Job Description: Theater Floor Staff (Page 4 of 4) in pdf

Other Training or Special Skills:

PERSONAL REFERENCES

List three persons, not related to you, who are in a position to evaluate your previous employment performance.

Preferably these persons should be former supervisors or people with whom you have worked.

Years

Pers. or

Name

Business

Address

Phone Number

Known

Bus. Ref.

In Case of Emergency Notify:

Name:

Relationship:

Address:

Phone Number:

PHYSICAL RECORD

DO YOU HAVE ANY PHYSICAL LIMITATIONS OR HANDICAPS THAT MAY PRECLUDE YOU FROM PERFORMING ANY WORK FOR WHICH

YOU ARE BEING CONSIDERED (REVIEW ATTACHED JOB DESCRIPTION BEFORE ANSWERING)?

Yes

IF YES, WHAT CAN BE DONE TO ACCOMMODATE YOUR LIMITATION OR HANDICAP? PLEASE DESCRIBE:

IN THE SPACE BELOW, PLEASE WRITE IN 100 WORDS OR LESS WHY YOU FEEL YOU WOULD BE AN ASSET TO OUR COMPANY.

PLEASE READ CAREFULLY, INITIAL EACH PARAGRAPH AND SIGN AT THE BOTTOM OF PAGE.

_______I hereby certify that I have not knowingly withheld any information that might adversely affect my chances for employment and that the answers given

by me are true and correct to the best of my knowledge. I further certify that I, the undersigned applicant, have personally completed this application. I

understand that any omission or misstatement of a material fact on this application or on any document used to secure employment shall be grounds for

rejection of this application or for immediate discharge if I am employed, regardless of the time elapsed before discovery.

_______I hereby authorize the Company to thoroughly investigate my references, work record, education and other matters related to my suitability for

employment and, further, I authorize the references I have listed to disclose to the Company all letters, reports and other information related to my work records,

without giving me prior notice of such disclosure. In addition, I hereby release the Company, 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.

_______I understand that nothing contained in the application or conveyed during any interview, which may be granted or during my employment, if hired, is

intended to create an employment contract between the Company and me. In addition, I understand and agree that if I am employed, my employment is at will

and is for no definite or determinable period and may be terminated at any time, with or without prior notice, or with or without cause, at the option of either

myself or the Company, and that no promises or representations contrary to the foregoing are binding on the Company unless made in writing and signed by

me and the company’s designated representative.

_______I understand that in connection with my application for employment, the Company may obtain a consumer report and/or investigate consumer reports

about me that may contain information as to my character, general reputation, personal characteristics, and mode of living. Such reports may include or consist

of my driving history obtained from the Department of Motor Vehicles. I further understand that any job offer extended by the Company is contingent upon

receipt of a favorable consumer or investigative consumer report about me.

_______I understand that in connection with my application for employment, depending upon the position for which I have applied, any offer of employment is

conditioned upon my taking and passing a post-offer/pre-employment drug test and, if necessary for the position for which I have applied, a post-offer/pre-

employment medical examination. I understand that I may refuse to take any required pre-employment drug test and/or medical examination, but that if I do,

any offer of employment will be immediately withdrawn.

Applicant Signature: _______________________________________________________________________ Date: ___________________________

It is the policy of The Reel Theatre to provide equal opportunity to all qualified applicants without regard to their race, color, age, sex, sexual orientation,

pregnancy, gender, disability, religion, national origin, handicap, ethnic background, military service, citizenship or any other characteristic protected by law.

THIS APPLICATION WILL BE ACTIVE FOR A PERIOD OF THIRTY DAYS AFTER COMPLETION.

Rev C

Job Description: Theater Floor Staff Page 4

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