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Employment Application
THE LAKE NAOMI CLUB HAS FILLED ALL SEASONAL POSITIONS FOR 2010.
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Thank you for your interest in employment opportunities at the Lake Naomi Club. All applications will kept on file for a period of one year. Should any positions open, you will be contacted by a manager regarding your application.
READ THE FOLLOWING PARAGRAPH BEFORE FILLING OUT THIS APPLICATION:
We appreciate your interest in our organization and assure you that we are sincerely interested in your qualifications. Please be frank and honest in giving all information requested. The questions are designed to give as complete a picture of the applicant as possible and to assist the Lake Naomi Club in selecting a well balanced and properly diversified staff. Disregard any questions which do not apply to you and/or to the job you are applying for. If you feel that any of the questions are unfair or discriminatory, do not answer them. Acceptance or rejection will not be based on the answer or non-answer of any question or questions.
First Name* 
Last Name* 
EMPLOYMENT DESIRED
Position(s) 
Available From 
Available To 
PERSONAL INFORMATION
E-mail 
Address* 
City* 
State* 
Zip Code* 
Address (college or school, if different than above)
E-mail 
Address 
City 
State 
Zip Code 
Telephone*Quick TipNumber where you can most likely be reached
Date of Birth 
Age 
____________________________________________________________________________
Have you ever filed an application here before?
 
 
When 
Referral Source:
 
 
 
Other 
Do any of your friends or relatives work here?
 
 
If yes, list name(s) 
Do you have any physical, mental, or medical impairment or disability that would limit your job performance for the position for which you are applying?
 
 
If Yes, please explain 
Have you ever been convicted of a serious offense?
 
 
If Yes, please explain 
EDUCATIONAL BACKGROUND
Schools Attended
High School 
Date Entered 
Year Completed by June 
Graduation Date (year) 
Major Subjects 
College 
Date Entered 
Year Completed by June 
Graduation Date (year) 
Major Subjects 
Graduate School 
Date Entered 
Year Completed by June 
Graduation Date (year) 
Major Subjects 
Other Training or Workshops
Date Entered 
Year Completed by June 
Major Subjects 
Describe any relevant extracurricular activities, clubs and/or special interests that you have or are involved with:
 
Do you presently hold a Red Cross or Heart Association CPR Certificate?
 
 
Expiration Date 
Do you have a valid license to drive a motor vehicle?
 
 
State Issued By 
Are you willing to participate in workshops and training courses?
 
 
Are you employed now?
 
 
If so, may we inquire of your present employer?
 
 
FORMER EMPLOYERS (List below your last two employers, starting with you most recent employer.)
Name 
Address 
Phone Number 
Position 
Salary 
Dates worked 
Reason for Leaving 
Name 
Address 
Phone Number 
Position 
Salary 
Dates worked 
Reason for Leaving 
REFERENCES (Give the names of three persons not related to you who you have known at least one year.)
Name 
Address 
Phone Number 
Occupation 
Years Acquainted 
Name 
Address 
Phone Number 
Occupation 
Years Acquainted 
Name 
Address 
Phone Number 
Occupation 
Years Acquainted 
____________________________________________________________________
THE FOLLOWING QUESTIONS NEED ONLY BE ANSWERED BY THOSE APPLYING FOR POSITIONS IN THE AQUATICS, RECREATION AND SAILING DIVISIONS.
Do you presently hold a Water Safety Instructor's Certificate?
 
 
Expiration Date: 
Do you presently hold a Lifeguard Training Certificate?
 
 
Expiration Date: 
Do you presently hold a First Aid Certificate?
 
 
Classification 
Expiration Date: 
Do you presently hold a U.S. Sailing Instructor's Certificate?
 
 
Expiration Date: 
What Sports, Hobbies or Skills could you teach to a group?
 
What is your favorite age group to work with?
 
THE FOLLOWING QUESTIONS SHOULD BE ANSWERED BY ALL APPLICANTS.
In the space provided below, please write brief statements which you feel may be helpful to us in considering the following:
(a) Any additional information you feel may be helpful to us in considering your application.
(b) Why do you want to work on the staff team of the Lake Naomi Club?
(c) What characteristics do you have that you feel will enable you to be a good staff member?
(d) What benefit do you feel a position with the Lake Naomi Club will be to you?
 
The responsibilities of maintaining diversified Resort Communities are serious and exacting. Your submission of this application indicates your willingness to give your best efforts and abilities toward achieving the goals and objectives of the Lake Naomi Club and its Members.
"The submission of this application signifies that to the best of my knowledge and belief, all information provided is complete and true. Any false statement shall be sufficient cause for rejecting my candidacy, withdrawal of any offer of employment, or termination of my employment with the Lake Naomi Club. I hereby authorize investigation of any of the information included in this application and release from liability, all persons or corporations supplying information concerning my background."
"I understand that, if hired, I will be required to abide by all rules and regulations of the Lake Naomi Club and that my employment may be terminated at any time without any prior notice."

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Lake Naomi Club • Route 423 • PO Box T Pocono Pines, PA 18350 • (570) 646-9191
 
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