OCC Employment Form

First Name: *
Last Name: *
Mailing Address: *
Have you ever used any other names ? If so, please list here:
Apt. No.
City:
State:
  • --Select--
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  • Yukon
Zip:
Phone:
Cell:
E-mail:
CAN YOU, UPON EMPLOYMENT, SUBMIT VERIFICATION OF YOUR LEGAL RIGHT TO WORK IN THE UNITED STATES?*
Desired Employment
Desired Position(s): *
Date You Can Start:
Compensation Desired:
Full Time (Must be available for any and all shifts)
Part Time
Seasonal ( summer )
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Have you ever applied for employment at the club at OCC before: *
Where?
When?
Have you ever worked at OCC before? *
Who Refferred you to the OCC? *
When?
Employee Name:
Education
High School ( Name and Location of School):
Did you graduate?
Degree / Certification Received, Subjects Studied
COLLEGE (Name and Location of College):
Did you graduate?
Degree / Certification Received, Subjects Studied
OTHER:
Did you graduate?
Degree / Certification Received, Subjects Studied
FORMER EMPLOYER
NAME OF NEXT PREVIOUS EMPLOYER
ADDRESS
CITY
STATE
ZIP CODE
STARTING DATE
DATE LAST WORKED
JOB TITLES
NAME OF DIRECT SUPERVISOR
TITLE
SUPERVISOR'S PHONE NUMBER
SUMMARIZE TYPE OF WORK PERFORMED AND JOB RESPONSIBILITIES
REASON(S) FOR LEAVING
IF YOU WERE TERMINATED OR ASKED TO RESIGN, PLEASE EXPLAIN:
Former Employer
NAME OF NEXT PREVIOUS EMPLOYER
ADDRESS
CITY
STATE
ZIP CODE
STARTING DATE
DATE LAST WORKED
JOB TITLES
NAME OF DIRECT SUPERVISOR
TITLE
SUPERVISOR'S PHONE NUMBER
SUMMARIZE TYPE OF WORK PERFORMED AND JOB RESPONSIBILITIES
REASON(S) FOR LEAVING
IF YOU WERE TERMINATED OR ASKED TO RESIGN, PLEASE EXPLAIN:
Former Employer
NAME OF NEXT PREVIOUS EMPLOYER
ADDRESS
CITY
STATE
ZIP CODE
STARTING DATE
DATE LAST WORKED
JOB TITLES
NAME OF DIRECT SUPERVISOR
TITLE
SUPERVISOR'S PHONE NUMBER
SUMMARIZE TYPE OF WORK PERFORMED AND JOB RESPONSIBILITIES
REASON(S) FOR LEAVING
IF YOU WERE TERMINATED OR ASKED TO RESIGN, PLEASE EXPLAIN:
Job Skills and Qualifications
Job Skill
Qualification:
Job Skill
Qualification:
Job Skill
Qualification:
References
Certification of Application of Employment
I understand and agree that all of the foregoing terms and conditions will become part of my employment relationship with Orinda CC if I am employed by the Company
Authorization/Signature Of Applicant :
Date: