Premiere Theatres Employment Application

904 Hwy. 33 South, Cloquet, MN 55720
Premiere Theatres Employment Application
Showtimes: 879-7985 Office: 879-8045
EMPLOYMENT APPLICATION
NAME
Date of Application

MonthDayYear
Date
Address

Home Address

Street Address Line 2

CityState / Province

Zip
State
Phone (1)
Phone (2)
Are you 18 years or older?

YesNo
If No, Give Date of Birth

MonthDayYear
Date
Email Address
example@example.com

Hours Available

	Friday	Saturday	Sunday	Monday	Tuesday	Wednesday	Thursday
From
To

How many hours would you like to work per week?
How many days would you like to work per week?
Reasons Not Available All Hours:

EMPLOYMENT DESIRED
Position
Date You Can Start

MonthDayYear
Date
Wage Desired
Are you Employed Now?

YesNo
If so, may we inquire of your present employer?

YesNo
How Were You Referred To Premiere Theatres?
Have you Ever Applied Here Before?
Have you ever interviewed here before? If so, when?
Do you know any past or current employees? If so, who?

Education

	Location	Current Grade	GPA	Graduation Date
High School
College

MISCELLANEOUS
Please list any Extra curricular/Outside activities in which you are involved.

Employment History

	Dates Employed	Name and Address of Employer	Position	Wage	Reason for Leaving
Job 1
Job 2
Job 3

REFERENCE
Give the names of three adults (not relatives) whom you have known at least one year.

Type a question

	Name	Address	Phone	Connection to You	Years Known
1
2
3

PHYSICAL RECORD
Do you have any limitations that preclude you from performing any work for which are being considered? If so, please describe.
In case of emergency notify,
Name
Address
Phone
LEGAL
Are you a U.S. citizen or do you have a legal right & necessary documents to work in the U.S.? (Identity and employment eligibility of all new hires will be verified as required by the Immigration Reform & Control Act of 1986)

YesNo
Were you ever discharged by any company?

YesNo
If Yes, which company/companies?
Reason for Discharge
Have you ever been convicted of a crime other than a minor traffic violation? (The existence of a criminal record will not automatically disqualify you from the job for which you are applying)If Yes, please explain the offense and final disposition:
I Certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal.

I authorize investigation of all statements contained herein and the references listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release all parties from liability for any damage that may result from furnishing same to you.

I understand and agree that, if employed, the employment will be "At Will." That is either Premiere Theatres or I may end the employment at any time, for any reason, or for no reason. I understand that receipt of this application by Premiere Theatres does not imply employment and that this application and/or any other Premiere Theatres documents are not contracts of employment.
Signature

Clear
Date

MonthDayYear
Date
Should be Empty:

Premiere Theatres Employment Application

EMPLOYMENT APPLICATION

EMPLOYMENT DESIRED

MISCELLANEOUS

REFERENCE

PHYSICAL RECORD

In case of emergency notify,

LEGAL