Online Employment Application
National Amusements Inc.
Dedham, Massachusetts 02027-9126
Personal
Name
Social Security #:
-
-
Address
City
State
Zip Code
Telephone
Email Address
Are you 18 or older?
Yes
No
If under 18 years please state your age:
(if you are under 18, you may be required to furnish a work permit prior to working.)
Are you legally authorized to work in the United States?
Yes
No
(Proof of eligibility to work in the US will be required upon employment.)
If you have worked for our company before, please state where and when?
Have you ever been convicted of a crime in the past 10 years, excluding misdemeanors, summary and traffic offenses? If yes, describe in full:
* A conviction will not necessarily bar you from employment.
Please list any friends or relatives employed by us:
Referral Source:
Walk-In Applicant
Company Employee
Internet
Newspaper ad
Community Organization
Other
Employment Desired / Availability
As an industry that provides a service to the public our business hours include afternoons, evenings, weekdays, weekends and holidays.
Position(s) Desired:
Date Available:
Rate of Pay Expected:
Are you available to work? (Indicate Yes or No below)
Holidays:
Yes
No
Days:
Yes
No
Evenings:
Yes
No
Weekends:
Yes
No
Total Hours Desired per week:
National Amusements' theatres are open every day of the year. Please indicate the days and hours you're available to work.
Sunday:
Monday:
Tuesday:
Wednesday:
Thursday:
Friday:
Saturday
Education
Name and location of school
Years Completed
Degree
Type of Course/ Major
High School
College
Other
Please list any other education, training certificates, computer or special skills you possess that are related to the job for which you are applying:
Employment
List your previous work experience beginning with your most recent position:
Company:
Tel #:
Dates Employed:
Address:
Position:
Starting Wage:
Ending Wage:
Major Duties:
Reason For Leaving:
Supervisor:
May we contact this employer:
Yes
No
Company:
Tel #:
Dates Employed:
Address:
Position:
Starting Wage:
Ending Wage:
Major Duties:
Reason For Leaving:
Supervisor:
May we contact this employer:
Yes
No
Company:
Tel #:
Dates Employed:
Address:
Position:
Starting Wage:
Ending Wage:
Major Duties:
Reason For Leaving:
Supervisor:
May we contact this employer:
Yes
No
Please read carefully and sign below:
I certify that all of the facts and statements as set forth in this employment application are true and complete. I understand and agree that if employed, any falsification or omission of information shall be considered sufficient grounds for immediate dismissal.
I hereby authorize you to conduct a full investigation of my personal, educational and employment history through the use of whatever investigative agencies or bureaus you may choose. I also specifically authorize you to contact my PREVIOUS employers and authorize them to provide any information or references that you deem necessary in connection with this application.
It is unlawful in Massachusetts to require or administer a lie detector text as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability. I understand that no verbal promises or guarantees relating to employment are binding upon the Company and that, if employed I will be an employee "at will" and may be terminated at any time. If I am employed, I agree to abide by the Company's rules and regulations and any changes thereto.
Applicant Signature:
__________________________________
Date:
__________________________________
