Seville Golf & Country Club Employment Application

8/4/2019 Seville Golf & Country Club Employment Application

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RP'@ruBCOAPPLICATION FOR EMPLOYMENT

interested in your qualifctions. A clear utderstanding ofyour background aod work histor wil aid us in considering you for the postion that best matches your qualifcations.Therefore, we encouage you to be as completc and speoific possible. In this application we are sometimes referred to as The Company. The Company is an equal opportunityshive to provide a safe and healtbl work environmeng ee ofsubstance abuse, for the protection and safety ofour Emptoyee Partroers, Members and Guests. The Company willnot employe idividuals who are required to be registered as a sex offender.

PLEASE PRINT PLAINLY. USE INK ONLYPERSONAL

Social Security No.MIDDLEFor reference purposes, have you worked or attended school under a former name?Present Addess

Ifyes, please list former ame:NO. STREET

How many years at this address?_ Telephone No. (For Message)If hired, can you tumish proof.r y"s lll No [J

Yes l-J No l-lNo Lr

CITY(Home)

STATE

Are you legally eligible for employment in the United Stares? yes t Xo ll]fue you at least 16 years old? yes f, No R Are you at lest 18 years old?Have you worked here befoie or for any poperty fliated with the Companyf Yes l]lIfyes, when and where?Ifyou arc cunently employed with the Company or an afliate ofthe Company, hve you contacted your cunent supervisor? Yes lllPosition you are primarily interested in:Full-Time lll Part-Time ll T".por".y Rateofpayexpected $ perhour/week/montl/ycar Ifhired, on what date will you be able to staf work?What houn and days of the wcek would you be able to

o

If you are applying for a position that may require driving a Company vehicle:Doyouhaveavaliddriver'slicense? Yesfl No Canyoufumishproof?yes No Stare-Do you have a valid Chauffeurs license? yes l No C"o you frr*ish proof? yes l-'J ,fo l]i State_Has your driver's license ever been suspended or revoked? Yes fI lo lf lfyes, explain in

Lioense NoLicense

Some positions may requirc mdonr reasonable sspicion, post-accident d/or preemploymnt, druyalcohol scraiog.

EDUCATIONCirclehighestlevelofeducationcompleted: Elementary6 7 8 Highschool I 2 3 4 College 1 2 3 4 5 6 7 IA. ItrOH SCHOOL, Name of Higb Location City,

Didyougrduate? yes fl No lf lfnot,doyouhaveaoequivalenrydiptoma(GED)? V*s l]j No B. COLLEGE/GRADUATESCHOOLName & Location From To Major Degree Did you graduate?

January 2009


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EMPLOYMENTPlease give accurate, complete full-tirne and paf-time employment histor. Stat with present or most recent employer. lnclude militar sewice and periods of self-employmentand unemployment All time must be accwtely and euthfrlly accounted for. DO NOT PT "SEE RESUME," NOTE: YOU NEED NOT eLAIN ANY GAPS INEMPLOYMENT RELATED TO DISABILITY OR RETIBILITATION.

Company Name./Address

Nameitle of SupervisorIob Title/Basic Duties

Mv w cntct u nt emblel? f wn[

WeeklyPayEmplol&rent Dates (Montl/Year)From ToReason for Leaving

Name/Title of SupervisorJob TitldBic Duties

Veekly PayEmployment Dates (Montb/Year)From ToReason for Leaving

Campany Name/AddressName/Title of SupervisorJob Title/Basic Duties

TelephoneVeekly PayEmployment Dates (Month/Year)

Reason for Leaving

TO THE APPLICANTHaveyoueverbeenconvictedofafelonyormisdemeanorcriminaloffense? Yes fl o fiIn Callfomla, crlniml ofense lud any conviction more than 2 years oldfor a marjuam-relaled oferce.ArcyoucurrcntlyonProbationorParoleforafelonyormisdemeanorcrimialoffense? Yes lf No Nle l]jIn Calmta, plee selt N/A. Thii question regarding probalon or paroler a crlnina! ofme does not pertan to you.* ...Are you required or have you ever been required to register on aoy trye of Sexual Offender Registry? Yes LJ No LlIf YES to any, describe in rll (including dates). Employment with The Company is contingent upon the successful completion of a background check according to The Company'sBackground Check Policy.Haveyoueverbeenrefusedabondbyanemployer? Ves Haveyoueverbeendischgedoraskedtoesign? yes fJ NoNo lj Ifyes,explaininfill,

Have you wer had shortages or misunderstandings about merchandise or finds or anything of value at a place of employment?yes ff o If yes, explain in full,

AGREEMENTI hereby certiff that the facts set fodh in the applicatioa are hue and comptete, and I agree that you may investigate my statements in order to verifl and expand upon theinformalion given.I understand that as part ofnormal employment procedure, a routine inquiry may be made cooceming ioformation on my education, criminal and/or civil record, sexual offenderregisry, driving record (ifapplicable), formerjob responsibilities, character, general reputation, credi! and other related information.I release you and all narned former emptoyen, all credit sources, aud all other souces of such information, from any libility for releasing information to you. I

I understand that if I fail to answer any question, or if I givc misleading or incomplete answers to any question, that alooe is a sufcient basis for failure to hire me, or if I havebeen hirod that alone is sufficient basis for my immediate termiaation.I rther uderstand that this is aD application for einployment ad that no mployment comct is being offered. I agree aad acknowledge that should I beoomc employcd by TheCompany my employment cat be terminated, v/ith or without oause or notice, at any time by myself or The Company.I have had fi.rll opportunity to ask whatever questions I have about aDy ofthe above statements.

DATE APPLICANT'S SIGNATT.IRE

January 2009


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Disclosure and Release of Information Authorization FormAll States Except CalirniaProperfy and Applicant: Do not attach this form to Ennployrnent Application

I authorize 'oProperty"), as either my potential employer, myexisting employer, a potential client for my services, and LexisNexis Screening Solutions Inc.("LexisNexis"), a consumer reporting agency, to retrieve information from all educational institutions,govemment agencies, companies, corporations, credit reporting agencies, law enforcement agencies at thefederal, state, or county level, or individuals, relating to my past activities, and all information concerningmy background, to supply any and all information concerning my background. The information receivedmay include, but is not limited to, academic, residential, achievement, job performance, attendance,litigation, personal history, credit reports, driving history, sexual offender registry and criminal historyrecords.I understand the following background checks are the current minimum requirements according to theProperty's policy guidelines if applying for or already working in certain critical positions as describedbelow:

r Positions that may involve driving a vehicle as a regular part of the job require MVR checks.c All positions, including but not limited to independent contractors, require criminal checks(County, Federal, and Sexual Offender Registry [SOR]).e Accounting/financial, General Manager, General Manager in Training, and certain Society andOwner's Club positions, as well as solo independent conttactors performing similarfunctions/services, require credit history checks, and I understand credit-reporting agencies,credit/bankruptcy litigation, and credit reports may also be included.If applying for work and currently employed elsewhere, my current ernployer may be contacted.EYES ENO E N/AIf employed in Minnesota or Oklahorna, f would like a copy of any consumer report regarding me.EYESENOONiAI understand that a consumer report may be prepared summarizing this information. ff my prioremployers, clients, and/or references are contacted, the report may include information obtained throughpersonal interviews regarding my character, general reputation, personal characteristics and/or mode ofliving. I may request a copy of any report that is prepared regarding me and may also request the natureand substance of all information about me contained in the files of the consumer reporting agency. Iacknowledge that I have been given a copy of the Summary of Your Rights under the Federal Fair CreditReporting Act.Note: If the consumer checks *YES" regarding the consumer report, of if a California consumer checks*YES' regarding the credit report (and you do request a credit report), please fax this form to yourLexisNexis Service Center. If a California consumer checks "YES" regarding the full consumer report,you will need to provide the individual with a copy of their consumer report. If the consumer checks"\ES" regarding the credit report, and you do request a credit report, please fax this form to Lexis Nexisat l-800-256-5876.


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The following information IS NOT considered as part of your application for employment. It is used foridentification purposes. PLEASE PRINT CLEARLYLast Name: First Name: Middle Name:Driver's License Number:Date of Birth: Social Security Number:

State of License: Expires On:Phone Number:

Current.A.ddress: (No P.O. Boxes please)Street Address:City State Zip:Previous Address: (if at current address for less than2 years)Street Address:City State Zip:I HEREBY RELEASE ANY INDIVIDUAL, BUSINESS OR GOVER}IMENT ENTITY,INCLUDING ITS OFFICERS, DIRECTORS, EMPLOYEES AI\D AGENTS F'R.OM ANY AI\DALL LIABILITY F'OR DAMAGES OF \ryHATEVER KIND, WHICII MAY REST]LT BECAUSEoF' CoMPLIAICE, OR ATTEMPTED COMPLIANCE, Vt/ITrr THIS AUTHORTZATION A{DREQUEST TO RELEASE INFORMATION.I have read, understand, and agree to the above and authorze that a photocopy ofthis authorization shallbe accepted with the same attthority as the orignal; and that if I become employed, volunteer, orcontracted by any ffiliate of the above-named Property, or already am employed, volunteer, orcontracted by any affiliate of the above-named Property, this release will remain in effect throughout myemployment or contract or on-going relationship with the Property.Signature DateParent or Guardian Signature, if under 18 DateNOTARY: Currently required for Statewde Criminal Checks in AL, GA, NM, RI, WV, and WY;sometimes required in MN depending on search.State County ofSignature My commission Expires on


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A Summary of Your Rights Under the Fair Credit Reporting ActPara informacion en espanol, visite www.ftc.gov/credit o escribe a la FTC Consumer Response Centero Room130-A 600 Pennsylvania Ave. N.W.,IVashington, D.C. 20580.The federal Fair Credit Reporting Act (FCRA) promotes the accuracy, fairness, and privacy of informationin the files of consumer reporting agencies. There are many types of consumer reporting agencies, includingcredit bureaus and specialty agencies (such as agencies that sell information about check writing histories,medical records, and rental history records). Here is a summary of your major rights under the FCRA. Formore information, including information about additional rightso go to www.ftc.gov/credit or write to:

Consumer Response CenterFederal Trade Commission600 Pennsylvania Ave. N.W., Room 130-AWashington, D.C. 20580.r You must be told if information in your file has been used against you. Anyone who uses a creditreport or another type of consumer report to deny your application for credit, insurance, oremployment - or to take another adverse action against you - must tell you, and must give you thename, address, and phone number of the agency that provided the information.I You have the right to know what is in your file. You may request and obtain all the informationabout you in the files of a consumer reporting agency (your "file disclosure"). You will be required toprovide proper identification, which may include your Social Security number. In many cases, thedisclosure will tre free. You are entitlecl to a free file disclosure if: a person has taken adverse action against you because of information in your credit report; you are the victim of identify theft and place a fraud alert in your file;r your file contains inaccurate information as a result of fraud;. you are on public assistance; andlori you are unemployed but expect to apply for employment within 60 days.In addition, by September 2005 all consumers will be entitled to one free disclosure every 12 monthsupon request from each nationwide credit bureau and from nationwide specialty consumer reportingagencies. See www. ftc. gov/credit for additional information.r You have the right to ask for a credit score. Credit scores are numerical summaries of your credit-worthiness based on information from credit bureaus. You may request a credit score from consumerreporting agencies that create scores or distribute scores used in residential real property loans, butyou will have to pay for it. In some mortgage transactions, you will receive credit score informationfor free from the mortgage lender.o You have the rght to dispute incomplete or inaccurate information" If you identify informationin your file that is incomplete or inaccurate, and report it to the consumer reporting agency, theagency must investigate unless your dispute is frivolous. See www.ftc.gov/credit for an explanationofdispute procedures.

o Consumer reporting agencies must correct or delete inaccurate, incomplete, or unverifiableinformation. lnaccurate, incomplete or unverifiable information must be removed or corrected,usually within 30 days. However, a consumer reporting agency may continue to report information ithas verified as accurate.r Consumer neponting agencies may not report outdated negative information. In most cases, aconsumer reporting agency may not report negative information that is more than seven years old, orbankruptcies that are more than l0 years old.


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r Access to your file is limited. A consumer reporting agency may provide information about youonly to people with a valid need -- usually to consider an application with a creditor, insurer,employer, landlord, or other business. The FCRA specifies those with a valid need for access.r You must give your consent for reports to be provided to employers. A consumer reportingagency may not give out information about you to your employer, or a potential employer, withoutyour written consent given to the employer. Written consent generally is not required in the truckingindustry. For more information, go to www.ftc.gov/credit.r You may limit (.prescreened'u offers of credit and insurance you get based on information inyour credit report. Unsolicited'oprescreened" offers for credit and insurance must include a toll-freephone number you can call if you choose to remove your name and address from the lists these offersare based on. You may opt-out with the nationwide credit bureaus at 1-888-5-OPTOUT (1-888-567-8688).r You may seek darnages from violators. [f a consumer reporting agency, or, in some cases, a user ofconsumer reports or a furnisher of information to a consumer reporting agency violates the FCRA,you may be able to sue in state or federal court.o ldentity theft victirrs arad active duty military personnel have additional rghts. For moreinformation, visit www.ftc.gov/credit.States may enforce the FCRA: and many states have their own consurner reporting laws. In some cases, youmay have more rights under state law. For more informationo contct your state or local consumerprotection agency or your state Attorney General. Federal enforcers are:

TYPE OF BUSINESS: CONTACTIConsumer reporting agencies, creditors and others notlisted below Federal Trade Commission:Consumer Response Center - FCRAWashineton. DC 20580 l-877-382-4357National banks, federal branches/agencies of foreignbanks (word "National" or initials "N.4." appear in orafter bank's name)Office of the Comptroller of the CurrencyCompliance Management, Mail Stop 6-6Vy'ashinston- DC 20219 l-800-613-6743Federal Reserve System member banks (except

national banks, and federal branches/agencies offoreien banks)Federal Reserve BoardDivision of Consumer & Community Affairswashinston. DC 20551 l-202-452-3693Savings associations and federally chartered savingsbanks (word "Federal" or initials "F.S.B." appear infederal institution's name)Office of Thrift SupervisionConsumer ComplaintsWashinston. DC2O552 l-800- 842-6929Federal credit unions (words "Federal Credit Union"appear in institution's name) National Credit Union Administration1775 Duke StreetAlexandria. VA223l4 l-703-519-4600State-chartered banks that are not members of theFederal Reserve System Federal Deposit Insurance CorporationConsumer Response Center2345 Grand Avenue, Suite 100Kansas City, Missouri 64108-2638 l-877-275-3342Air, surface, or rail common carriers regulated byformer Civil Aeronautics Board or InterstateCommerce Commission Department o f TransportationOffice of Financial ManagementIVashinston. DC 20590 l-202-366-1306Activities subject to the Packers and Stockyards Act,192t Department of AgricultureOffice of Deputy Administrator - GIPSAWashinston. DC 20250 l-202-720-7051


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BACKGROUND CHECK RECORI)Do not attaclr the Dscloswre nd R.elese of Inrmtion,4wtkorzaton 7orm to the ^dpplication.

Name: (Full Name of the current Employee Partner, prospective Employee Partner(including temporary/seasonal Employee Partner), or solo ndependent contractor)Date of Birth @OB):Position Applied for:An offer of ernployment is contingent upon the successful completion of a backgroundcheck according to ClubCorp's Background Check Policy. If you begin employment priorto the completon of the background check, we reserve the right to terrninate younemployment based upon background chech nesults.Signature Date

For office use only:E New [Iire Rehire LexisNexis Account l{urnber:

Requestor:Date Background Check Requested:Date $[otificatom of, Results Received:Background Check Vendor:Is this person eligible for ftrire, Rehire, Contract, Continued Contracto or ContnuedEmployment?E v"sENoDepartrnent Head Signature Date

Documents

Seville Golf & Country Club Employment Application