Employment Application:
Which theatre are you applying for? Choose Theatre Holland Plaza 7, Orange City, IA Legacy 3, Shenandoah, IA Pioneer 3, Nebraska City, NE Main Street 7, Fremont, NE Main Street 3, Sheldon, IA Promenade Cinema 14, Sioux City, IA
Personal Information:
Today's Date: Phone (Include Area Code): Name (Last, First, Middle): Social Security Number: Present Street Address: City, State: Zip: Emergency Contact Number: Emergency Contact Number: Are you authorized to work in the U.S.? Yes | No Are You 18 or older? Yes | No If not, age: Rate of pay desired: Email Address: Referred by:
Availability:
Total Hours Desired a Week: Do You Need Fulltime Employment: Yes | No Will Your Consider Part Time? Yes | No
Work Experience:
Please list the last three jobs you held, as well as contact information for your employers Most Recent Job: Job #1 Employers Name & Phone: Job #2 Employers Name & Phone: Job #3 Employers Name & Phone:
Education:
Check last grade completed in high school: 8 or less 9 10 11 12 G.E.D Name of High School: GPA: Last year of College, Tech, or business school: 1 2 3 4 Graduated | GPA: Major / Area of Study: Are You Currently a Student? Yes | No Extracurricular Activities:
Skills:
Check all that applies to you: Customer Service Supervisory Cash Register Operation Management Food Service Custodial Experience Computer Operation Projection Booth (Please Describe):
References:
Please list the names and phone numbers for three professional references
Please Read Cafefully and "Sign" Below:
Please be sure that all of the information on this application is accurate to the best of your knowledge. If any of this information is found to be deliberately falsified, you may be terminated, regardless of length of service. You may not be hired to work in a specific job category or on a fixed schedule. Your scheduled hours may vary from week to week. In accordance with the Americans with Disabilities Act, employees must notify the employer of a need for an accommodation within 182 days after the individual knew or should have known that the accommodation was needed. Please check this box to acknowledge you understand and agree to the information above: Date: