S h o w p l a c e  6

"Where all Shows and all Seats are only $2.00"

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Online Application
Date

Personal Information

Last Name         First Name

Present Address:   City:   State:   Zip Code:

Home Phone:    Cell Phone:    Other Phone: 

Email Address:

Referred By: 


Employment Desired

Position Desired: 

Date You Can Start    Salary Desired: 

Are you employed?      If so, may we inquire your present employer? 

Ever applied to this company before?          If so, When?


Education History

                                                Name & Location                            Years Attended    Graduate?    Subjects Studied 

Grammar School       

High School                 

College                         

Other                             

Special Training Skills


Former Employers (list below last four employers, starting with last one first)
1
Month & Year      Name & Address                       Salary   Position  Reason for Leaving
From          
To     

2
Month & Year      Name & Address                       Salary   Position  Reason for Leaving
From          
To     

3
Month & Year      Name & Address                       Salary   Position  Reason for Leaving
From          
To     

4
Month & Year      Name & Address                       Salary   Position  Reason for Leaving
From          
To     

References (List below the names of three persons not related to you, whom you have known at least one year)

Name                                Address                           Phone                           Years Known
          

          

          

          

I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal.

I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or therwise, and release the company from all iability for any damage that may result from utilization of such information.

I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative.

This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws

Initials 
6707 University Ave.
Lubbock Tx. 79413
806-745-3636