Title: Assistant Manager/ Projectionist

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Personal Details

First Name *
Middle Name
Last Name *
Age *
Email Address *
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Contact Details

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State *
Zip Code *
Phone Number (###-###-####) *

Availability

Are you eligible to work within the United States? * Yes
No
Salary Desired (Be Specific) *
Days Available * No Preference
Monday
Tuesday
Wednesday
Thursday
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Earliest Start Time *
Latest End Time *
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How many hours can you work weekly? *
Can you work nights? * Yes
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Employment Desired * Full Time Only
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Earliest Date Available (mm/dd/yy) *

Background

Education *
School Name
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Years Completed
Major & Degree
Have you ever been convicted of a crime? (A conviction will not necessarily disqualify an applicant for employment.) * No
Yes
If yes, explain number of conviction(s), nature of offense(s) leading to conviction(s), how recently such offense(s) was/were committed, sentence(s) imposed, and type(s) of rehabilitation.
Would you be willing to consent to a drug test? * Yes
No
Would you be willing to consent to a background check? * Yes
No

Driver’s License

Do you have a driver’s license? * Yes
No
What is your means of transportation to work? *
Driver’s License Number
State of Issue
Expiration Date (mm/dd/yy)

Reference 1

Name
How do you know this person?
How long have you known this person?
Current Employer
Street Address
City/Town
State
Zip Code
Phone Number (###-###-####)

Reference 2

Name
How do you know this person?
How long have you known this person?
Current Employer
Street Address
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State
Zip Code
Phone Number (###-###-####)

Qualifications

An application form sometimes makes it difficult for an individual to adequately summarize a complete background. Use the space below to summarize any additional information necessary to describe your full qualifications for the specific position for which you are applying.

Military

Have you ever been in the armed forces? * Yes
No
Are you now a member of the National Guard? * Yes
No
Speciality
Date Entered (mm/dd/yy)
Discharge Date (mm/dd/yy)

1st Most Recent Employer

Name of Employer
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State
Zip Code
Phone Number (###-###-####)
Name of Last Supervisor
Start Date (mm/dd/yy)
End Date (mm/dd/yy)
Starting Pay
Final Pay
Last Job Title
Reason for Leaving (Be Specific)
List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.

2nd Most Recent Employer

Name of Employer
Street Address
City/Town
State
Zip Code
Phone Number (###-###-####)
Name of Last Supervisor
Start Date (mm/dd/yy)
End Date (mm/dd/yy)
Starting Pay
Final Pay
Last Job Title
Reason for Leaving (Be Specific)
List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.

3rd Most Recent Employer

Name of Employer
Street Address
City/Town
State
Zip Code
Phone Number (###-###-####)
Name of Last Supervisor
Start Date (mm/dd/yy)
End Date (mm/dd/yy)
Starting Pay
Final Pay
Last Job Title
Reason for Leaving (Be Specific)
List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.

Closing

May we contact your present employer? * Yes
No
I am not currently employed.
Did you complete this application yourself? * Yes
No
If not, then who did?