Employment Application

Name (First, MI, Last)
Date:
Address
City/State
Zip Code:
Primary Phone No.
Email
Alternate Phone No.
Are you legally eligible to work in the U.S.?
Have you applied to QLLA/The Quechee Club before?
If yes, please provide the dates applied:
Have you ever worked for QLLA/The Quechee Club before?
If yes, please provide the dates applied:
Are you related to anyone currently employed by QLLA/Quechee Club?
If Yes, Name and Relationship:
How did you hear about us?
Quechee Club Member
Quechee Club Employee
Other
Position
Position(s) applied for:
Are you seeking:
  • --Select--
  • Full-Time
  • Part-Time
  • Seasonal
Date available to begin work?
Desired Salary or Rate of Pay? ($ _ per_)
Do you have a valid driver's license?
State
License No.
Are you able to operate a standard transmission vehicle?
Education
Name & Address of School
Number of Years Completed
Course of Study     
Diploma/Degree Received
Name & Address of School
Number of Years Completed
Course of Study     
Diploma/Degree Received
Name & Address of School
Number of Years Completed
Course of Study     
Diploma/Degree Received
Other:
Training Courses
Course/Seminar
Org. Sponsoring
Content
Dates Attended
Course/Seminar
Org. Sponsoring
Content
Dates Attended
Special Skills
List an academic honors, scholarships, professional memberships, offices held, etc.
Employment Experience
Company
From (MM/YY)
To (MM/YY)
Address:
Telephone:
Starting
Final
Job Title
Supervisor
Reason for Leaving
Description of Duties:
Employment References
Name:
Telephone:
Company:
Address:
Relationship:
How long known?
Applicant Acknowledgement & Authorization
Signature
Date