Saint Louis Club Employment Application

Saint Louis Club is an Equal Opportunity Educational Institution and EEO/Affirmative Action Employer committed to excellence through diversity. Employment offers are made on the basis of qualifications and without regard to race, sex, religion, national or ethnic origin, disability, age, veteran status, or sexual orientation

Name (Last, First, Middle):

Other names used:

Street Address:

City, State & Zip:

Cell Phone:

Alt Phone:

Email:

Applying for position:

Applying For:

Full-Time Part-Time

Are you currently employed?

YesNo

If YES, what is your current job title?

Have you ever been employed by Saint Louis Club?

YesNo

If YES, list position & dates of employment:

EDUCATION:

High School:

City/State:

Did you graduate?

Yes
No

If No, # of years remaining

If Yes, Graduation Year

College:

City/State:

Did you graduate?

Yes
No

Degree

Major

Other credentials/ licenses/ professional affiliations, etc., which are relevant to the job(s) for which you are applying:

Have you ever been convicted of a crime?

YesNo

If yes, please briefly describe the nature of the crime(s), the date and place of conviction. Saint Louis Club will not deny employment to any applicant solely because the person has been convicted of a crime. Saint Louis Club however, may consider the nature, date and circumstances of the offense as well as whether the offense is relevant to the duties of the new position.

WORK EXPERIENCE:

Please detail your entire work history. Begin with your current or most recent employer. Omission of prior employment may be considered falsification of information. Saint Louis Club reserves the right to contact all current and former employers for reference information.

Title:

Organization Name and Address:

Dates Employed: (most recent first)

Full Time or Part Time:

Full time
Part-time

If part-time, # hrs./wk.:

Starting Salary:

Final Salary:

Supervisor’s Name, Title & Phone Number:

Primary duties:

Reason for Leaving:

Title:

Organization Name and Address:

Dates Employed:

Full time or Part time:

Full Time
Part Time

If part-time, # hrs./wk:

Starting Salary:

Final Salary:

Supervisor’s Name, Title and Phone Number:

Primary duties:

Reason for Leaving:

Title:

Organization Name and Address:

Dates Employed:

Full Time or Part Time:

Full Time
Part-Time

If part-time, # hrs./wk:

Starting Salary:

Final Salary:

Supervisor’s Name, Title and Phone Number:

Primary duties:

Reason for Leaving: