THEATRE EMPLOYMENT APPLICATION

THEATRE EMPLOYMENT APPLICATION

Theatre & Management Staff Application

GENERAL INFORMATION
Is this your first job?*
That's okay! We are grateful that you have considered Milago Cinemas for your first job!
Do you have any other experience, training, qualifications, skills or club memberships that you feel make you especially suited for work at Milagro Cinemas?
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Position(s) applied for*

General StaffManagementOther
Date Available*

MonthDayYear
Date
Are you interested in*

Full TimePart TimeSeasonal
Would you be willing to work (check all that apply)*

DaysNightsWeekends

Days & Hours Available

	Fri	Sat	Sun	Mon	Tue	Wed	Thu
From
To

How did you find out about Milagro Cinemas?*

FriendRelativeSchoolWalk-inWebsiteRehireEmployee Referral*Other
Have you ever worked for Milagro Cinemas?*

YesNo
Location
Date

MonthDayYear
Date
Have you ever worked for another theatre company?*

YesNo
Company Name
Location
Date

MonthDayYear
Date
Do you know anyone currently employees at Milagro Cinemas?*

YesNo
Please list names
Are you 18 or Older?*

YesNo
If under 18, are you at least 16 & able to provide a valid work permit?

YesNo
If you are under 18 year old & cannot provide a valid work permit, we will be unable to offer you a position at this time.

Please re apply whe you are 18 or over, or can provide a valid work permit.
Can you after an offer of employment, submit verification of your legal right to work in the United States?*

YesNo

U.S. MILITARY SERVICE
Do you have any Military service experience?*
Branch of US Service

ArmyNavyMarinesAirforceOther
Service Dates
e.g. 01/2001 to 05/2003
Duties
Special Training

EMPLOYEMENT HISTORY
Employer #1
To

MonthDayYear
Date
From

MonthDayYear
Date
Salary Starting
e.g 4.75 per hour
Salary Final
e.g 4.75 per hour
Company Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Supervisor's Name
May we contact this employer?

YesNo
Your Job Title
Duties
Reason for Leaving
Employer #2
To

MonthDayYear
Date
From

MonthDayYear
Date
Salary Starting
e.g 4.75 per hour
Salary Final
e.g 4.75 per hour
Company Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Supervisor's Name
May we contact this employer?

YesNo
Your Job Title
Duties
Reason for Leaving
Employer #3
To

MonthDayYear
Date
From

MonthDayYear
Date
Salary Final
e.g 4.75 per hour
Company Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Supervisor's Name
May we contact this employer?

YesNo
Your Job Title
Duties
Reason for Leaving
Special Skills

PERSONAL DATA
Have you ever been convicted of a crime (felony or misdemeanor)?*

YesNo
(Please exclude misdemeanor offences for marijuana related offences more than two years old; convictions that have been sealed, expunged, or legally eradicated; & misdemeanor convections for which probations was successfully completed or otherwise discharged & the case was judicially dismissed.)

Note: The company will not deny employment to any applicant solely because the person has been convicted of a crime. Each case will be evaluated based on its own fact & merits in a manner consistent with state and local “Fair Chance” laws.

CERTIFICATION
My Signature below certifies that I have read, understand and agree to the following:
Verification of Data: I certify that the information contained in this application is correct to the best of my knowledge. I understand that falsification or distortion of this information or a material omission may result in denial of an offer or my immediate termination.

"At-Will" Agreement: If I am hired, I agree to conform to Milagro Cinema's policies, rules and regulations. I understand that I will be an "At-Will" employee. This means that my employment is at will and can be terminated at any time with or without notice at my option or the company's option. I further understand and agree that this at will employment relationship will remain in effect throughout my employment unless it is modified by a specific, express written employment contract signed by the President of the Company and me which specifically states it is changing my at will status. This is a integrated agreement with respect to the at will employment relationship and may not be modified by any oral or implied agreement.

Background Check: Employment with Milagro Cinemas may be contingent upon a successful completion of a background check which may Include, but is not limited to, credit, criminal, DMV, previous employment, education and personal references.

Physical Examination: Employment with Milagro Cinemas may be contingent upon a successful completion of a pre-employment physical which may include a blood, urine and/or other medical tests for alcohol, drugs and controlled substances. I further understand and agree the Company may require me to submit to a drug and alcohol screen after I am employed. Prior to testing, I agree to sign the company's authorization forms wherein I will agree to submit to such testing and to authorize the release of the results to Milagro Cinemas.

Release: I authorize the schools and employers listed on this application to give you any and all information concerning my previous school and employment history and any pertinent information they may have, personal or otherwise, and release all parties from all liability for any damages that may result from furnishing same to you.
Signature*

Clear

Should be Empty:

THEATRE EMPLOYMENT APPLICATION

Employer #1

Employer #2

Employer #3

My Signature below certifies that I have read, understand and agree to the following: