Please submit answers to employment.rivoli@gmail.com

LAST NAME:

FIRST NAME:

DATE OF BIRTH:


LOCAL STREET ADDRESS:

CITY:


HOME STREET ADDRESS:

CITY:


PHONE NUMBER:

EMAIL:

FACEBOOK:


HOW MANY HOURS PER WEEK DO YOU WANT TO WORK?

FIRST DATE AVAILABLE TO BEGIN WORKING:

WHICH WEEKDAY NIGHT ARE YOU AVAILABLE TO CLOSE NEAR MIDNIGHT?

WHICH WEEKEND NIGHT WOULD YOU PREFER TO HAVE OFF?


MOST HOURS ARE WORKED ON THE WEEKENDS,
HOW OFTEN DO YOU EXPECT TO NEED THE WEEKEND OFF?

WHAT OTHER ACTIVITIES DO YOU HAVE OUTSIDE OF THE CLASSROOM?
(i.e. Organized Sports, Clubs, Volunteer Work, etc)

DO YOU HAVE A RESPONSIBLE SERVERS (BARTENDER)  LICENSE?

DO YOU USE TOBACCO PRODUCTS?


ARE YOU CURRENTLY ENROLLED AS A STUDENT?
SCHOOL:
MAJOR:
CURRENT GPA:


MOST RECENT EMPLOYER:
CITY:
FIRST DATE OF EMPLOYMENT:
LAST DATE OF EMPLOYMENT:
REASON FOR LEAVING:
POSITION/TITLE:
PAY RATE:
EMPLOYMENT REFERENCE NAME:
EMPLOYMENT REFERENCE POSITION/TITLE:
EMPLOYMENT REFERENCE PHONE:


PREVIOUS EMPLOYER:
CITY:
FIRST DATE OF EMPLOYMENT:
LAST DATE OF EMPLOYMENT:
REASON FOR LEAVING:
POSITION/TITLE:
PAY RATE:
EMPLOYMENT REFERENCE NAME:
EMPLOYMENT REFERENCE POSITION/TITLE:
EMPLOYMENT REFERENCE PHONE:


PREVIOUS EMPLOYER:
CITY:
FIRST DATE OF EMPLOYMENT:
LAST DATE OF EMPLOYMENT:
REASON FOR LEAVING:
POSITION/TITLE:
PAY RATE:
EMPLOYMENT REFERENCE NAME:
EMPLOYMENT REFERENCE POSITION/TITLE:
EMPLOYMENT REFERENCE PHONE:

You may provide more references for your work history or attach your résumé.


The falsification of information or omission of facts herein may be cause for immediate dismissal.
I hereby authorize The Rivoli Theatre, Inc. to verify all information provided herein.

SIGNED:

DATE: