Jobs | Derby Dinner Playhouse

Applicant Information

First Name

Last Name

Address

State

Phone

City

Zip

Email *

Employment Position

Position(s) Applying for

How did you hear about this position?

On what date can you start working if you are hired?

Personal Information

Are you a U.S. citizen or approved to work in the United States?

What documents can you provide as proof of citizenship or legal status?

Job Skills/Qualifications

Please list below the skills and qualification you possess for the position for which you are applying.

(Note: Derby Dinner Playhouse complies with the ADA and considers reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions.)

Education and Training

High School

Name

Location (City, State)

Year Graduated or Year you will graduate

College/University

Name

Location (City, State)

Year Graduated or Year you will graduate

Degree Earned

Vocational School/Specialized Training

Name

Location (City, State)

Year Graduate or Year you will graduate

Degree Earned

Are you a member of the Armed Services?

What branch of the military did you enlist?

What was your military rank when discharged?

How many years did you serve in the military?

Previous Employment

Employer Name

Job Title

Supervisor Name

Employer Address

City, State and Zip Code

Employer Telephone

Dates Employed

Reason for Leaving

Employer Name

Job Title

Supervisor Name

Employer Address

City, State and Zip Code

Employer Telephone

Dates Employed

Reason for Leaving

Employer Name

Job Title

Supervisor Name

Employer Address

City, State and Zip Code

Employer Telephone

Dates Employed

Reason for Leaving

AT WILL EMPLOYMENT The relationship between you and Derby Dinner Playhouse is referred to as “employment at will.” This means that your employment can be terminated at any time for any reason, with or without cause, with or without notice, by you or Derby Dinner Playhouse. No representative of Derby Dinner Playhouse has authority to enter into any agreement contrary to the foregoing “employment at will” relationship. You understand that your employment is “at will,” and that you acknowledge that no oral or written statements or representations regarding your employment can alter your at-will employment status, except for a written statement signed by you and our Company President.

Applicant Signature (typed)

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