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EMPLOYMENT APPLICATION

APPLICANT INFORMATION
Last Name Street Address City Phone Driver License No. Position Applied for: Check-In Counter State E-mail Address Social Security No. Party Host YES YES Floor Monitor NO NO Snack Bar Certifications: First Aid: Y / N CPR: Y / N Any Position YES NO First M.I. Date

Number of Hours Desired: ZIP

Are you a citizen of the United States? Have you ever been convicted of a felony? Days & Hours Available to Work:

If no, are you authorized to work in the U.S.? If yes, explain

EDUCATION
High School From College From Other From To Did you graduate? To Did you graduate? To Did you graduate? Address YES Address YES Address YES NO Degree NO Degree NO Degree

REFERENCES
Please list three personal references.
Full Name Company Address Full Name Company Address Full Name Company Address Relationship Phone ( ) Relationship Phone ( ) Relationship Phone ( )

PREVIOUS EMPLOYMENT
Company Address Job Title Responsibilities From To Reason for Leaving YES NO Phone Supervisor Starting Salary $ Ending Salary $ ( ) Starting Salary Phone Supervisor $ Ending Salary $ ( )

May we contact your previous supervisor for a reference? Company Address Job Title Responsibilities From To Reason for Leaving

May we contact your previous supervisor for a reference? Company Address Job Title Responsibilities From To Reason for Leaving

YES

NO Phone Supervisor ( )

Starting Salary

Ending Salary

May we contact your previous supervisor for a reference?

YES

NO

MILITARY SERVICE
Branch Rank at Discharge If other than honorable, explain From To

Type of Discharge

DISCLAIMER AND SIGNATURE


I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release. Signature Date

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