicant: If you need assistance in completing this application, please let us know. A clear understanding of your background and work history will aid us in considering you for the position that best matches your qualifications. Therefore, we encourage you to be as complete and as specific as possible. In this application we are sometimes referred to as the Company. The Company is an equal opportunity employer. The Company will not discriminate unlawfully against any employee or applicate for employoment because of factors such as: race, sex, religion, national origin, physical disability, and age. Please fill out the form below and PRINT CLEARLY or type the required information. Al solicitante: Si necesita ayuda para completar esta solicitud, le rogamos que nos lo comunique. Un buen entendimiento de sus antecedentes e historial laboral nos ayudara a considerarla para el cargo que major corresponda a sus calificaciones. Por consiguiente, le recomendamos que sea tan extenso y especifico como sea posible. En esta solicitud a veces nos llamamos La Empresa. La Empresa es patron de iguales oportunidades de trabajo. Cuando la persona tenga las demas calificaciones, La Empresa no discriminara ilicitamente contra ningun empeado ni solicitante debido a su raza, sexo, religión, origen naciona lidad inhabilidad física, y edad. Complete por favor la forma abajo e IMPRIMA CLARAMENTE o mecanografíe la información requerida. Present Address Telephone No. Direccion Actual: No. de Teléfono: ( ) No. Street (Calle) City (Ciudad) State (Estado) Zip (Código Postal) Former Address Driver s License No. Dirección Anterior: No. Licencia De Conductor: No. Street (Calle) City (Ciudad) State (Estado) Zip (Código Postal) Date State How may years at this address? Are you legally eligible for employment in the United States? Cuantos arios lleva en esta dirección? Puede trabajar legalmente en los Estados Unidos? YES (Si) NO Position(s) you are primarily interested in: Cargos que le interesan principalmente: Waiter Bartender Cook Kitchen Help Gardener Camarero Camarero Cocinero Ayuda De la Cocina Jardinero Full-Time (32-40 hours per week) Maintenance Mechanic Accountant Clerical Receptionist Mantenimiento Mecánico Contador Administrativo Recepcionista Part-Time; Summer Only or Seasonal Only Lifeguard Golf Shop Caddy Golf Professional Management Salvavidas Tienda Del Golf Carrito Profesional Del Golf Gerencia Temporary Other Otro: Were you previously employed by us the Company? YES (Si) NO Empleado anterior de La Empresa? Position (tipo de empleo) If hired, on what date will you be able to start work? Si es contratado, en qué fecha puede comenzar a trabajar? What hours and days of the week would you be available for work? ( Qué horas y días de la semana estará disponible para trabajar?) / / United States Military Service Record (United States Historial Del Servicio Militar) Were or are you in the US Armed Forces? YES NO Reserves? YES NO Brach of Service? Dates of Duty: From / / to / / Rank at Discharge? Honorable Discharge? YES NO In case of an emergency notify: (En caso de urgencia avisar a) Name (Nombre) : ( ) No. Street (Calle) City (Ciudad) State (Estado) Zip (Código Postal) Character References (Recomendaciones Sobre Su Entereza): Name (Nombre) : ( ) Years Known (Años Sabidos) Name (Nombre) : ( ) Years Known (Años Sabidos) Name (Nombre) : ( ) Years Known (Años Sabidos)

2 Education (Educacion) High School Graduate or GED (Graduado Secundaria o GED): YES (Si) NO College (Universitaria): Degree: Offices, Honors and Awards (Cargos, Honores y Premios): Job Abilities (Capacidades Laborales) Indicate job skills you ve acquired and equipment you can operate which pertains to the job for which you are applying. Include amount of experience. (Indique las destrezas laborales que ha adquirido, asi como los equipos que puede manejar respecto al cargo que solicita. Incluya cuántos años de experiencia tiene.) What qualifications, abilities and strong points will help you succeed in this job? ( Que calificaciones, capacidades y habilidades especiales le ayadaran a tener exito en este cargo?) Do you have reliable transportation to and from work? ( Usted tiene transporte reliabable a y desde trabajo?) YES (Si) NO Do you have a valid driver s license? ( Tiene licencia de conducir válida?) YES (Si) NO Has your driver s license ever been suspended or revoked? ( Se ha suspendido o revocado aiguna vez su licencia de conducir?) YES (Si) NO Have you been convicted of any crimes other than traffic tickets? ( Usted ha sido conplice de crímenes con excepción de boletos del tráfico?) YES (Si) NO Offense (Crimen): Dates (Fecha) Offense (Crimen): Dates (Fecha) Offense (Crimen): Dates (Fecha) Are you currently on Parol or Probation? ( Está usted currenetly en parol o la libertad condicional?) YES (Si) NO Are you currently or in the past year used any prescription drug? ( Está usted actualmente o en el último año utilizó cualquier droga de la prescripción?) YES (Si) NO Are you currently using any prescription drug for which you do not have a prescription? ( Usted está utilizando actualmente droga del perscription para la cual usted no tenga un percriptoin?) YES (Si) NO Are you currently or in the past three years used illegal narcotic drugs? ( Está usted actualmente o en los últimos tres años utilizó las drogas narcóticas ilegales?) YES (Si) NO If you are requested to take a pre-employment drug screen, are you available to take such test? ( Si le solicitan tomar una pantalla de la droga del pre-employment, está usted disponible para tomar tal prueba?) YES (Si) NO Have you ever been discharged or asked to resign? ( Se le ha despedido o pedido que renuncie? YES (Si) NO If yes, explain in full: (Si contestó si, explique en detalle:)

3 PAST EMPLOYMENT (MÁS ALLÁ DEL EMPLEO) 1 ( ) Reason for Leaving: (Motivo por dejar el empleo) 2 ( ) Reason for Leaving:(Motivo por dejar el empleo) 3 ( ) Reason for Leaving:(Motivo por dejar el empleo) 4 ( ) Reason for Leaving:(Motivo por dejar el empleo) AGREEMENT (CONVENIO) I hereby certify that the facts set forth in the application are true and complete, and I agree that you may investigate my statements in order to verify and expand upon the information given. (Por la presente certifco que la información contenida en esta solicitud es veraz y completa y convengo en que ustedes investiguen mis declaraciones a fin de comprobar y ampliar dicha información.) I understand that as part of normal employment procedure, a routine inquiry may be made concerning information on my former job responsibilities, character, general reputation, and credit. I authorize such investigation and herby agree to fully cooperate in this investigation. I release you and all named former employers, all character references, and credit sources, from any liability for releasing information to you. (Comprendo que corno parte del procedimiento normal de empieo, se podrá efectuar una indagacion de rutina referente a informacion sobre mis obligraciones en mi empleo anterior, mi carácter, reputación en general y crédito. Autorizo dicha investigacion y por el presente me comprometo a cooperar plenamente en esta investigacion. Les exonero a ustedes y a todo los patrones previos nombrados, a todos quienes den referencias de carácter, y a fuentes crediticias de toda responsabilidd por divulgaries a ustedes dicha información.) I understand that if I fail to answer any question, or if I give misleading or incomplete answers to any question, that alone is a sufficient basis for a failure to hire me, or if I have been hired, that alone is a sufficient basis for my immediate termination. (Comprendo que si no contesto alguna pregunta o si day declaraciones erróneas o incompletas sobre alguna pregunta, eso de por si es motivo suficiente para no contratarme, o en caso de haber sido contratado, eso de por si es motivo suficiente para la terminación inmediata del empieo.) I further understand that this is an application for employment and that no employment contract is being offered. I agree and acknowledge that should I become employed by the Company my employment can be terminated, with or without cause or notice, at any time by myself or the Company. (Comprendo, adenas, que esto constituye una solicitud de empleo y que no se ofrece ningun contrato laboral. Convengo y reconoco que si La Empresa me contrata, mi empleo podrá ser terminado can o sin motivo justificante, con o sin preaviso, en cualquier momento, ya sea por parte mia o del La Empresa.) I have had a full opportunity to ask whatever questions I have about any of the above statements. (He tenido toda la oportunidad de hacer las preguntas que tenia sobre las deciaraciones prededentes.) For Office Use Only (Exclusivamente Para Uso De La Oficina) / / Date (Fecha) Applicant s Signature (Firma del Solicitante) Interview by: Interview date: / / Position: Date Available: / / Referral Source: Recommended Action:

4 BACKGROUND AND REFERENCE INVESTIGATION AUTHORIZATION AND RELEASE As part of its employment and selection procedures, BraeBurn Country Club (hereinafter referred to as Company ) requires a background investigation and a check of references to be conducted. The objectives of the investigation are to verify information provided during the application process, investigate references and identity factors that might be inconsistent with Company employment requirements. I,, give Company and/or its designees permission and authority to conduct a background investigation and reference check into my past and current activities. I understand and consent to an investigation that may include, but is not limited to, information as to my personal character, general reputation, verification of previous employment, employment references, verification of education, credit history, motor vehicle driving record, social security wage information, criminal histories, criminal court records, civil records, worker s compensation records, medical records and other information maintained by public and private entities. I authorize and request any former employers, schools, police departments or any person to furnish Company and/or its designees information concerning my work habits, reasons for termination, salary history, character, reputation and other relevant information as determined solely by the Company. I release all persons, companies, corporations, or individuals from liability and responsibility that may result from providing Company and/or designees with such information as requested. I understand that if hired, my employment is for no definite period of time and may be terminated with or without cause, and with or without notice, at any time, at the option, of either Company or myself. No employee, representatives, manager, official or supervisor of Company other then the General Manager of Company has any authority to enter into any agreement for employment for a specified period of time or many any agreement relative to employment that is contrary to the foregoing. Any such employment agreement will be in writing, signed by the designated officer and designated as such clearly specifying its term. Applicant s Name Social Security Number Current Address City, State, Zip Driver s Licence Number State Date of Birth Place of Birth Applicant s Signature Date

5 Forward Edge inc. Administration & Testing For a Drug-Free Environment FAX 923 Hwy 225 Pasadena, Texas AUTHORIZATION FORM PLEASE BRING PICTURED I.D. Company: BraeBurn Country Club Phone: Donor: Social Security Number: / / Date: / / Department / Job / Location: TYPE OF TEST COLLECTION SITE REASON FOR TEST NON-DOT Doctors Clinic PRE-EMPLOYMENT 6535 S. W. Freeway Houston, TX Hours: M-F 8:30 am - 6:30 pm Sat 9:00 am - 1:00 pm No Appointment Required COLLECTION MANAGER Please send all invoices and reports / exam findings to: Forward Edge, Inc. 923 East Pasadena Freeway Pasadena, TX

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