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Geneva Movieplex 8 Application for Employment Please drop completed application off at the theatre PRE-EMPLOYMENT QUESTIONNAIRE AN EQUAL OPPORTUNITY EMPLOYER The company does not discriminate in hiring or employment on the basis of race color religion national origin sex marital status ancestry age as defined by applicable law legally recognized handicap or veteran status. No question on this application is intended to secure information to be used for any discriminatory purpose. PERSONAL INFORMATION DATE NAME LAST MIDDLE FIRST STREET CITY STATE ZIP PRESENT ADDRESS PERMANENT ADDRESS Will need to provide Social Security at interview EMAIL HOME PHONE ARE YOU UNDER 16 YEARS OF AGE NO CELL PHONE OTHER YES ARE YOU 16 OR 17 YEARS OF AGE YES EMPLOYMENT DESIRED POSITION ARE YOU EMPLOYED NOW DATE YOU CAN START SALARY DESIRED IF SO MAY WE INQUIRE OF YOUR PRESENT EMPLOYER WHAT IS YOUR AVAILABILITY ARE YOU WILLING TO WORK HOLIDAYS EXPLAIN IF SO WHERE HAVE YOU EVER APPLIED TO THIS COMPANY BEFORE REFERRED BY EDUCATION NAME AND LOCATION OF SCHOOL SUBJECTS STUDIED YEARS COMPLETED DID YOU GRADUATE GRAMMAR SCHOOL HIGH SCHOOL COLLEGE EXPERIENCE PLEASE GIVE ACCURATE COMPLETE FULL-TIME AND PART-TIME EMPLOYMENT RECORD NAME AND LOCATION OF COMPANY REFERENCES FROM STARTING TO FINAL LIST YOUR REASON FOR SALARY DUTIES LEAVING OCCUPATION ADDRESS I certify that the information included on this application form is accurate and complete. I authorize the investigation of all statements contained in this application* I understand that misrepresentation of facts called for is cause for dismissal* Further I understand and agree that if I am offered employment with the company my employment is for no definite period and that ether I or the company will have the right to terminate the employment relationship at any time with or without cause and with or without notice. No question on this application is intended to secure information to be used for any discriminatory purpose. PERSONAL INFORMATION DATE NAME LAST MIDDLE FIRST STREET CITY STATE ZIP PRESENT ADDRESS PERMANENT ADDRESS Will need to provide Social Security at interview EMAIL HOME PHONE ARE YOU UNDER 16 YEARS OF AGE NO CELL PHONE OTHER YES ARE YOU 16 OR 17 YEARS OF AGE YES EMPLOYMENT DESIRED POSITION ARE YOU EMPLOYED NOW DATE YOU CAN START SALARY DESIRED IF SO MAY WE INQUIRE OF YOUR PRESENT EMPLOYER WHAT IS YOUR AVAILABILITY ARE YOU WILLING TO WORK HOLIDAYS EXPLAIN IF SO WHERE HAVE YOU EVER APPLIED TO THIS COMPANY BEFORE REFERRED BY EDUCATION NAME AND LOCATION OF SCHOOL SUBJECTS STUDIED YEARS COMPLETED DID YOU GRADUATE GRAMMAR SCHOOL HIGH SCHOOL COLLEGE EXPERIENCE PLEASE GIVE ACCURATE COMPLETE FULL-TIME AND PART-TIME EMPLOYMENT RECORD NAME AND LOCATION OF COMPANY REFERENCES FROM STARTING TO FINAL LIST YOUR REASON FOR SALARY DUTIES LEAVING OCCUPATION ADDRESS I certify that the information included on this application form is accurate and complete. PERSONAL INFORMATION DATE NAME LAST MIDDLE FIRST STREET CITY STATE ZIP PRESENT ADDRESS PERMANENT ADDRESS Will need to provide Social Security at interview EMAIL HOME PHONE ARE YOU UNDER 16 YEARS OF AGE NO CELL PHONE OTHER YES ARE YOU 16 OR 17 YEARS OF AGE YES EMPLOYMENT DESIRED POSITION ARE YOU EMPLOYED NOW DATE YOU CAN START SALARY DESIRED IF SO MAY WE INQUIRE OF YOUR PRESENT EMPLOYER WHAT IS YOUR AVAILABILITY ARE YOU WILLING TO WORK HOLIDAYS EXPLAIN IF SO WHERE HAVE YOU EVER APPLIED TO THIS COMPANY BEFORE REFERRED BY EDUCATION NAME AND LOCATION OF SCHOOL SUBJECTS STUDIED YEARS COMPLETED DID YOU GRADUATE GRAMMAR SCHOOL HIGH SCHOOL COLLEGE EXPERIENCE PLEASE GIVE ACCURATE COMPLETE FULL-TIME AND PART-TIME EMPLOYMENT RECORD NAME AND LOCATION OF COMPANY REFERENCES FROM STARTING TO FINAL LIST YOUR REASON FOR SALARY DUTIES LEAVING OCCUPATION ADDRESS I certify that the information included on this application form is accurate and complete. I authorize the investigation of all statements contained in this application* I understand that misrepresentation of facts called for is cause for dismissal* Further I understand and agree that if I am offered employment with the company my employment is for no definite period and that ether I or the company will have the right to terminate the employment relationship at any time with or without cause and with or without notice.

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