PERSONAL INFORMATION    
Last Name (required) First Name (required) Middle Initial
     
Your Email (required) Your Daytime Phone Your Evening Phone
     
Your Address (required)    
   
 

PREVIOUS EMPLOYMENTS

   
Company Name Position Employer's Name
     
Phone Date Started Date Ended
     
Salary Start Salary End May we contact This Employer
 
Company Name Position Employer's Name
     
Phone Date Started Date Ended
     
Salary Start Salary End May we contact This Employer
 
Company Name Position Employer's Name
     
Phone Date Started Date Ended
     
Salary Start Salary End May we contact This Employer
 

REFERENCES

   
Name Relationship Phone
 
Name Relationship Phone
 
Name Relationship Phone
 

PREVIOUS SCHOOL INFORMATION

   
School Name Certificate Awarded Year Completed
 
School Name Certificate Awarded Year Completed
 
School Name Certificate Awarded Year Completed
 

EMPLOYMENT INFORMATION

   
Are you interested in a part time or full time job? Hours you are available to work? Are you able to work holidays?
     
Are you able to be called in when not scheduled to work? Position desired? Wage desired?
 
Are you a legal US Citizen? If you answered "No", please complete the following questions. Do you have a work visa, and can show proof upon employment?
 
     
Please read the following statement:
I hereby certify that the information furnished herein is true and correct. I authorize Times Square Cinema to investigate all information contained in this application, and authorize release of all information by my present or past employers which may be required for reference check. I understand that this is an application for employment and that no employment contract is being offered. I also understand that, if employed, such employment is for an indefinite period and is subject to change in wages, conditions, benefits and operation policies.

By submitting this form, you agree to the above statement.