Triplex Cinema | Movie Times in Great Barrington, MA

Job Application

PERSONAL INFORMATION

First Name *

Middle Name

Last Name *

Address *

Address Line 2

City *

State *

Zip Code *

Home Phone *

Alternate Phone

Email Address

Are you legally authorized to work in the U.S.? *

* = required

GENERAL

Are you able to work holidays and weekends? *

If no, please explain:

Are you at least 18 years of age? *

If no, are you at least 16 years of age?

* = required

REFERRAL INFORMATION

How were you referred to us? *

If employee, please list their name

Have you ever worked for the company before? *

* = required

EDUCATION AND TRAINING

Select the highest grade or year completed in school *

Do you have a High School Diploma, HSED, or GED? *

	Name of School	From Date	To Date	Course of Study	Degree/Awards
1)
2)

Highest grade completed in college

* = required

WORK HISTORY

Are you currently employed? *

If yes, may we contact your current employer?

Please list your last employer

Employer

From (Month/Year)

To (Month/Year)

City, State

Your Title(s)

Your Duties

Pay Rate

Reason for Leaving

* = required

REFERENCES

Name

Phone

How long have you known them?

Name

Phone

How long have you known them?

Name

Phone

How long have you known them?

* = required

Authorization

IMPORTANT: READ THIS CAREFULLY BEFORE SUBMITTING THE APPLICATION

I certify that the answers given by me on this application are true, correct and complete. I agree that any misstatement or pertinent omission made by me in this application may be cause for my rejection, or if hired, may subsequently subject me to dismissal.

In the event of employment, I will comply with all company rules and regulations as may be established from time to time. Furthermore, since the company does not offer contracts of employment, I understand that nothing contained in this application form or any employee handbook is intended to create a contract between the company and me for either employment or the provision of any compensation or benefits. I understand that if employed, I have the right to terminate my employment at any time and likewise, the company has the same right.
Initial: *