Last Name
Carson Country USBC
Association Manager Employment Application
First
M.I.
Date
Address
City
State
Zip Code
Phone
Cell Phone
e-mail
Date Available
Social Security #
Desired Salary
Are you a citizen of the United States?
Yes
No
If no, are you authorized to work in the United States?
Yes
No
Have you ever worked for this company?
Yes
No
If so, when?
Yes
Have you ever been convicted of a felony?
No
If yes, explain.
High School
Address
From
To
Did you graduate?
Yes
No
Degree
College
Address
From
To
Did you graduate?
Yes
No
Degree
Other
Address
From
To
Did you graduate?
Yes
No
Degree
Please list 3 references
Full Name
Relationship
Company
Phone
Address
Full Name
Relationship
Company
Phone
Address
Full Name
Relationship
Company
Phone
Address
Company
Phone
Address
Supervisor
Job Title
Salary
From
To
Reason For Leaving
May we contact your previous supervisor for a reference?
Yes
No
Company
Phone
Address
Supervisor
Job Title
Salary
From
To
Reason For Leaving
May we contact your previous supervisor for a reference?
Yes
No
Company
Phone
Address
Supervisor
Job Title
Salary
From
To
Reason For Leaving
May we contact your previous supervisor for a reference?
Yes
No
I certify that my answers are true and complete to the best of my knowledge.

If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.


Signature ___________________________________________________________________          Date _________________________________________
Please submit hard copy to:

Chris Beard, CCUSBC President
1994 Mule Ct.
Gardnerville, NV  89410

or

email to:

cmbeard1@charter.net