Your Name (required)

Your Email (required)

Home Phone Number

Cell Phone Number

Street Address

Questionaire

Are you 16 years of age or older?

 Yes No

Are you able, at the time of employment, to submit verification of your legal right to work in the U.S.?

 Yes No

If offered a position, would you be willing to submit to a background check and drug test?

 Yes No

Would you be comfortable asking a customer to sign up for one of our membership programs?

 Yes No

How much experience do you have with cash handling and/or operating a cash register?

 None Less than 6 months 6 months to a year 1 to 2 years 2 or more years

Are you available to work a flexible schedule including nights, weekends and holidays?

 Yes No

Please indicate the hours you are available to work. Hours of operation will vary.
Times available range from 6 am to 11 pm.

M 8a-7p

Approximate Date Available for Employment

It is Woody’s policy not to employ people that are related, through blood, marriage, or adoption if there will be a direct reporting relationship between the associates and would place the individual in a position of exercising supervisory, appointment or grievance adjustment authority over a member of the individual’s family exercises.

Would your employment violate this policy?

 Yes No

Have you previously applied, interviewed, or been employed by Woody’s Golf Range?

 Yes No

If “yes”, please list the dates of your previous employment with us.

Approximate hourly salary requirements

Education

High School

Highest grade completed

9101112

College or University

Number of years completed

Employment History

Give complete information regarding present and former employment. Please provide information on your 3 most recent jobs. If you do not have 3, mark the last history as your final employment history, but do not omit any jobs that fall within the last three. Start with your present/last job. You may include as a part of your employment history any verified work performed on a volunteer basis.

No employment history

 No Employment History

Employer

Current Employer?

 Yes No

Employer Address

Phone

Job Title/Duties:

Starting Salary:

Ending Salary:

Reason for leaving:

Reason for leaving, be specific and note if involuntary:

May we contact this employer?

 Yes No

Employer Two

Employer Address

Phone

Job Title/Duties:

Starting Salary:

Ending Salary:

Reason for leaving:

Reason for leaving, be specific and note if involuntary:

May we contact this employer?

 Yes No

Employer Three

Employer Address

Phone

Job Title/Duties:

Starting Salary:

Ending Salary:

Reason for leaving:

Reason for leaving, be specific and note if involuntary:

May we contact this employer?

 Yes No

Additional Data

Are you currently a party to any agreement with your current or former employer that contains post-employment restrictions that may impact your ability to work here?

 Yes No

Have you been convicted of a felony or misdemeanor within the past seven years that has not been expunged, sealed, pardoned, annulled, statutorily eradicated or dismissed upon condition of probation? (A conviction record will not necessarily be a bar to employment and will not necessarily disqualify an applicant from consideration. A conviction which is substantially related to the functions or qualifications of the position(s) for which you are applying may be taken into consideration.)

 Yes No

If YES, please describe the date of the conviction, the nature of the offense and your subsequent rehabilitation

Please provide work-related references whom we may contact. Please exclude supervisors listed above. School or volunteer related references may be listed.

Reference One

Reference Two

Reference Three

Any additional information or considerations should be provided here

My signature below indicates that I have made true, correct, and complete answers and statements on this application with the knowledge that the company will rely upon the information I provided when considering my application for employment. I understand that any omission or false statement made by me on this application will constitute sufficient grounds to reject my application or terminate my employment. If the company does hire me, I agree to conform to the Company’s rules and policies, and I understand that I will be an employee at-will, which means that I can voluntarily end my employment or be terminated at any time without cause or notice. No statement, whether written or oral, by any company representative other than a written statement signed by the president and myself may vary the foregoing.

By entering your full name in the box below, this will represent your electronic signature which you agree Woody's Golf Range can rely upon to the same extent as your handwritten signature.

Full Name