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Employment Application
Step
1
of
5
20%
Personal Information
Name
(Required)
First
Last
Phone
(Required)
Email
(Required)
Address
(Required)
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Date Available to Start
(Required)
MM slash DD slash YYYY
Location Applying For:
(Required)
RigaTony's
Murder in the Wild West
Desired Pay
(Required)
Position Applied For
(Required)
Employment Desired
(Required)
Full Time
Part Time
Seasonal
Are you legally eligible to work in the US?
(Required)
Yes
No
Have you ever worked for this employer before?
(Required)
Yes
No
If yes, when?
(Required)
MM slash DD slash YYYY
Have you ever been convicted of a felony?
(Required)
Yes
No
If yes, please explain
(Required)
Education
High School
(Required)
City/State
(Required)
From
(Required)
MM slash DD slash YYYY
To
(Required)
MM slash DD slash YYYY
Graduate
(Required)
Yes
No
Diploma
(Required)
College
(Required)
City/State
(Required)
From
(Required)
MM slash DD slash YYYY
To
(Required)
MM slash DD slash YYYY
Graduate
(Required)
Yes
No
Degree
(Required)
Employment
Employer 1
(Required)
Email
(Required)
Phone
(Required)
Job Title
(Required)
Responsibilities
(Required)
From
(Required)
MM slash DD slash YYYY
To
(Required)
MM slash DD slash YYYY
Reason for leaving
(Required)
Employer 2
Email
Phone
Job Title
Responsibilities
From
MM slash DD slash YYYY
To
MM slash DD slash YYYY
Reason for leaving
Employer 3
Email
Phone
Job Title
Responsibilities
From
MM slash DD slash YYYY
To
MM slash DD slash YYYY
Reason for leaving
References
Name
(Required)
First
Last
Relationship
(Required)
Company
(Required)
Title
(Required)
Email
(Required)
Phone
(Required)
Name
(Required)
First
Last
Relationship
(Required)
Company
(Required)
Title
(Required)
Email
(Required)
Phone
(Required)
Military Service
Are you a veteran?
(Required)
Yes
No
Branch
(Required)
Rank at Discharge
(Required)
From
(Required)
MM slash DD slash YYYY
To
(Required)
MM slash DD slash YYYY
Type of Discharge
(Required)
If not honorable, please explain
If asked, are you willing to consent to a background check?
(Required)
Yes
No
Disclaimer: Applicants understand that this is an EOE and committed to excellence through diversity. In order to ensure this application is acceptable, please print or type with the application being fully completed in order for it to be considered. Please complete each section EVEN IF you decide to attach a resume. I, the Applicant, certify that my answers are true and honest to the best of my knowledge. If this application leads to my eventual employment, I understand that any false or misleading information in my application or interview may result in my employment being terminated.
Signature
(Required)
Date
(Required)
MM slash DD slash YYYY
Name
This field is for validation purposes and should be left unchanged.
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