Employee Application

    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.

    (Proof of eligibility will be required upon offer of employment) 
    (A conviction will not necessarily disqualify you.)
    (Note: Felony convictions or the existence of a criminal record do not constitute an automatic bar to employment.)
    (If no, you maybe required to provide authorization.)
    (If you have any questions about the functions of the job, please ask the interviewer before answering this question.)

    EMPLOYMENT

    EDUCATION

    REFERENCES
    Please list three professional references.

    Reference 1

    Reference 2

    Reference 3

    PREVIOUS EMPLOYMENT

    ​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 Shorehaven GC.

    Employment 1

    Employment 2

    Employment 3

    MILITARY SERVICE

    PLEASE READ CAREFULLY BEFORE SIGNING

    ​I understand that the employer follows an “employment at will” policy, in that I or the employer may terminate my employment at any time, or for any reason consistent with applicable state or federal law; this “employment at will” policy cannot be changed verbally or in writing, unless the change is specifically authorized in writing by the chief operating officer of this organization. I understand that this application is not a contract of employment. I understand that federal law prohibits the employment of unauthorized aliens; all persons hired must submit satisfactory proof of employment authorization and identity; failure to submit such proof will result in denial of employment.

    I understand this application will be active for a period of one year; after that time, if I wish to be considered for employment, I must submit a new application.

    I understand that the employer will thoroughly investigate my work and personal history and verify all data given on this application, on related papers, and in interviews. I authorize all individuals, schools, and firms named therein, except my current employer if so noted, to provide any information requested about me, and I release them from all liability for damage in providing this information.

    I authorize this company, if applicable, to request a copy of my credit report, motor vehicle driving record, and any other investigative report deemed necessary through various third party sources. As required by law, upon request within a reasonable period of time, I will be notified as to the nature and scope of such investigations. I hereby agree to submit to any drug test required of me, whether prior to my employment or if employed by this company at any time thereafter. If requested, I will take a post-job offer physical examination and my employment will be conditional upon passing such examination.

    I certify that all the statements herein are true and understand that any falsification or willful omission shall be sufficient cause for dismissal or refusal of employment.
​14 Canfield Ave, Norwalk, CT 06855-2817 
Phone: (203) 866-5528
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