Marcus Theatres Corporation Application for Employment

Choose the Theatre you are applying for: *

Email Address:*
First Name:*
Last Name:*
Address:*
City:*
State:*
Zip Code:*
Home Phone:*
Other Phone:

Position Desired:
Referred By:
Salary/Wage Desired:
Date Available:
Hours available per week
(40 max):
Do you have reliable transportation to and from work?
1. Yes
2. No
Are you at least 18 years old?
1. Yes
2. No
If no, state age:

Friday From: To:
Saturday From: To:
Sunday From: To:
Monday From: To:
Tuesday From: To:
Wednesday From: To:
Thursday From: To:

Are you available to work evenings?
1. Yes
2. No
Are you available to work weekends?
1. Yes
2. No
Are you available to work holidays?
1. Yes
2. No
Please explain any "no" answers.

Employer:
Address:
City:
State:
Zip Code:
Phone:
Starting Position:
Starting Wage:
Last Position:
Last Wage:

Start Date
End Date
Immediate Supervisor
May we contact your supervisor for an employment reference?
1. Yes
2. No
Duties
Reason for leaving

Employer:
Address:
City:
State:
Zip Code:
Phone:
Starting Position:
Starting Wage:
Last Position:
Last Wage:

Start Date
End Date
Immediate Supervisor
May we contact your supervisor for an employment reference?
1. Yes
2. No
Duties
Reason for leaving

Employer:
Address:
City:
State:
Zip Code:
Phone:
Starting Position:
Starting Wage:
Last Position:
Last Wage:

Start Date
End Date
Immediate Supervisor
May we contact your supervisor for an employment reference?
1. Yes
2. No
Duties
Reason for leaving

Employer:
Address:
City:
State:
Zip Code:
Phone:
Starting Position:
Starting Wage:
Last Position:
Last Wage:

Start Date
End Date
Immediate Supervisor
May we contact your supervisor for an employment reference?
1. Yes
2. No
Duties
Reason for leaving

School Name
Address
State
Zip
Years Completed
Graduated
1. Yes
2. No

School Name
Address
State
Zip
Years Completed
Graduated
1. Yes
2. No
Major

School Name
Address
State
Zip
Years Completed
Graduated
1. Yes
2. No
Major

In order to permit a check of your work and education records, should we be made aware of any change in name or assumed name that you previously used?
1. Yes
2. No
If yes, please identify name(s) and relevant dates.
Have you previously applied to or been employed by Marcus?
1. Yes
2. No
If yes, please state where, when and with whom you applied.
Have you ever been dismissed or forced to resign from any employment?
1. Yes
2. No
If yes, please explain.

Have you been convicted of any crime (other than a minor traffic violation), including pleading guilty, no contest, or agreeing to restitution for such a crime?
1. Yes
2. No
If yes, please provide details.
Do you have any charges currently pending against you?
1. Yes
2. No
If yes, please provide details. (Only those convictions or charges pending that are substantially related to the position for which you are applying will be considered in your application for employment.)

Name
Phone
Position
Business
Work Relationship
Years Acquainted

Name
Phone
Position
Business
Work Relationship
Years Acquainted

Name
Phone
Position
Business
Relationship
Years Acquainted

Name
Phone
Position
Business
Relationship
Years Acquainted

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