Registration: Town & Country Sports and Health Club

If you have already registered for access to our online scheduling system and you have already received your welcome email message with your temporary password, please sign in using that password. 

If you have not completed this form, thank you for taking a moment to complete and submit the following details.

Thank you for your patience, it might take a few hours or days until your registration has been processed.

 

An Equal Opportunity / Affirmative Action Employer: Town & Country  does not discriminate on the basis of age, sex, race, color, National origin, religion, veteran status, physical or mental disability.


* required field
APPLICANT INFORMATION
 

Applicant Information
Position You're Applying for
Desired Salary
Type of position you're applying for
Full time
Part time
Summer
Intern
Other
If other, please specify here.
Date of Application
Date Available
Date of Birth
Are you over 18 years of age?
 Yes  No
Are you willing to work any shift?
 Yes  No
SSN/TaxID

Education Information
Did you Graduate high school?
 Yes  No
Name of High School
HS City and State
Did you graduate from college?
 Yes  No
Major or Concentration
Degree and Type
Name of College
College City and State
Please list any additional educational history here.
Other skills:
Please list any Technical Certifications, Licenses, Registrations, etc., you may have here.
Computer Skills (Software, Programming, etc.)

Professional History: List below your last three employers, starting with your current or most recent employer.
First EMPLOYER’S NAME AND ADDRESS
Start date
End Date
Supervisor's name and phone number
Job Title
Describe major duties
Reason for leaving
Second EMPLOYER’S NAME AND ADDRESS
START DATE
END DATE
SUPERVISOR'S NAME AND PHONE NUMBER
JOB TITLE
DESCRIBE MAJOR DUTIES
REASON FOR LEAVING
Third EMPLOYER’S NAME AND ADDRESS
START DATE
End DATE
SUPERVISOR'S NAME AND PHONE NUMBER
Job Title
DESCRIBE MAJOR DUTIES
REASON FOR LEAVING

Personal References
First Reference Name
First Reference Telephone number
How do you know the person, and how long have you known them?
Second Reference Name
Second Reference Telephone Number
HOW DO YOU KNOW THE PERSON, AND HOW LONG HAVE YOU KNOWN THEM?
Third Reference Name
Third Reference Telephone Number
HOW DO YOU KNOW THE PERSON, AND HOW LONG HAVE YOU KNOWN THEM?

“By submitting this application I certify that the facts contained in this application are true and complete. I authorize Town & Country to verify the accuracy of the information provided herein, I authorize former employers and educational institutes to provide information concerning me, and I release them from liability for providing any such information to Town & Country. I further authorize Town & Country to provide others information concerning me, and I release Town & Country from liability for providing any such information. I also authorize Town & Country to investigate my criminal convictions and driving record. I understand that falsification, misrepresentation, or omission of requested facts will result in denial of employment or, if employed, will result in immediate dismissal. I understand and agree that, if hired, my employment will be for no definite period and may, regardless of the date of payment of wages, be terminated at any time without previous notice and with or without reason, at the will of either myself or Town & Country. I also understand and agree that no one has the authority to promise me job security or continued employment, except T&C President/Owner in a formal written agreement signed by both of us.”

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We appreciate your time and interest


 
 
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