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Indianapolis Racquet Club -
Application for Employment
Page 1 of 2 |
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Indianapolis Racquet Club |
Please print, then
fill out the form |
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8249 Dean Road, Indianapolis, IN 46240 |
below, and either
fax or mail to |
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FAX: 317-842-5631 |
the
attention of Heather Godfrey. |
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Personal Information |
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Name
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Social Security#
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Present Address
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Permanent Address
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Home Phone
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Other Phone
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Referred by
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Employment Information |
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Position
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Date Available to Start
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Salary Desired
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Are you currently employed?
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If so, may we contact your present employer?
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Have you applied for a position at IRC in
the past?
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If so, on what date?
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Which location?
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Education |
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Type of School |
School Name |
Location of School |
Years Attended |
Did you graduate? |
Course of Study |
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Grammar |
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High School |
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College |
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Trade, Business, Advanced Degrees,
etc. |
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Former Employers
(List below, starting with the most recent
first.) |
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Dates |
Name & Address of Employer |
Salary |
Position |
Reason for Leaving |
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Indianapolis Racquet Club -
Application for Employment
Page 2 of 2 |
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References
(List
below individuals not related to you, whom you have known at least one
year.) |
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Phone Number |
Relationship |
Years Known |
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Authorization |
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"I certify that the
facts contained in this application are true and complete to the best
of my knowledge and 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
contrary to the foregoing, unless it is in writing and signed by an
authorized company representative." |
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