APPLICATIONS NOT FILLED OUT IN ITS ENTIRETY MAY BE REJECTED. FALSIFYING INFORMATION WILL RESULT IN IMMEDIATE DISMISSAL IF HIRED.

NOTICE TO APPLICANTS:
Emerald Island Casino is an Equal Opportunity Employer. Emerald Island Casino will not discriminate in its consideration for employment on the basis of race, color, religion, sex, age, national origin, veterans status, disability, sexual orientation, or any other protected status as listed in Title VII of the Civil Rights Act of 1964. Emerald Island is a DRUG FREE workplace. Pre-Employment Screening will be required if hired, and on-going random tests will be conducted as a part of employment.

Applications will be held for six months upon submission. Any subsequent submissions during the time period will be rejected.
Applicant Information

________/_________/________ ______-______-_______
TODAYS DATE SOCIAL SECURITY NUMBER FIRST NAME MIDDLE NAME PRIMARY TELEPHONE NUMBER

_________________________ (____)____________________
LAST NAME

_________________________ _________________________
CURRENT STREET ADDRESS CITY/STATE/ZIP CODE

_________________________ _________________________
PREVIOUS STREET ADDRESS - (IF LESS THAN FIVE YEARS AT CURRENT ADDRESS) PREVIOUS CITY/STATE/ZIP CODE

Are you 21 years of age or older?

YES

NO

How did you find out about Emerald Island Casino? WALK IN RADIO NEWSPAPER FRIEND

If hired, can you prove your ability to work in the United States? If hired, can you obtain proper work cards required by the state of Nevada? EMPLOYEE REFERRAL

YES YES WEBSITE

NO NO

_________________________ Have you ever worked for Emerald Island Casino? YES NO If YES, what time period & under what name? _________________________
If Friend or Employee, who referred you? Do you have any relatives currently working for Emerald Island Casino? YES NO YES NO

________/_________/________ _________________________ _________________________

DATE NAME PLACE

Have you ever been convicted of a crime (other than a misdemeanor/traffic tickets)? Conviction of a crime will not necessarily bar you from employment. (Use additional sheet of paper if necessary)

_________________________ _________________________
CHARGE DISPOSITION

Position Information

Are you looking for Full Time or Part Time?

FULL TIME

PART TIME

List up to three positions you are applying for.

_________________________
FIRST CHOICE

_________________________
SECOND CHOICE

_________________________
THIRD CHOICE

What pay do you expect ?

$___________

Per HOUR

Per YEAR YES NO

Do you have any obligations that would prevent you from performing the work required or meet your availability requirements? If YES, Please Explain

_________________________

What skills or abilities do you possess that will ensure success at the job for which you are applying?

_________________________
What is your availability?
Times Available Start Stop

Open Availability
MONDAY TUESDAY

OR

Day Shift
WEDNESDAY

Swing Shift
THURSDAY

Grave Shift
FRIDAY

(Check All That Apply)

SATURDAY SUNDAY

APPLICATIONS NOT FILLED OUT IN ITS ENTIRETY MAY BE REJECTED. FALSIFYING INFORMATION WILL RESULT IN IMMEDIATE DISMISSAL IF HIRED.

NOTICE TO APPLICANTS:
Emerald Island Casino is an Equal Opportunity Employer. Emerald Island Casino will not discriminate in its consideration for employment on the basis of race, color, religion, sex, age, national origin, veterans status, disability, sexual orientation, or any other protected status as listed in Title VII of the Civil Rights Act of 1964. Emerald Island is a DRUG FREE workplace. Pre-Employment Screening will be required if hired, and on-going random tests will be conducted as a part of employment.

Page Two
Education Information
School HIGH SCHOOL COLLEGE GRADUATE

(Use Additional Paper if Necessary)

Graduated Name Area of Study Yes/No Degree

Work History

Give the last ten years employment history in chronological order, beginning with the most recent (Use Additional Paper if Necessary)

_________________________
CURRENT OR PREVIOUS EMPLOYER

____ ____
FROM MONTH/YEAR TO MONTH/YEAR

_________________________
ADDRESS

_________________________
POSITION

_________________________ _________________________ _________________________

NAME OF SUPERVISOR TELEPHONE NUMBER PAY

_________________________
REASON FOR LEAVING

May we contact this employer?

YES

NO

If NO, reason:

_________________________ ____ ____

FROM MONTH/YEAR TO MONTH/YEAR

_________________________
PREVIOUS EMPLOYER

_________________________
ADDRESS

_________________________
POSITION

_________________________ _________________________ _________________________

NAME OF SUPERVISOR TELEPHONE NUMBER PAY

_________________________
REASON FOR LEAVING

May we contact this employer?

YES

NO

If NO, reason:

_________________________ ____ ____

FROM MONTH/YEAR TO MONTH/YEAR

_________________________
PREVIOUS EMPLOYER

_________________________
ADDRESS

_________________________
POSITION

_________________________ _________________________ _________________________

NAME OF SUPERVISOR TELEPHONE NUMBER PAY

_________________________
REASON FOR LEAVING

May we contact this employer?

YES

NO

If NO, reason:

_________________________
AFFIDAVIT

I have truthfully disclosed all information asked for in this application. I authorize contact with any person or entity named in this application, and any other person or entity who may have knowledge concerning my past history for the purpose of obtaining information material to my qualifications for employment. I authorize all those Whom I am acquainted - previous employers, physicians, professionals, institutions, neighbors, friends, law enforcement agencies asked to provide criminal history in accordance with NRS 179A.000 and others - to furnish any and all information they may have concerning me which may be material to my qualifications for the job I have applied. I also authorize a credit bureau investigation record report to obtain information about my character, general reputation, personal characteristics, and mode of living, whichever may be applicable. If such an investigation is made, I will have the right to make a written request for a copy of such a report. I also understand and agree that, if hired, my employment is for no definite period and may, AT WILL terminate or be terminated by the company, with or without cause or notice. I hereby fully release the Company, its agents, and any person or entity that provides or receives information pursuant to this Affidavit from any and all liabilities, and or damages which may arise therefrom.

_________________________ _________________________ ________/_________/________

APPLICANT SIGNATURE PRINTED NAME DATE