Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Have you worked for the Kane County Cougars before? *

Yes

No

Are you currently a student? If yes, what level are you currently completing? *

High School

College

Graduate School

I am not a student

Available Start Date *

MM

DD

YYYY

May we contact your current employer for references? *

Yes

No

Have you ever handled cash for a business? *

Yes

No

Were you ever disciplined for your cash handling? *

Yes

No

CERTIFICATION *

The above information is true and correct. I understand that, in the event of my employment by the Kane County Cougars, I shall be subject to dismissal if any information that I have given in this application is false or misleading or if I have failed to give any information herein requested, regardless of the time elapsed after discovery. I authorize the Kane County Cougars to inquire into my educational, professional and past employment history references as needed to research my qualifications for this position. I hereby give my consent to any former employer to provide employment-related information about me to the Kane County Cougars and will hold the Cougars and my former employer harmless from any claim made on the basis that such information about me was provided or that any employment decision was made on the basis of such information. I further authorize the Kane County Cougars to obtain any credit and consumer check necessary for the position for which I am being considered. I understand that nothing in this employment application, the granting of an interview or my subsequent employment with the Kane County Cougars is intended to create an employment contract between myself and the Cougars under which my employment could be terminated only for cause. On the contrary I understand and agree that, if hired, my employment will be terminable at will and may be terminated by me or the Kane County Cougars at any time and for any reason. I understand that only the General Manager may make any contrary commitments. If employed, I will be required to provide original documents which verify my identity and right to work in the United States under the Immigration Reform and Control Act (IRCA) of 1986. The document(s) provided will be used for completion of Form I-9. By submitting this form, I hereby acknowledge that I have read and agree to the above statements.

Yes, the above information is true and correct.