Cinema Snyder

Birth Date   mm/dd/yyyy

Name

Street Address

City

State

Zip Code

Home Phone   xxx-xxx-xxxx

Cell Phone   xxx-xxx-xxxx

Email

Employment Desired

Position Applying For

Start Date   mm/dd/yyyy

Salary Desired

Are You Currently Employed?:

May We Contact Your Employer?:

Have You Applied Before?:

If yes, when?

Education History

High School (Name & Location)

Did You Graduate?:

Honors & Achievements

College (Name & Location)

Did You Graduate?:

Subjects Studied/Achievements

Trade School (Name & Location)

Did You Graduate?:

Did You Graduate?:

Subjects Studied/Achievements

General Information

Why are you looking?

Why would you like to work at Cinema Snyder?

What are your interests or hobbies?

What do you typically like doing with friends?

U.S. Military or Naval Service?:

If yes, what was your rank?

References

Reference 1

Reference Name

Reference Email

Reference City

Reference Phone   xxx-xxx-xxxx

How Do You Know This Person?

How Long Have You Known This Person?

Reference 2

Reference Name

Reference Email

Reference City

Reference Phone   xxx-xxx-xxxx

How Do You Know This Person?

How Long Have You Know This Person?

Reference 3

Reference Name

Reference Email

Reference City

Reference Phone   xxx-xxx-xxxx

How Do You Know This Person?

How Long Have You Know This Person?

Authorization

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 liability 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