Employment Application Contact InformationName(Required) First Last Email(Required) Phone(Required)Phone Type Cell Home Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Which positions would you like to be considered for?(Required) I am open to anything! Ax Throwing Bowl Counter Customer Service Game Room Server/Bartender Birthday Party Host Maintenance Kitchen Escape Room You can choose more than 1 position.Start Date(Required) MM slash DD slash YYYY Are you a citizen of the United States?(Required) Yes No Are you Authorized to work in the USA?(Required) Yes No Have you ever worked for this company before?(Required) Yes No When?(Required) Have you ever been convicted of a felony?(Required) Yes No When?(Required) Can you work nights and weekends?(Required) Yes No Please indicate the hours you are available to work for each day of the week.(Required)If you are not available one day, please write that day and then write "none"Do you have reliable transportation to work?(Required) Yes No EducationHigh School Name and Location(Required) What years did you attend High School?(Required) Did you Graduate from High School?(Required) Yes No College Name and Location What years did you attend college? Did you Graduate from College? Yes No What is/was your major? Name and Location of Other School(s)Employment HistoryPrevious Employer 1 Please list your most recent past employer information:(Required)1) Company Name, 2) Address, 3) Phone Number, 4)Job Duties, 5) Responsibilities, 6) Ending Salary, 7) Date employed, 8) Reason Left Previous Employer 12 Please list your most recent past employer information:(Required)1) Company Name, 2) Address, 3) Phone Number, 4)Job Duties, 5) Responsibilities, 6) Ending Salary, 7) Date employed, 8) Reason Left Why do you want to work at Stardust Entertainment Center?(Required)I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company for all liability for any damage that may result from utilization of such information. I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative. Clicking the "agree" box will serve as your electronic signature.(Required) Agree Δ
