Job Application

Fields marked with an asterisk (*) must be filled out before submitting.

Personal Details

First & Last Name *
Address *
City & State *
Zip Code *
Phone Number *
Email Address *
Have a resume? Attach it here.

Availability

Sunday *
Monday *
Tuesday *
Wednesday *
Thursday *
Friday *
Saturday *

Education – High School

Name & Location of School
Years Attended
Did you graduate?	Yes No

Education – College

Name & Location of School
Years Attended
Did you graduate?	Yes No

Education – Trade or Business School

Name & Location of School
Years Attended
Did you graduate?	Yes No

Employment History

Start Date
End Date
Name, Address, & Phone of Employer
Salary
Position
Reason for leaving
May we contact this employer?	Yes No

Employment History

Start Date
End Date
Name, Address, & Phone of Employer
Salary
Position
Reason for leaving
May we contact this employer?	Yes No

Employment History

Start Date
End Date
Name, Address, & Phone of Employer
Salary
Position
Reason for leaving
May we contact this employer?	Yes No

General

Position Desired	Lot Attendant
How did you hear about the position? *
Are you legally eligible for employment? *	Yes No
Are you at least 17 years of age or older? *	Yes No
Are you willing to submit to a background check? *	Yes No
Other special training or skills
Have you ever applied for employment with us before? *	Yes No
Have you ever worked for the Dixie Twin Drive-In Theater? *	Yes No
If so, when and what position?
Do you know anyone who currently works for us or has in the past? *	Yes No
If so, who?
Why would you like to work for the Dixie? *
What is your favorite movie? *

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