Worker Application Form

Worker Application

Please complete the form below to apply for paid positions.
Full Name*

First NameMiddle NameLast Name
Date of Birth*

MonthDayYear
Phone Number*
Format: (000) 000-0000.
Social Security Number*
Email Address*
example@example.com
Current Mailing Address*

Street Address

PO Box

CityState / Province

Postal / Zip Code
Emergency Contact Person*

First NameMiddle NameLast Name
Emergency Contact Phone Number*
Format: (000) 000-0000.
Position Applied*
Do you have a current Health Card? (food handlers are required)*

Yes I will provide a copyNo but willing to get oneNo not really interested in handling food
Days of the week that you are available to work*

Monday'sTuesday'sWednesday'sThursday'sFriday'sSaturday'sSunday's
Hours of the day that you are available to work*

Most anytimeMornings OnlyWeekdays OnlyAfternoon or Evenings OnlyDuring the Fair OnlyWeekends OnlySign me up! I want to work!
Provide a brief description of your previous work experience*
Do you have any limitations that we should know about such as school, sports, transportation issues, or other such limitations that will require adjustments in your scheduling of work? Please explain.*
The Clark County Fair & Rodeo is an annual event. Seasonal part-time employment opportunities are available on an as-needed basis. All positions are considered “at will” and “part-time” and as such are under the discretion of the Clark County Fair & Rodeo Management. By the submission of this application the applicant acknowledges managements rights.*

I understand and acknowledge this right
Prior to the start of any work, applicant must complete a Federal W-4 tax form and an Employment Eligibility Verification I-9 form. The I-9 form will require proof of identification.
Signature
Should be Empty: