Port Theater - Employment Application Form

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Port Theater - Employment Application Form
PLEASE PRINT ALL
INFORMATION REQUESTED
EXCEPT SIGNATURE
APPLICATION FOR EMPLOYMENT
APPLICANTS MAY BE TESTED FOR ILLEGAL DRUGS
PLEASE COMPLETE PAGES 1-4
DATE
Name
Last
First
Middle
Maiden
Present address
Number
Street
City
State
Zip
How long
Telephone (
)
If under 18, please list age
Days/hours available to work
Position applied for (1)
No Pref
Thur
and salary desired (2)
Mon
Fri
Tue
Sat
(Be specific)
Wed
Sun
How many hours can you work weekly?
Can you work nights?
FULL-TIME ONLY
PART-TIME ONLY
FULL OR PART-TIME
Employment desired
What date are you available for work?
Are you authorized to legally work in the United States for Port Theater?
Yes
No
TYPE OF SCHOOL
NAME OF SCHOOL
LOCATION
NUMBER OF YEARS
MAJOR &
(Complete mailing
COMPLETED
DEGREE
address)
High School
College
Bus. or Trade School
Professional School
 No
 Yes
HAVE YOU EVER BEEN CONVICTED OF A CRIME?
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.

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