Application – Mono Wind Casino

Monowind Employment Application

Name
First Middle Last
Phone*
Date Of Application*
MM slash DD slash YYYY
Social Security Number
Have you ever used another name?*
- Yes
- No
Present Address: (Street# – P.O. Box)*
Street Address Address Line 2 City State ZIP Code
Are you under 21 years of Age?*
- Yes
- No
Position Desired*
Salary Desired
Is any additional information relative to a change of name, use of an assumed name, or a nickname necessary to enable a check on your work or education record?*
- Yes
- No
If yes, please explain:
Are you available to work on weekends?*
- Yes
- No
Are you available to work overtime, if necesary?*
- Yes
- No
If hired would you have a reliable means of transportation to and from work?*
- Yes
- No
Are you able to perform the essential functions of the job for which you are applying, either with or without reasonable accommodation?*
- Yes
- No
If no, describe the functions that cannot be performed:
Do you have any friends or relatives in our employment, if yes, state name:
Do you have any friends or relatives in our employment, if yes, state relationship:
Have you ever applied or worked for Mono Wind Casino before?*
- Yes
- No
If so, when?
MM slash DD slash YYYY
Are you employed now?*
- Yes
- No
If yes, may we inquire of your present employer?*
- Yes
- No
Date you can start employment?*
MM slash DD slash YYYY
Can you submit verification of your eligibility to work in the United States?*
- Yes
- No
Have you ever been convicted of a criminal offense (felony or serious misdemeanor)? NOTE: a conviction will not necessarily disqualify an applicant for employment. Each instance will be considered in relation to the position for which the application has applied for.*
- Yes
- No
If yes, state the nature of the crime(s), when and where convicted and disposition of the case(s):
School – Graduate
School – Graduate – Name & Location Of School
School – Graduate – Course Of Study
School – Graduate – No. Of Years Completed
School – Graduate – Did You Graduate?
- Yes
- No
School – Graduate – Degree Or Diploma
School – College
School – College – Name & Location Of School
School – College – Course Of Study
School – College – No. Of Years Completed
School – College – Did You Graduate?
- Yes
- No
School – College – Degree Or Diploma
School – Business
School – Business – Name & Location Of School
School – Business – Course Of Study
School – Business – No. Of Years Completed
School – Business – Did You Graduate?
- Yes
- No
School – Business – Degree Or Diploma
School – Trade
School – Trade – Name & Location Of School
School – Trade – Course Of Study
School – Trade – No. Of Years Completed
School – Trade – Did You Graduate?
- Yes
- No
School – Trade – Degree Or Diploma
School – Technical
School – Technical – Name & Location Of School
School – Technical – Course Of Study
School – Technical – No. Of Years Completed
School – Technical – Did You Graduate?
- Yes
- No
School – Technical – Degree Or Diploma
School – High School
School – High School – Name & Location Of School
School – High School – Course Of Study
School – High School – No. Of Years Completed
School – High School – Did You Graduate?
- Yes
- No
School – High School – Degree Or Diploma
Do you have any other experience, training, qualifications or skills which you feel make you especially suited for this position?
Name of license
Issuing State
State
License/certification number
Have you obtained any special skills or abilities as the result of military service?
- Yes
- No
If yes, describe:
DATES OF EMPLOYMENT
NAME, ADDRESS & PHONE NO OF EMPLOYER/COMPANY 1
FROM
MM slash DD slash YYYY
TO
MM slash DD slash YYYY
SUPERVISOR'S NAME & POSITION 1
LAST POSITION & SALARY 1
REASON FOR LEAVING 1
NAME, ADDRESS & PHONE NO OF EMPLOYER/COMPANY 2
FROM
MM slash DD slash YYYY
TO
MM slash DD slash YYYY
SUPERVISOR'S NAME & POSITION 2
LAST POSITION & SALARY 2
REASON FOR LEAVING 2
NAME, ADDRESS & PHONE NO OF EMPLOYER/COMPANY 3
FROM
MM slash DD slash YYYY
TO
MM slash DD slash YYYY
SUPERVISOR'S NAME & POSITION 3
LAST POSITION & SALARY 3
REASON FOR LEAVING 3
NAME, ADDRESS & PHONE NO OF EMPLOYER/COMPANY 4
FROM
MM slash DD slash YYYY
TO
MM slash DD slash YYYY
SUPERVISOR'S NAME & POSITION 4
LAST POSITION & SALARY 4
REASON FOR LEAVING 4
NAME, ADDRESS & PHONE NO OF EMPLOYER/COMPANY 5
FROM
MM slash DD slash YYYY
TO
MM slash DD slash YYYY
SUPERVISOR'S NAME & POSITION 5
LAST POSITION & SALARY 5
REASON FOR LEAVING 5
References
List below three persons not related to you who have knowledge of your work performance within the last three years.
Reference 1 Name
Reference 1 Occupation
Reference 1 Address
Street Address Address Line 2 City State ZIP Code
Reference 1 Phone
Reference 2 Name
Reference 2 Occupation
Reference 2 Address
Street Address Address Line 2 City State ZIP Code
Reference 2 Phone
Reference 3 Name
Reference 3 Occupation
Reference 3 Address
Street Address Address Line 2 City State ZIP Code
Reference 3 Phone
Please read carefully, Initial each paragraph and sign below.
I hereby certify that I have not knowingly withheld any information that might adversely affect my chances for employment and that the answers given by me are true and correct to the best of my knowledge. I further certify that I, the undersigned applicant, have personally completed this application. I understand that any omission or misstatement of material fact on this application or on any document used to secure employment shall be grounds for rejection of this application or for immediate discharge if 1 am employed, regardless of the time elapsed before discovery.*
- Yes, I certify
I hereby authorize Mono Wind Casino to thoroughly investigate my references, work record, education and other matters related to my suitability for employment and, further, authorize the references I have listed to disclose the Casino any and all letters, reports and other information related to my work records, without giving me prior notice of such disclosure. In addition, I hereby release the Casino, my former employers and all other persons, corporations, partnerships and associations from any and all claims, demands or liabilities arising out of or in any way realted to such investigation or disclosure.*
- Yes, I certify
I understand and agree that employment is "AT WILL", meaning employment may be terminated by either myself or the Casino at any time, with or without cause, and with or without notice. I also understand and agree the Casino retains the right to demote, transfer, change my job duties, and my compensation at any time with or without notice and with or without cause In its sole discretion. Employer and Employee further understand and agree that other than the General Manager, no Manager, Supervisor or other representatfve of the Casino has authority to make any agreement, express or Implied, for employment for any specified period of time, orto make any agreement for employment other than at-will. The Casino and I also agree that this AT-WILL employment policy cannot be amended, modified or altered in any way by oral statements or in any other way, and can only be altered by written amendment signed by the General Manager of the Mono Wind Casino, indicating that it is intended as a modification of employee's AT-WILL status.*
- Yes, I certify
Date (type date)*
Signature (type name)*

Monowind Employment Application

School – Graduate

School – College

School – Business

School – Trade

School – Technical

School – High School

DATES OF EMPLOYMENT

References

Please read carefully, Initial each paragraph and sign below.