Employment Application Form

Name: *

First Name Last Name
Current Address: *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
E-mail Address: *
Applying for Position *

Bus Persons Ladies Locker Room Attendant Waiters Waitress PT Bartenders PT House Maintenance PT Valet Parkers
Best Phone Number: *

Area Code Phone Number
When can you start? *

Month Day Year
Date
Are you available for full-time work? *

Yes No
When can you work?: *
Have you ever applied for employment before? *

Yes No
If yes to previous question, when and what position? *
If hired, can you provide verification of your legal right to work in the United States? (ELECTRONICALLY VERIFIED PROOF OF ELIGIBLITY IS REQUIRED UPON EMPLOYMENT) *

Yes No
Are you younger than 18 years of age? *

Yes No
If yes to previous question, do you have a work permit? *

Yes No
Do you have reliable transportation to work? *

Yes No
List special training or skills (languages, computer programs etc.) that you may have:
Education:
Education - High School: Name and Location of School:
Education - High School: Years Attended:
Education - High School: Did you graduation?

Yes No
Education - Trade/Technical School: Name and Location of School:
Education - Trade/Technical School: Course of Study
Education - Trade/Technical Schools: Years Completed:
Education - Trade/Technical School: Did you graduate?

Yes No
Education - College: Name and Location of School:
Education - College: Course of Study
Education - College: Years Completed:
Education - College: Did you graduate?

Yes No
Upload Resume:
Employment History:
Employment History - Company 1 - Job Title and Description of Work *
Employment History - Company 1 - Name of Supervisor
Employment History - Company 1 - Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Employment History - Company 1 - Phone

Area Code Phone Number
Employment History - Company 1 - Dates of Employment:
Employment History - Company 1 - Reason for Leaving:
Employment History - Company 2 - Job Title and Description of Work *
Employment History - Company 2 - Name of Supervisor:
Employment History - Company 2 - Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Employment History - Company 2 - Phone

Area Code Phone Number
Employment History - Company 2 - Dates of Employment:
Employment History - Company 2 - Reason for Leaving:
Employment History - Company 3 - Job Title and Description of Work *
Employment History - Company 3 - Name of Supervisor
Employment History - Company 3 - Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Employment History - Company 3 - Phone

Area Code Phone Number
Employment History - Company 3 - Dates of Employment:
Employment History - Company 3 - Reason for Leaving:
Personal References - Please List 3 Non-Relatives Whom You Have Known For At Least One Year:
Reference 1 Name: *

First Name Last Name
Reference 1 Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Reference 1 Phone Number *

Area Code Phone Number
Reference 1 Relationship: *
Reference 2 Name: *

First Name Last Name
Reference 2 Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Reference 2 Relationship: *
Reference 3 Name: *

First Name Last Name
Reference 3 Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Reference 3 Relationship: *
Upload Resume

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I authorize investigation of all statements contained in this applicatation and release all references to speak about me on my behalf. I understand that misrepresentation or omission of facts called for is cause for dismissal. Further, I understand and agree that my employment is for no definite period and may, regardless of the date of payment of my wages and salary, be terminted at any time without any previous notice.
Signature *

Clear
Signature Date *

Month Day Year
Date
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