I acknowledge that the information that I have supplied is correct on the best of my knowledge and understand that any misrepresentations or omissions of fact during the hiring process may be grounds for rejection of my application or termination.

I freely and voluntarily agree to submit to a drug and/or alcohol test, when and where applicable, and as may be allowed by state or federal law as part of my application for employment and that any offer of employment is conditional upon passing said pre-employment testing. An applicant testing positive for drugs during a pre-employment drug test will not be eligible to work for Poquoy Brook and may not re-test for a period of one year. I understand that as an applicant as well as an employee (should I be hired), that I may be required to submit to said drug and/or alcohol testing as may be permitted under state or federal law. I further understand that refusal to submit to said drug and/or alcohol testing as is permitted by law, or the positive testing for prohibited drugs or alcohol in accordance with standards established by either state or federal law, may result in disciplinary action, including immediate suspension or termination of employment.

If employed, I agree to conform to the rules and regulations of Poquoy Brook Golf Club. Under the Fair Labor Standards Act. I understand that any tips I may earn must be reported to Poquoy Brook and that if I should fail to report these amounts, I will be subject to disciplinary action up to and including termination. I also agree that, if hired, I have the right to resign my employment at any time, with or without cause and that my employment may be terminated with or without cause, and with or without notice, at any time at the option of either myself or Poquoy Brook Golf Club. I understand that no manager or representative of Poquoy Brook Golf Club, other than the General Manager of Poquoy Brook Golf Club, has any authority to enter into any agreement for employment for any specified period of time or make any agreement or contract related to the foregoing eith now, in the past, or in the future. I understand that even an agreement by the General Manager must be in writing and signed by him/her for it to be binding on either myself or Poquoy Brook Golf Club. I further understand that this acknowledgment supersedes any prior oral or written understanding.

I have read in full and understand the above and agree that a reproduced copy of this affirmation will be valid as original. I acknowledge and agree that if at any time I am subjected to any type of discrimination and/or harassment, I will contact my supervisor and/or manager immediately to obtain assistance in the resolution of such matters.

I understand that in connection with my application for employment a consumer report may be requested for employment purposes. All inquiries will be handled in compliance with applicable law including provisions of the Fair Credit Reporting Act, 15 U.S.c. Section 1681, et seq. I understand that the employment decision and my continued employment will be subject to the results of these inquiries. The report may include, but is not limited to, the following areas:

Verification of social security number; current/previous residences; employment history; education including transcripts; character references; credit history and reports when applicable; criminal records from any criminal justice agency in any/all federal, state, county, jurisdictions; motor vehicle records; and any other public records or to conduct interviews with third parties relative to my character, general reputation, or personal characteristics.

I hereby waive any and all written notice of disclosure that may be required by applicable local, state, or federal laws of my past and/or present employer(s), individuals, or institutions. In exchange for the consideration of my employment application by Poquoy Brook Golf Club, I hereby release and forever discharge, without reservation, Poquoy Brook Golf Club (including its directors, officers, employees, its agents, contractors, and subcontractors) and my past and/or present employers (their directors, officers, employees, and agents) from any liabilities that may result from an investigation of my past and/or present employment or from the disclosure of any information.

I further acknowledge that a telephone facsimile (FAX) or photographic copy of this document will be valid as original.

THIS INFORMED CONSENT AND RELEASE PROVIDES THAT YOU KNOWINGLY AND VOLUNTARILY AGREE TO RELEASE CERTAIN PERSONAL RIGHTS. IT MAY BE ADVISABLE FOR YOU TO SEEK LEGAL COUNSEL PRIOR TO ENTERING INTO THIS AGREEMENT.