Employment > Employment Application

Check all positions desired:

A/V Tech Engineering Grounds Maintenance-1st Shift Maintenance-2nd Shift Maintenance-3rd Shift Parking Security Guard* Stagehand* Ticket Seller Usher

*Minimum 18 years of age for Security Guard and Stagehand, minimum 16 years of age for all other positions.

Check availability:

Any Weekday Days Weekday Evenings Weekend Days Weekend Evenings Nights (10:00pm+)

Personal

*Today's Date: Calendar
*Full Name:		*Street Address:
*City:	*State:	*Zip:
*Home Phone: ( ) - Second three digits Last four digits	*Cell Phone: ( ) - Second three digits Last four digits
*E-mail Address

*Have you ever been employed at the TaxSlayer Center, formerly The MARK of the Quad Cities, or the iWireless Center? YesNo
If yes, dates of employment:	Position:
If you were referred by anyone, please list their name(s):

Education

*Select Highest Level Completed:

High School 9101112GED

College 1234

Skills

*Skills, including computer proficiency, languages spoken:
Licenses or certificates:	Equipment or machinery you can operate:

Employment History

List current or previous employers

*Employer #1:
*From: Calendar	*To: CalendarToday
*Job Title:	*Supervisor Name:
Reason for Leaving:
Employer #2:
From: Calendar	To: CalendarToday
Job Title:	Supervisor Name:
Reason for Leaving:

*May we contact current/previous employer?

YesNo

General

*Do you have a legal right to work in the United States?	YesNo
*Do you have a valid driver's license?	YesNo

*I certify that the information on this application and any attachments are accurate and complete. I have not willingly withheld information and I understand that incomplete and inaccurate or false information will result in rejection or my application or termination of employment. Due to the nature of the business, it may be as many as 90 days after submitting your application before you are contacted.