Application for Employment
Bolded fields are required!
Location Applying For:
Personal Information
First Name: Last Name:
Address 1:
Address 2:
City: State:
Zip: E-Mail:
Phone: Referred By:
Employment Desired
Position Desired:
Salary Desired (Hourly):
Date you can start(mm/dd)
What kind of employment are you looking for? (e.g. summer job, school year, etc.)
Ever applied to this company before? No Yes
Federal law prohibits the employment of unauthorized aliens. All persons hired must submit satisfactory proof of employment authorization and identity (valid driver’s license, birth certificate, Green Card, etc.) within 3 days of being hired. Failure to submit such proof within the required time shall result in immediate employment termination.
Additional Information
Our theatres are open 365 days a year. Working holidays is a must. Are there any weekends or holidays you cannot work? No Yes
Any hours, shifts, days you cannot work? No Yes
Please specify:
Is there any information we would need about your name or use of another name for us to be able to check your work record? No Yes
Please specify:
Have you ever been employed with us before? No Yes
If yes, give date (mm/yyyy):
Do you have any relatives who are presently (or have formerly been) employed by Paragould Cinema? No Yes
Please name any friends or individuals you know who are presently employed by Paragould Cinema:
Have you ever been convicted of a crime? (Answering yes does not automatically exclude you from consideration for employment) No Yes
If yes, please describe fully the criminal conviction(s), listing the nature of the offense, how recently such offense(s) was/were committed, sentence(s) imposed and your rehabilitation since the conviction.
Have you ever been released, discharged or asked to resign from any prior employment? No Yes
If yes, please give details:
Have you ever been the subject of disciplinary charges and/or have you ever been subject to disciplinary action by prior or current employer? No Yes
If yes, please give details.
Education History
Name & Location of School Highest Grade Completed or Degree Earned
Employment History
List last four employers, starting with most current one first.
Date
(mm/yyyy)		 Name & Address of Employer Position Reason for Leaving
From:

To:
From:

To:
From:

To:
From:

To:
Are you currently employed? No Yes
May we contact your current employer? No Yes
If no, please explain why you don't want the company contacted?:
I hereby certify that the information provided in this Application for Employment is true, correct and complete. Any misstatement or omission of fact on this application may result in the rejection of my application or in my termination, if employed by Paragould Cinema. I understand that acceptance of an offer of employment does not create a contractual obligation upon Paragould to continue to employ me in the future. I authorize Paragould Cinema to contact any educational institutions, former employers, or other individuals and entities having information concerning me to make inquiries and obtain information, including personnel files, relevant to my background, performance and abilities as an employee or relating to my application for employment. I hereby release all such entities and individuals from any and all claims, including but not limited to claims of defamation, associated with the release of disclosure of such information to Paragould Cinema. I agree that a copy of this authorization and release may be accepted with the same authority as the original.
Check this box to certify that you have read and accept the above statement.