Application for Employment

1) First Name

2) Last Name

3) Present Address (Street and Number)

4) City, State and Zip Code

5) Primary Phone Number

6) Email Address

7) Date or Application

We Consider all applicants for positions with regard to race, color, religion, sex national origins, citizenship, age, mental or physical disabilities, veteran/reserve/national guard or any similarly protected status. We also comply with all applicable laws governing employment practices and do not discriminate on the basis of any unlawful criteria.
8) Position(s) applied for

9) Type of employment desired

10) Are you legally eligible to work in the United States? (Proof pf eligibility will be required upon offer of employment)

11) Are you over the age of 18 years? (If no, you may be required to provide authorization)

12) Briefly State the reasons you are interested in employment a the Fairfield County Hunt Club:

13) List acquaintances employed by the Fairfield County Hunt Club

14) List all previous work experience. Begin with present position and work back to first position.

TERMS OF EMPLOYMENT I, the undersigned, state that all information given by me in this application is true to the best of my knowledge. I authorize the Company to verify such information and to contact any reference given by me. Should the Company employ me, I agree that: ? My employment shall be in accordance with the terms of this application and the Company rules and regulations, which may be modified at any time by the Company. ? I understand that my employment may be terminated or I may resign at any time, with or without notice, with or without cause, the Company?s only obligation being to pay me wages or salary earned by me to date of termination. I further acknowledge and agree that the period of my employment is indefinite and that no documents of the Company shall constitute a contract of employment. The policy set forth in this paragraph may be modified only by written agreement signed by me and by an officer of the Company. ? I agree that employment may be contingent upon meeting all placement considerations, including medical ones. ? The Company, and any person or concern it may authorize, shall be entitled, without further consent, to copyright, sell, or use in any manner, any picture or photograph of me. ? I agree not to disclose any of the Company?s trade secrets or other confidential or restricted informa?tion and not to make use of such trade secrets or confidential or restricted information in any fashion during employment or after my employment with the Company is terminated. ? I authorize the Company to investigate all statements contained in this application and hereby release former employers and the Company from any and all liability on account of furnishing such informa?tion to the Company. FALSIFICATION, MISREPRESENTATION, OR OMISSION OF INFORMATION ON THIS, OR ON ANY OTHER EMPLOYMENT FORM, SHALL BE GROUNDS FOR IMMEDIATE TERMINATION, REGARD?LESS OF WHEN SUCH FALSIFICATION, MISREPRESENTATION, OR OMISSION IS DISCOVERED. Signature of Applicant Date WE APPRECIATE YOUR INTEREST IN THE COMPANY AND THE TIME YOU HAVE TAKEN TO PREPARE THIS APPLICATION.