Personal Information

First Name:*

Last Name:*

E-mail: (E-Mail Optional)

Phone:*

Are you 18 years of age or older?*
yesno

Are you 21 years of age or older?*
yesno

Have you ever been employed by the Club Cal Neva?*
yesno

If yes, when did you leave?

Have you ever been barred from the Club Cal Neva?*
yesno

Do you have a current Gaming Control Board registration?*
yesno

Are you able to perform the essential functions of the jobs for which you are applying, either with or without reasonable accommodation?*
yesno

If no, please explain:

If hired, would you be able to present evidence of your U.S. citizenship or proof of your legal right to work?*
yesno

Have you ever plead guilty, no contest, or been convicted of any crime?*
yesno

If Yes, please state crime:

Additional charges :

Date:

Court Location:

Disposition of Case:

Have you ever plead guilty, no contest, or been convicted of any crime?
yesno

If Yes, please state crime:

Additional charges :

Date:

Court Location:

Disposition of Case:

Employment Information

Position Desired*

Second Position Desired

Third Position Desired

What date will you be available to begin work?

Type of employment desired:*
FullPartTemp

Shift Desired*
GraveDaySwing

Are you willing to work overtime if required?*
yesno

Salary Required

Yearly

Hourly

Education

Highest level of education completed?*
Middle SchoolHigh SchoolCollege

Name of High School

Name of College

Title of your degree if applicable

Title of your degree if applicable

Are you computer skilled?*
yesno

If yes, what programs:

Special Training or Skills

Employment History

Current or Most Recent Employer

Street Address

City, State and ZIP

Phone Number

Start Date

End Date

Starting Wage

Ending Wage

Salary or Hourly
SalaryHourly

Your Title:

Supervisor's Name:

Summarize your duties and responsibilities:

Reason for Leaving:

Second Most Recent Employer

Street Address

City, State and ZIP

Telephone Number

Start Date

End Date

Starting Wage

End Wage

Salary or Hourly
SalaryHourly

Your Title:

Supervisor's Name:

Summarize your duties and responsibilities:

Reason for Leaving:

Third Most Recent Employer

Street Address

City, State and ZIP

Telephone Number

Start Date

End Date

Starting Wage

End Wage

Salary or Hourly
SalaryHourly

Your Title:

Supervisor's Name:

Summarize your duties and responsibilities:

Reason for Leaving:

Reference 1

Name

Phone

Years Known

Position

Reference 2

Name

Phone

Years Known

Position

Reference 3

Name

Phone

Years Known

Position

Misc

Please indicate how you heard about the job you are applying for today:
Walk inReferralNewspaperOther

If applicable, please tell us which website, recruiter, referral name.