Question Title

* 1. First Name

Question Title

* 2. Last Name

Question Title

* 3. Street Address

Question Title

* 4. City, State, Zip

Question Title

* 5. Home Phone

Question Title

* 6. Cell Phone

Question Title

* 7. Email

Question Title

* 8. Date of Birth

Question Title

* 9. Social Security Number

Question Title

* 10. Drivers License number & state

Question Title

* 11. Position applying for

Question Title

* 12. Full Time or Part Time

Question Title

* 13. Salary Desired

Question Title

* 14. How did you hear about Bocage?

Question Title

* 15. Referred by

Question Title

* 16. Why would you like to work at Bocage and why would you be a good fit for Bocage?

Question Title

* 17. Education - Answer all that apply

Question Title

* 18. Last Place of Employment

Question Title

* 19. When are you available to start?

Question Title

* 20. Do we have your permission to run a background check?

Question Title

* 21. The Bocage Racquet Club is an Equal Opportunity Employer. Decisions concerning employment are not made on the basis of race, color, sex, religion, national origin, citizenship status, disability, or any other basis not permitted by law.
AUTHORIZATION
“I certify that the facts contained in this application are true and complete to the best of my knowledge and that understand that if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information. I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement to the contrary to the foregoing, unless it is in writing and signed by an authorized company representative. This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other related federal and state laws.”

Question Title

* 22. Please send a picture with a resume to bocage@bocagerc.org

T