Hollywood Theatre Application for Employment

HOLLYWOOD THEATRE APPLICATION FOR EMPLOYMENT (PRE-EMPLOYMENT QUESTIONNAIRE) (AN EQUAL OPPORTUNITY EMPLOYER) The company does not discriminate in hiring or employment on the basis of race, color, religion, national origin, sex, marital status, ancestry, age (as defined by applicable law), legally recognized handicap, or veteran status. No question on this application is intended to secure information to be used for any discriminatory purpose. PERSONAL INFORMATION DATE:______

NAME: (LAST)______(M.I.)______(FIRST)______PRESENT ADDRESS: (STREET)______(CITY)______(STATE)_____(ZIP)______PERMANENT ADDRESS: (STREET)______(CITY)______(STATE)_____(ZIP)______HOME PHONE:______OTHER :______ARE YOU 18 YEARS OF AGE OR OLDER? ( )NO ( )YES EMPLOYMENT DESIRED

POSITION DESIRED:______START DATE:______DESIRED PAY: $______P/H ARE YOU EMPLOYED NOW? ( )NO ( )YES IF SO, MAY WE INQUIRE OF YOUR PRESENT EMPLOYER? ( )NO ( )YES HAVE YOU EVER APPLIED TO THIS COMPANY BEFORE? ( )NO ( )YES IF SO, WHERE?______IF SO, WHEN?______REFERRED BY:______EDUCATION (NAME OF SCHOOL) (LOCATION OF SCHOOL) HIGH SCHOOL______/______COURSES STUDIED______YEARS COMPLETED______GRADUATE? NO( ) YES( ) STILL ENROLLED ( ) COLLEGE______/______COURSES STUDIED______YEARS COMPLETED______GRADUATE? NO( ) YES( ) STILL ENROLLED ( ) OTHER______/______COURSES STUDIED______YEARS COMPLETED______GRADUATE? NO( ) YES( ) STILL ENROLLED ( )

EXPERIENCE PLEASE GIVE ACCURATE, COMPLETE, FULL-TIME AND PART-TIME EMPLOYMENT RECORD

COMPANY NAME______CITY/STATE______TELEPHONE NUMBER______SUPERVISOR______DATE HIRED______DATE TERMINATED______FINAL SALARY $______DUTIES______REASON FOR LEAVING______

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NAME______OCCUPATON______

ADDRESS______PHONE______

NAME______OCCUPATON______

ADDRESS______PHONE______

NAME______OCCUPATON______

ADDRESS______PHONE______TELL US ABOUT YOURSELF

Do you have any special qualities you think we should know about?

______

AVAILABILITY

Due to the nature of the film industry, we do not have set opening or closing times. As such, employees are expected to keep flexible schedules and be available for work everyday, including holidays. We are open every evening of the year and afternoons on weekends and whenever school districts are closed. We are, sometimes, able to accommodate people with limited availability (School, Other Employment) but availability is the number one factor in hiring.

Do you have any times you are not available? ______

I certify that the information included on this application form is accurate and complete. I authorize the investigation of all statements contained in this application. I understand that misrepresentation of facts called for is cause for dismissal. Further, I understand and agree that if I am offered employment with the company, my employment is for no definite period and that either I or the company will have the right to terminate the employment relationship at any time, with or without cause, and with or without notice.

DATE______SIGNATURE OF APPLICANT______

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