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Location you are applying for: *

Position of Interest *

PERSONAL INFORMATION

First Name *

Middle Name

Last Name *

Address *

Address Line 2

City *

State *

Zip Code *

Email Address *

Cell Phone *

Alternative Phone

* = required

GENERAL

Are you 18 years of age or older? *

Have you previously worked for Dipson Theatres? *

List any relatives or acquaintances that work for Dipson Theatres

* = required

EMPLOYMENT HISTORY

List up to four of your most recent employment history. Please include:

- Employer
- Dates worked
- Job Title
- Reason for Leaving

Employment History

Reason for any gaps in employment

* = required

AVAILABILITY

Date you can start * (m/d/yyyy)

Can you work weekends and holidays? *

Total Hours Available Per Week:

Hours available on Fridays

Hours available on Saturdays

Hours available on Sundays

Hours available on Mondays

Hours available on Tuesdays

Hours available on Wednesdays

Hours available on Thursdays

* = required

AUTHORIZATION AND ACKNOWLEDGEMENT

IMPORTANT READ THIS CAREFULLY BEFORE SUBMITTING THE APPLICATION

I certify that the facts set forth in this Application for Employment are true and complete to the best of my knowledge. I understand that if I am employed, false statements, omissions or misrepresentations may result in my dismissal. I authorize the Employer to make an investigation of any of the facts set forth in this application and release the Employer from any liability. The employer may contact any listed references on this application.I acknowledge and understand that the company is an “at will” employer. Therefore, any employee (regular, temporary, or other type of category employee) may resign at any time, just as the employer may terminate the employment relationship with any employee at any time, with or without cause, with or without notice to the other party.
Initial: *

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Job Application

PERSONAL INFORMATION

GENERAL

EMPLOYMENT HISTORY

AVAILABILITY

AUTHORIZATION AND ACKNOWLEDGEMENT