Date *

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Email Address *

Home Phone Number *

Alt. Phone Number

Date available for work: *

Position applied for or type of work desired: *

Are you available to work any shift? *

Yes
No

If no, please explain:

Are you available to work any day of the week? *

Yes
No

Are you available to work in all markets in which we are located? *

Yes
No

If no, please explain:

Wage Requirement *

Have you ever been previously employed by this company? *

Yes
No

Can you submit proof of legal employment authorization and identity? *

Yes
No

Are you 21 years of age or older? *

Yes
No

Have you been convicted of a crime in the last seven years? *

Yes
No

If yes, please explain (Do not include traffic tickets. Note: Conviction of a crime or crimes will not necessarily disqualify you from employment):

Have you ever been discharged or asked to resign? *

Yes
No

If yes, please explain:

Have you ever served in the military? *

Yes
No

If yes, please describe the skills you acquired:

Do you have means for getting to work regularly? *

Yes
No

Please list any languages other than English you can read, write, or speak:

If an offer of employment is made, and prior to the commencement of employment duties, you may be required to undergo a medical examination and/or drug test, the results of which may affect the offer of employment. Are you willing to undergo such an examination and/or drug test, the results of which may affect the offer of employment? *

Yes
No

EMPLOYMENT HISTORY

Please provide all employment information for your past 4 employers starting with the most recent.

Employer Name: *

Position Held: *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Telephone #: *

Immediate supervisor and title: *

Employed from: *

Employed to: *

Salary: *

Job Summary: *

Reason for Leaving: *

Employer Name:

Position Held:

Address

Address Line 1

Address Line 2

City

State

Zip Code

Telephone #:

Immediate supervisor and title:

Employed from:

Employed to:

Salary:

Job Summary:

Reason for Leaving:

Employer Name:

Position Held:

Address

Address Line 1

Address Line 2

City

State

Zip Code

Telephone #:

Immediate supervisor and title:

Employed from:

Employed to:

Salary:

Job Summary:

Reason for Leaving:

Employer Name:

Position Held:

Address

Address Line 1

Address Line 2

City

State

Zip Code

Telephone #:

Immediate supervisor and title:

Employed from:

Employed to:

Salary:

Job Summary:

Reason for Leaving:

EDUCATION HISTORY

List school name and location, years completed, course of study and any degree earned:

High School

College:

Technical Training:

Other:

REFERENCES

List 3 reference names, telephone numbers and years known (do not include relatives).

Reference #1:

Reference #2:

Reference #3:

Carefully read the following. By clicking the submit button, you are acknowledging your acceptance:

I hereby authorize the company to contact, obtain and verify the accuracy of information contained in this application from all previous employers, educational institutions and references. I also hereby release from liability the company and its representatives for seeking, gathering and using such information to make employment decisions and all other persons or organizations for providing such information.

I understand that any misrepresentation or material omission made by me on this application will be sufficient cause for cancellation of this application or immediate termination of employment if I am employed, whenever it may be discovered.

If I am employed, I acknowledge that there is no specified length of employment and that this application does not constitute and agreement or contract for employment. Accordingly, either I or the company can terminate the relationship at will, with or without cause, at any time, so long as there is no violation of applicable federal or state law.

Nugget Casinos provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, sexual orientation or gender identification, national origin, age, disability, or genetics. In addition to federal law requirements, Nugget Casinos comply with applicable state and local laws governing nondiscrimination in employment in every location in which we have facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

I understand that if I am employed, I will be required to provide satisfactory proof of identity and legal work authorization within three days of being hired. Failure to submit such proof within the required time shall result in immediate termination of employment.

By completing and submitting this application I understand and agree to submit to drug and alcohol testing as provided for in the organization's drug and alcohol policy.

I represent that I have read and fully understand the foregoing, and that I seek employment under these conditions.

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Employment Application

EMPLOYMENT HISTORY

EDUCATION HISTORY

REFERENCES