Please return completed application and resume to: The Strand Theatre, P.O. Box 433, Rockland, ME 04841 Tel: (207) 594-6105 Fax: (207) 594-6106
Date: ____________________________ PERSONAL INFORMATION:
NAME (LAST, FIRST, MIDDLE INT.) SOCIAL SECURITY NO.
—
PRESENT ADDRESS CITY
—
STATE ZIP CODE
PERMANENT ADDRESS
CITY
STATE
ZIP CODE
PHONE NUMBER
REFERRED BY
(
)
EMPLOYMENT DESIRED:
POSITION DATE YOU CAN START SALARY DESIRED
Are you employed?
Yes
No
If so, may we inquire of your present employer? Yes No
WHEN?
Yes
No
Have you ever applied the Strand Theatre before?
EDUCATION HISTORY:
NAME & LOCATION OF SCHOOL HIGH SCHOOL COLLEGE TRADE OR BUSINESS SCHOOL YEARS ATTENDED DID YOU GRADUATE? SUBJECTS STUDIED
GENERAL INFORMATION:
SUBJECTS OF SPECIAL STUDY/RESEARCH; WORK OR SPECIAL TRAINING/SKILLS.
U.S. MILITARY OR NAVAL SERVICE
RANK
CONTINUED ON NEXT PAGE
SKILLS / STRENGHTS:
PLEASE DESCRIBE YOUR STRENGTHS, ESPECIALLY IN RELATION TO THIS JOB POSITION.
PLEASE DESCRIBE ANY SPECIAL SKILLS OR OTHER EXPERIENCES THAT ARE RELEVANT TO THIS JOB POSITION:
FORMER EMPLOYERS:
DATE (MM/YYYY)
FROM: TO: FROM: TO: FROM: TO: FROM: TO:
(LIST BELOW LAST FOUR EMPLOYERS, STARTING WITH THE MOST RECENT FIRST)
NAME & ADDRESS OF EMPLOYER
SALARY
POSITION
REASON FOR LEAVING
REFERENCES:
(GIVE BELOW THE NAMES OF THREE PERSONS NOT RELATED TO YOU, WHOM YOU HAVE KNOWN AT LEAST ONE YEAR.)
NAME
ADDRESS
BUSINESS
YEARS KNOWN
AUTHORIZATION:
I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and