Employment Application Form
Thank you for your interest in employment with The Powelton Club of Newburgh. 

Please complete the form below to submit your application. 
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First name, last name: *
Phone number: *
Email Address: *
Home Address: *
How did you hear about The Powelton Club? 
Why are you interested in working at The Powelton Club? 
Which department(s) are you interested in? *
Required
Are you interested in full-time or part-time employment?  *
Requested Start Date
MM
/
DD
/
YYYY
Please list prior relevent employment experiences. *
Include: Company, Position Held  & Dates of Employment
Describe a few skills you developed in your previous positions that you can use at The Powelton Club.  *
Please provide two references *
Name and Phone Number
Submit
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