Application for Employment

Position(s) Applying For

Check all that apply.

Usher

Concessions Crew

Box Office Cashier

Projectionist

Other

How many hours per week are you seeking to work?

Can you work evenings and on weekends?

Do you have reliable transportation to/from work?

Do you have a job coach or Support Provider?

If yes, please provide name and telephone number

PERSONAL INFORMATION

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Guardianship Status

Guardian Name

Guardian Phone Number

EDUCATION

List below your educational background that is relevant to the job for which you are applying. Including high school/GED, colleges, trade, and other relevant education.

High School

Please include name of school, location, years completed, diploma/ged/degree/certificate obtained, and subject studied

College

Please include name of school, location, years completed, diploma/ged/degree/certificate obtained, and subject studied

Any Other Job Related Training

Employment History

Please provide an accurate and complete list of your full-time and part-time employment. You may also include as part of your employment history any verified work performed on a volunteer basis. Please start with your present or most recent employer.

Employment History #1

Please provide date of employment, employer name/phone number, position, job duties, and direct supervisor name.

Employment History #2

Please provide date of employment, employer name/phone number, position, job duties, and direct supervisor name.

Employment History #3

Please provide date of employment, employer name/phone number, position, job duties, and direct supervisor name.

Employer Contact

Is there any reason why we may not contact your present or previous employers?

Yes

If YES, Please Explain

References

Please provide up to three service provider, job coach, direct supervisor, or work-related references.

Reference #1

Please include reference name, phone number, relationship to applicant, and years known.

Reference #2

Please include reference name, phone number, relationship to applicant, and years known.

Reference #3

Please include reference name, phone number, relationship to applicant, and years known.

Equal Opportunity Employer

Prospects, opportunity and Enrichment, Inc. ("Company") is committed to a policy of equal employment opportunity and will not discriminate against an applicant or employee on the basis of age, sex, sexual orientation, race, color, religion, ethnicity, national origin, alienage or citizenship, disability, marital status, status as a victim of domestic violence, genetic predisposition or information, military or veteran status, or any other legal recognized protected basis under federal state, or local laws, regulations, or ordinances. We will endeavor to make a reasonable accommodation/modification to the known physical or mental limitations of a qualified applicant with a disability to assist in the hiring process, in accordance with applicable federal, state, and local law. If you believe you require such assistance to complete this form or to participate in the interview process, please contact our employment team at jobs@prospectortheater.org

I have read and answered all of the information contained in this application

Yes

Date of Agreement

Please enter today's full date.

YYYY

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