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Employment

 

 

EMPLOYMENT                                     THE RIVOLI THEATRE

APPLICATION                                      117 N. 4TH Street

                                                                   La Crosse , WI 54601

 

NAME__________________________________________    BIRTH DATE__/__/___

STREET________________________________________   

CITY___________________________ STATE____________ZIP________________

 

Telephone________________________

Cell: ____________________________  Internet Service in your home? __________

Email Address: _________________________________________________________

How many hours do you want to work per week    ___________?

Permanent Address:     Street___________________City_______________

     State____________________Zip____________

Do you have a Bartending license____                   Do you use tobacco products___

ARE YOU CURRENTLY A STUDENT_______ 

 

HOURS OF AVAILABILITY

          FRIDAY  SATURDAY  SUNDAY MONDAY  TUESDAY  WEDNESDAY  THURSDAY

 

FROM:________:____________:________:__________:_________:_____________:____________

 

TO:      ________:____________:________:__________:_________:_____________:____________

 

WORK HISTORY

MOST RECENT EMPLOYER                                 PREVIOUS EMPLOYER

 

COMPANY___________________________________COMPANY______________________________

 

LOCATION___________________________________LOCATION_____________________________

 

PHONE______________________________________ PHONE_________________________________

SUPERVISOR_________________________________SUPERVISOR___________________________

DATES: FROM: ____________TO:________________FROM:_______________TO:______________

SALARY______________________________________SALARY_______________________________

REASON FOR LEAVING_______________________REASON FOR LEAVING_________________

______________________________________________   ______________________________________

 

EDUCATION   (LAST OR CURRENT SCHOOL ATTENDED)

NAME OF SCHOOL____________________CITY____________________________

MAJOR_______________________________GPA_____________________________

 

THE FALSIFICATION OF INFORMATION OR OMMISSION OF FACTS HEREIN MAY BE CAUSE FOR IMMEDIATE DISMISSAL.  I HEREBY AUTHORIZE THE RIVOLI THEATRE TO VERIFY ALL INFORMATION

PROVIDED HEREIN.

 

SIGNED____________________________________________DATE______________