Job Application

Job Application

Please complete the form below to apply for a position with us. We are an equal opportunity employer and fully subscribe to the principles of equal opportunity. Applicants and/or employees or contractors are consider for hire, promotion and job status without regard to race, color, religion, creed, sex, marital status, national origin, age, physical or mental disability.
Location you are applying for?*

4playNightlife Entertainment LocationOther
Full Name*

First NameMiddle NameLast Name
Birth Date*

MonthDayYear
Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email Address
example@example.com
Phone Number*
Social Security Number
Facebook Name*
Other Social Media Accounts
Position Applied*
How did you hear about us
Available Start Date*

MonthDayYear
Date
Highest Level of Education
Special Training/Degrees/Certifications
What Shifts Can You Work*

Day ShiftNight ShiftAny AvailableOn Call
Previous Employment and Position Latest*
Previous Employment and Position
Previous Employment and Position
Have you been convicted of any felonies other than minor traffic violations during the past 5 years? A criminal record will not automatically bar you from employment, it will only be considered in relation to the duties of the job your applying.*

YESNo
If you answered yes, what were your convictions for and when?
Can you lift up to 30 pounds?*
Are you related to or know anyone working for this business, if so who?*
How do you intend to get to work

Your own carUber/Lyft/TaxiSomeone drop you offPublic Transportation
Upload Your Resume if you have one

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Upload Picture ID License, Passport or Government ID (Front)*

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Upload Picture ID License, Passport or Government ID (Back)*

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Second form of ID. Can be anything with your name on it ID Card, School or Military ID, Utility Bill, Insurance, Etc*

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Additional Information
READ CAREFULLY!!! I certify that the information contained in this application is correct to the best of my knowledge and understand that any misstatement or omission of information may result in denial of employment or discharge. I authorize the release of any and all information from previous employers, criminal history or any information pertinent to this application and release all parties from all liability for any damage that may result in the release of this information. I further agree to digital transmission of this application, contracts, emails and digital signatures. And agree that my digital signature is binding the same as a written and that this and any subsequent documents shall serve as originals pertaining to my employment whether it is accepted or denied.
Signature*

Clear
Date*

MonthDayYear
Date
Should be Empty: