Employment Application Form printable pdf download

PEPPERMILL’S RAINBOW CLUB AND CASINO

HENDERSON

EMPLOYMENT APPLICATION

GENERAL INFORMATION

First Name___________________________ M.I.____ Last Name___________________________________

Street___________________________________________________________________________________

City_________________________________________State/Province____________Zip Code____________

Email_________________________________Phone___________________Alt. Phone_________________

Desired Position (1)______________________________Desired Position (2)__________________________

Position Status ___Full Time ___Part Time ___On Call

Desired Shift ___Day ___Swing ___Grave ___Any

Date available to work (MM/DD/YYYY)_____________ Expected Salary/Wage __________per_________

Referred by______________________________________________________________________________

If you are under 21 years of age, list age:_________________

If you have ever worked under another name, please indicate the name(s)

______________________________ ______________________________ _________________________

After an offer of employment, can you submit verification of your legal right to work in the U.S.?

_____Yes

_____No

Can you perform the essential functions of the position(s) for which you have applied? (Job descriptions

available upon request.) __Yes __No

Have you ever been convicted of a felony or misdemeanor? __Yes __No

If yes, what kind, where, and when? (A conviction will not necessarily disqualify an applicant.)

________________________________________________________________________________________

Will you undergo a pre-employment drug screen? __Yes __No

Have you been or are you an employee of Peppermill or any of its affiliated companies (Western Village,

Peppermill Las Vegas, Resorts at Wendover or Peppermill Reno)? __Yes __No

If so, when and where?_____________________________________________________________________

Do you have relatives employed at the Peppermill or any of its companies? __Yes

__No

If yes, provide name(s), department(s), and location(s):___________________________________________

_______________________________________________________________________________________

EMERGENCY CONTACT INFORMATION________________________________________________

_______________________________________________________________________________________

Employment Application Form