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Name *

Email *

Phone Number *

Street *

Street2

City *

State *

Zip *

Birthdate *

When are available to start working? *

Are you available to work evenings, weekends, and holidays?

This position is mainly on weekends, evenings and holidays. While we strive to work around differing schedules and commitments, the hours are based on season and availability of remaining staff. We can't guarantee to honor all time-off requests.

Education level *

In Public High School

In Home School

High School Diploma / GED

Attending College

College Degree

Available during school hours *

Yes

No

Maybe

We often get private rentals during the weekdays; would you be available and/or willing to work some days during the week?

Do you participate in any extracurricular activities? Which ones?

Please include all activities you plan to participate in while working for us, as well as the range of dates that activity will cover. Please include sports as well as non-sport activities that would take place during the times we would need to schedule someone.

Are you currently employed?

Current employer

Current supervisor's name and phone number

May we contact your current employer for a reference?

Are you looking to supplement or replace your current employment?

Supplement

Replace

Please list your recent work history, including start and end month/year.

May we contact your previous employers for references?

Please provide 3 references we can contact *

Names, phone numbers, and relationship to you

Acknowledgement Statement *

By submitting this application, I understand that this job is primarily on nights, weekends, and holidays and that I am willing to work when necessary during those times.

I also understand that the quantity of hours I receive will be based upon my work ethic, availability and time of year, as this is a seasonally fluctuating industry.

Job Application Form

Fox Theatre Crew Member

Fort Madison , Iowa

Part-Time