Apply Name * First Name Last Name Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Phone * (###) ### #### Email * Which position are you interested in? * Bartender Server Dishwasher Housekeeper Busser Golf Shop Staff Outside Golf Staff Line Cook If you are under 18 years of age and it is required, can you furnish a work permit? * Yes No Are you authorized to work in the United States? * Yes No Have you ever been employed with us before? * Yes No If yes, please give date Have you ever been convicted of a felony, released from prison or convicted of a misdemeanor other than traffic offenses within the past three (3) years? (A conviction record is not an absolute bar to acceptance) * Yes No If yes, please explain: List any special skills or experience that would be helpful in the position applied for: * EMPLOYMENT - Most recent employer Employer Address Employer Phone (###) ### #### Date Started MM DD YYYY Date Left MM DD YYYY Title/Position Name and title of supervisor Reason for leaving Employer Employer Address Phone (###) ### #### Date Started MM DD YYYY Date Left MM DD YYYY Title/Position Name and title of supervisor Reason for leaving Employer Employer Address Employer Phone (###) ### #### Date Started MM DD YYYY Date Left MM DD YYYY Title/Position Name and title of supervisor Reason for leaving EDUCATION - High School Name and Location, Years Attended, Major/Study College Name and Location, Years Attended, Major/Study Other Name and Location, Years Attended, Major/Study Reference (Not Related to you) Name, Phone number, Occupation Reference (Not Related to you) Name, Phone number, Occupation Reference (Not Related to you) Name, Phone number, Occupation BACKGROUND CHARACTER VERIFICATION: Bullseye Golf Club may perform a background check on any employee at any time. I hereby agree to have this background check performed by signing and dating this form. In order to perform the proper background character verification, Bullseye Golf Club is required to provide the agency your date of birth. I understand that false or misleading information in my application can lead to discharge. I understand, also that I am required to abide by all rules and regulations of Bullseye Golf Club. I understand that if I am employed, I can be terminated at any time, with or without cause, and with or without notice. I understand and agree that my application will remain on file for a period of one year. * Signature (Print name) Today's Date * MM DD YYYY Thank you for submitting an application! A member of our team will be in touch with any further steps!