APPLICATION FOR EMPLOYMENT
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

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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