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Name: Position: Date: Application for Employment 4735 Carmel Road ~ Charlotte ~ North Carolina ~ 28226 ~ Phone 704-945-9630 ~Fax 704-945-9338

In 1947, the story of Carmel Country Club began when a group of businessmen envisioned a new golf and social club for Charlotte. Since that vision was realized, Carmel Country Club has grown to become the foremost private, member owned family club of the Queen City offering the best in amenities and activities: two 18-hole golf courses, tennis, swimming, fitness and dining. Carmel has earned recognition as a Platinum Club of America, a Five Star Private Club and was named the number 15 private club in America by Club Leaders Forum. Our standards for employment are high. Every employee is important for the success of the overall operation of the Club and must work together as a team to achieve our ultimate goal. That goal is to provide our Club membership with the best service possible, so that each and every time they utilize Carmel Country Club they feel they are a member of a special organization. Our club s mission statement as it relates to employees is to attract and retain top talent by creating a work environment that employees find rewarding and satisfying. By practicing positive employee relations our goal is for our employees be engaged and provide excellent member service. We strive to be an employer of choice in the greater Charlotte area. Carmel Country Club is an equal opportunity employer.

Personal Information Last Name First Name Middle Name Address City County State Zip Home Phone Number Cell/Work Phone Number Email Address Employment Information Department/Position: Full-time Part-time Seasonal/Temp Extern Rate of pay desired: Will you work overtime when required? Date available to start: Available to work holidays? Availability: (Please check when you are available.) Morning Afternoon Evening Mon Tues Weds Thurs Fri Sat Sun Have you ever been employed by Carmel Country Club? If Yes, when? Were you referred by anyone working for Carmel Country Club? If Yes, employee name? Are you related to any members at Carmel Country Club: If so, please list name and relationship to you. If hired can you provide proof that you are eligible to work in the United States? Have you ever been involved in a work situation which involved yelling, fighting, or physical contact? Have you ever been fired? Have you ever been convicted of any law violation (except a minor traffic violation)? Do not include sealed or expunged convictions. Note - The existence of a criminal history will not automatically disqualify you from employment. Each instance and explanation will be considered in relation to the position for which you are applying. If yes, please explain: Date of conviction: City: State: Disposition Results: Are you now, or have you ever been known by any other name, or have you changed your name (first or last)? Previous Name:

Skills and Experience How many years of experience do you have relative to the position for which you are applying for? Please list any other job related skills: Employment History Please tell us about previous jobs you have held starting with your current or most recent job. You may include voluntary positions if you desire. You may exclude organization names which may indicate race, color, religion, gender, national origin, disability or other protected status. Please include information for up to 3 jobs. Company Name Telephone Address, City & State Employed From/To (Month & Year) Name of Supervisor Starting/Ending Wage Job Title & Type of Work Reason for Leaving It is ok to contact this employer? Company Name Telephone Address, City & State Employed From/To (Month & Year) Name of Supervisor Starting/Ending Wage Job Title & Type of Work Reason for Leaving It is ok to contact this employer? Company Name Telephone Address, City & State Employed From/To (Month & Year) Name of Supervisor Starting/Ending Wage Job Title & Type of Work Reason for Leaving It is ok to contact this employer?

Education High School/GED Name/Location Graduated Degree/Course of Study Years Completed College/ University Graduate Other Please list any special accomplishments, training, licenses and/or certificates, or job related functions that might qualify you for the position for which you are applying. References Please provide information for two references. Please do not include members of your family as references. Name: Relationship: Occupation: City & State: Home Phone: Work Phone: Name: Relationship: Occupation: City & State: Home Phone: Work Phone:

Please read the following carefully. Your signature below is required to be considered for employment. It also acknowledges you have read, understand and agree to the information. About this application: I certify the information on this application is true and correct. I understand that any false statements, misrepresentations or omissions of fact may result in the rejection of my application or in immediate separation from Carmel Country Club if I become employed. About inquiries and information from current and former employers and/or personal references: I authorize Carmel Country Club to inquire and receive information from all of my current and former employers, personal references, and educational institutions and to otherwise verify the accuracy of the information contained in this application. I hereby release from liability the employer and its representatives for seeking, gathering, and using such information and other persons, corporations or organizations for furnishing such information. About the employer: I understand Carmel Country Club does not unlawfully discriminate in employment and no questions on this application are used for the purpose of limiting or excluding any applicant from consideration for employment on a basis prohibited by local or federal law. I understand it is this company s policy not to refuse to hire a qualified individual with a disability because of that person s need for a reasonable accommodation as required by ADA. I understand that I may be asked to submit to random drug testing. About proof of meeting minimum age requirements and the right to work in the United States: I agree to provide proof of meeting minimum age requirements of applicable laws and submit proof of my true age if I am hired. I also consent, if hired to provide proof of the right to work in the United States as required by the Immigration Reform and Control Act of 1986. About at-will employment: I agree, if employed to conform to the guidelines and policies of Carmel Country Club, whenever adopted or changed by Carmel Country Club, and that those guidelines and policies do not constitute an employment contract. I further agree that if hired, my employment will be for an unspecified term and may be terminated at the will of either Carmel Country Club, or myself, with or without cause, and with or without notice. This application does not constitute an agreement or contract for employment for any specified period or definite duration. I understand that no representative of the employer, other than an authorized officer, has the authority to make any assurances to the contrary. I further understand that any such assurances must be in writing and signed by an authorized officer. I represent and warrant that I have read and fully understand the forgoing and seek employment under these conditions. Signature of Applicant: Date: