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Information Requested


Information Requested
Please answer the following question if you are applying for a food and beverage job: The Secretary of Health and Human Services has determined that certain diseases, including Hepatitis A, Salmonella, Shigella, Staphylococcus, Giardia and Campylobacter may prevent you from serving food or handling food equipment in a sanitary or healthy manner. An essential function of this job involves handling and serving food, food service equipment and utensils in a sanitary and healthy manner. Is there any reason why you cannot perform the essential functions of this job?

Employment History

Please list all present and past employment (starting with the most recent) for the last ten (10) years. Please account for all periods of unemployment.

(If the space above is not adequate to list your ten (10) year employment history, please use the box below to submit additional information.)

The Country Club of Birmingham has a written drug and alcohol free policy, which is strictly enforced. By electronically signing this application you acknowledge that you have read and understood the following:

I fully understand that prior to and/or during employment a request for drug and/or alcohol testing may be required by The Country Club of Birmingham.

The test will be performed by a health care facility selected by The Country Club of Birmingham.

I further agree that only results of such testing that are contrary to The Country Club of Birmingham's policy may result in disciplinary action. All results will be kept confidential as required by law.

I have not knowingly withheld any information that might adversely affect my chances for employment and the answers I have given are true and correct to the best of my knowledge. Any misrepresentation by me in this application will be sufficient cause for cancellation of this application and/or separation of employment. Furthermore, I understand that just as I am free to resign at any time, the Club reserves the right to terminate my employment at any time, with or without cause and without notice. No promises or representations contrary to the foregoing are binding on the company unless made in writing and signed by me and the Club's designated representative.

The Club has an equal employment opportunity policy. If you believe you have been discriminated in employment on the basis of race, color, religion, national origin, sex, age, or disability please notify the Human Resources Director for The Country Club of Birmingham.

We appreciate your interest in employment opportunities with The Country Club of Birmingham. Thank you for taking the time to complete this application. This application will be considered active for six months. Thereafter you must reapply to be considered for employment.


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