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Location*
Name*
First Middle Last
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Email*
Position Applied For
- Full Time
- Part Time
Date Available*
MM slash DD slash YYYY

When can you start?
Hours Available
Enter the range of hours you can work each day of the week or Open Availability
Monday*
Tuesday*
Wednesday*
Thursday*
Friday*
Saturday*
Sunday*
Total hours available per week*
Please enter a number from 0 to 80.
Do you have any work or school obligations which would prevent you from working the schedule you've listed above?*
- Yes
- No
Desired Salary*
Are you over 18 years old?*
- Yes
- No
Are you legally eligible for employment in the United States? (If offered employment, you will be required to provide documentation to verify eligibility).*
- Yes
- No
Education
High School*
Year Graduated*
Address*
College
Degree
Year Graduated
Address

You need not disclose membership in professional organizations that may reveal information regarding race, color, sex, religion, national origin, ancestry, age, disability, marital status, veteran status or any other protected status.
Record of Conviction
During the last ten years have you ever been convicted of a crime other than minor traffic offense? If yes, explain
A conviction will not necessarily automatically disqualify you for employment. Rather, such factors such as the age and date of conviction, seriousness and nature of crime, and rehabilitation will be considered.
Previous Employment
Company
Phone
Address
Supervisor
Job Title
Starting Salary
Ending Salary
Responsibilities
- Full Time
- Part Time
Years Employed
You may contact my previous supervisor for a reference
Explain any gaps in work history
Have you ever been discharged or asked to resign from a job?*
- Yes
- No
I hereby certify that the facts set forth in the above employment application are true and complete to the best of my knowledge and authorize Krull Cinemas to verfiy their accuracy and obtain information on my work performance. I hereby release Krull Cinemas from any/all liability of whatever kind and nature which, at any time, could result from obtaining and having employment decision based on such information.*
I agree
I understand that, if employed, falsified statements of any kind or omissions of facts called for on this application shall be considered sufficient basis for dismissal.*
I agree
I understand that should an employment offer be extended to me and accepted that I will fully adhere to the policies, rules and regulations of employment of the Employer. However, I further understand that neither the policies, rules, regulations of my employment nor anything said during the interview process shall be deemed to constitute the terms of an implied employment contract. I understand that any employment offered is for an indefinite duration and at will and that either I or the employer may terminate my employment at any time with or without notice or cause.*
I agree
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Main Street 3

401 9th Street

Sheldon, IA 51201

(712) 324-2344

Holland Plaza

717 8th St SE

Orange City, IA 51041

(712) 737-8866

Main Street 3

Holland Plaza

Employee Application

Hours Available

Education

Record of Conviction

Previous Employment