Employment Form

Applications are considered without regard to race, color, religion, sex, protected sexual orientation, marital status, veteran's status, national origin, ancestry, age, genetic information, or handicap.  Also it is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment.  An employer who violates this law shall be subject to criminal penalties and civil liability.

According to Federal Law, work authorization documentation will be required upon employment.

Employment Experience

Start with your present or last job.  Include military service assignment and any verified work performed on a volunteer basis.  Exclude organization names which indicate race, color, religion, sex or national origin.
Dates of Employment

Dates of Employment

Dates of Employment

Dates of Employment

Dates of Employment


What hours are you available?  Please indicate your total availability below:

Language Skills

Optional Question - Please indicate what language other than English you speak, read, and/or write.  Knowledge of a foreign language can be helpful in communicating with guests and employees at the Dedham Country and Polo Club.  Please also indicate your competency with the language (Fluent, Good or Fair).



List three names, addresses, and telephone numbers for the people who are not related to you and who you know your work style and experience.
It is my understanding that this employment application, or the granting of an interview, does not represent a contract of employment or a promise of future benefits by the Dedham Country and Polo Club.  I understand and agree that if hired, my employment will be at-will in nature and may be terminated, with or without cause, at any time, by either myself or my employer.  I also understand that this written statement supersedes any and all oral representations made by agents or representatives of the Dedham Country and Polo Club.

AGREEMENT: I certify that the information on this application is true and correct.  I authorize the Dedham Country and Polo Club to investigate my past employment, education and activities and I understand that false answers, statements or significant omissions made by me on this form shall be sufficient cause for denial of employment or discharge.