Employment Application

Employment Application
Applicant Information
Last Name*
First Name*
M.I.
Preferred Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone*
Email*
example@example.com
Are you at least 18 years of age?*

YesNo
Have you ever been convicted of a misdemeanor or felony, other than a minor traffic violation?*

YesNo
If yes, please explain:
Are you currently Virginia Department of Criminal Justice Unarmed/Armed Security Certified?*

YesNo
If Yes, please provide the following: DCJS #
Expiration Date

MonthDayYear
Date
Emergency Contact Name*
Name
Phone Number*
Please enter a valid phone number.
Have you ever served in the U.S. Military?

YESNO
Are you currently serving in the military?

YESNO
If yes, what branch?
Previous Employment
Company
Address
Phone
Supervisor Name
Job Title
Starting Pay
Ending Pay
Responsibilities
Start Date

MonthDayYear
Date
End Date

MonthDayYear
Date
Reason for Leaving
May we contact your previous supervisor for a reference?

YESNO
Availability:
Monday
Start Time
Monday
End Time
Tuesday
Start Time
Tuesday
End Time
Wednesday
Start Time
Wednesday
End Time
Thursday
Start Time
Thursday
End Time
Friday
Start Time
Friday
End Time
Saturday
Start Time
Saturday
End Time
Sunday
Start Time
Sunday
End Time
Are you interested in working events only?*

Yes, only eventsNo (events and non-events)
Whom may we thank for referring you?
Disclaimer and Signature
Tidal Events & Staffing will not discriminate against any employee or applicant for employment because of race, religion, color, sex, national origin, age, disability, or any other basis prohibited by state law relating to discrimination in employment, except where there is a bona fide occupational qualification/consideration reasonably necessary to the normal operation of Tidal Events & Staffing.
If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release. I also understand that a denial of Virginia’s Department of Criminal Justice Criminal Background check may result in termination of employment.
Signature*

Clear
Type Full Name
Todays Date*

MonthDayYear
Date
Should be Empty:

Employment Application

Applicant Information

Previous Employment

Availability:

Disclaimer and Signature