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Employment Application
City For Which You Are Applying For Work:
Charleston    Logan    Cincinnati
Name:
Last, First, Middle
Street Address:
City County State Zip
Phone:
Alternate Phone:
Email Address:
Position Desired:
(Select One)
Usher
Box Office Cashier
Concession Worker
Other
Describe Other:
Wage Desired:
Date you can start:
Attending School?
No Yes Where?
Days/Hours attending:
Days and Hours Available
(please consider school, extra-curricular activities, and other obligations when filling out this section)
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Can You Work Weekends/ Holidays?
Yes No If No, explain
Are you currently employed?
No Yes Where?
Last two employers
From/To
Rate
Place of Employment
Phone
Reason for Leaving

 

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PO Box 1957
Huntington, WV 25720
304-523-0185

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