Employment Name* First Middle Last Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* Position Applied ForFull TimePart TimeDate Available* Date Format: MM slash DD slash YYYY When can you start?Hours AvailableEnter the range of hours you can work each day of the week or Open AvailabilityMonday*Tuesday*Wednesday*Thursday*Friday*Saturday*Sunday*Total hours available per week*Please enter a number from 0 to 80.Do you have any work or school obligations which would prevent you from working the schedule you've listed above?*YesNoDesired Salary*Are you over 18 years old?*YesNoAre you legally eligible for employment in the United States? (If offered employment, you will be required to provide documentation to verify eligibility).*YesNoEducationHigh School*Year Graduated*Address*CollegeDegreeYear GraduatedAddressYou need not disclose membership in professional organizations that may reveal information regarding race, color, sex, religion, national origin, ancestry, age, disability, marital status, veteran status or any other protected status.Record of ConvictionDuring the last ten years have you ever been convicted of a crime other than minor traffic offense? If yes, explain A conviction will not necessarily automatically disqualify you for employment. Rather, such factors such as the age and date of conviction, seriousness and nature of crime, and rehabilitation will be considered.Previous EmploymentCompanyPhoneAddressSupervisorJob TitleStarting SalaryEnding SalaryResponsibilitiesFull TimePart TimeYears Employed You may contact my previous supervisor for a referenceExplain any gaps in work historyHave you ever been discharged or asked to resign from a job?*YesNoI hereby certify that the facts set forth in the above employment application are true and complete to the best of my knowledge and authorize Atlantic Theaters to verfiy their accuracy and obtain information on my work performance. I hereby release Atlantic Theaters from any/all liability of whatever kind and nature which, at any time, could result from obtaining and having employment decision based on such information.* I agreeI understand that, if employed, falsified statements of any kind or omissions of facts called for on this application shall be considered sufficient basis for dismissal.* I agreeI understand that should an employment offer be extended to me and accepted that I will fully adhere to the policies, rules and regulations of employment of the Employer. However, I further understand that neither the policies, rules, regulations of my employment nor anything said during the interview process shall be deemed to constitute the terms of an implied employment contract. I understand that any employment offered is for an indefinite duration and at will and that either I or the employer may terminate my employment at any time with or without notice or cause.* I agreeAttach your Resume
