Personal Information Application For Employment Page 3
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4EMPLOYMENT HISTORY:
List employers, starting with your current or most-recent employer.
Attach additional work history sheet and current résumé, if needed. Please go back ten (10) years, if applicable.
1. Company Name:
Phone: (
)
Address:
Employed:
to
Position(s):
Salary/Hourly Wages: $
Supervisor’s Name:
Reason for leaving:
Describe duties:
2. Company Name:
Phone: (
)
Address:
Employed:
to
Position(s):
Salary/Hourly Wages: $
Supervisor’s Name:
Reason for leaving:
Describe duties:
3. Company Name:
Phone: (
)
Address:
Employed:
to
Position(s):
Salary/Hourly Wages: $
Supervisor’s Name:
Reason for leaving:
Describe duties:
REFERENCES:
Please list three (3) persons not related to you who have known you for at least one (1) year.
Name
Occupation
Phone
Years Known
1.
(
)
#
2.
(
)
#
3.
(
)
#
DISCLAIMER
As part of the hiring process, Table Mountain Casino will be checking references. Table Mountain Casino may contact the
references identified above as well as former employees. When we contact a reference, we ask a series of questions. They
are about your personal background, education, work experience, character, and other work-related behaviors.
I understand that any misrepresentation or omission of facts is cause for immediate dismissal. If accepted for employment, I
agree to abide by all policies and procedures. If employed, I understand that Table Mountain Casino is an “at-will employer”
and I may be released of my duties, without prior notice or cause, by Table Mountain Casino or of my own accord. I understand
that my employment is for no defined period of time; and if terminated, Table Mountain Casino is liable only for wages and
benefits earned up to the date of termination. By signing below, I have read, fully understand and acknowledge the foregoing
statement.
Signature:
Date:
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