SIERRA THEATERS
APPLICATION FOR EMPLOYMENT
Date:______
Name in Full:______
Address:______
Telephone:______
Employment Desired:
Part time______Fulltime______Summer______School Year______Year around______
Willing to work: Afternoons______Evenings______Weekends______Holidays______
How long do you plan to work here?______
Who recommended you to us?______
Do you currently have, or plan to have, any other jobs besides this one?______
Personal Information
Have you ever applied to or worked forSierra Theaters before?
Yes No
If yes, when?______
Do you have any friends or relatives working forSierra Theaters?
Yes No
If yes, state name(s) and relationship(s):
______
Why are you applying for work at Sierra Theaters ?
______
List skills, experience, and interests that you feel qualify you for this job:
______
______
______
If hired, would you have a reliable means of transportation to and from work? ...... Yes No
Are you at least 18 years old? (If under 18, hire is subject to verification that you are of
minimum legal age.) ...... Yes No
If hired, can you present evidence of your U.S. citizenship or proof of your legal right to live
and work in this country? ...... Yes No
Education, Training and Experience
School Name No. of yearsDid youDegree
and AddressCompletedGraduate?or Diploma
High______Yes No______
School
______-____Your GPA______
CityState Zip
College/______Yes No______
UniversityName
______-____Your GPA______
CityState Zip
Employment History
List below your past three employers starting with your most recent employer. You must complete this section even if attaching a resume.
Business Name______Phone______
Address/City______Dates Worked: From______To______
Your Supervisor______
Duties Performed______
Reason(s) you left:______
May we contact this employer for a reference? Yes No
Business Name______Phone______
Address/City______Dates Worked: From______To______
Your Supervisor______
Duties Performed______
Reason(s) you left:______
May we contact this employer for a reference? Yes No
Business Name______Phone______
Address/City______Dates Worked: From______To______
Your Supervisor______
Duties Performed______
Reason(s) you left:______
May we contact this employer for a reference? ...... Yes No
References
List below three persons not related to you who have knowledge of your abilities and character:
Name______Relationship______Phone______
Name______Relationship______Phone______
Name______Relationship______Phone______
Sierra Theaters is an at-will employer, which means that either Sierra Theaters, or the employee may terminate the employment relationship at any time, for any reason, with our without cause or prior notice. By signing this application, I certify that the information I have supplied is complete and accurate. I understand that any intentional misinformation or omissions are grounds for immediate dismissal. I hereby authorize Sierra Theaters to investigate my references, work record, education, and other matters related to my suitability for employment, and further authorize the references listed to disclose such information. In addition, I hereby release Sierra Theaters, my former employers and other persons, corporations, partnerships and associations from any and all claims, demands, or liabilities arising out of or in any way related to such investigation or disclosure.
Signed______Date______