EmailMe Form - Casino Dealer Application

Name

First Last

Email address *

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Home Phone

### - ### - ####

Cell Phone carrier (AT&T, Verizon, etc) *

Cell phone *

### - ### - ####

Have you ever been convicted of a Felony? *

If you answered "Yes" to the question about a felony or if there is something we will see on your criminal history report, please explain here.

Are you a smoker? Unfortunately during a event we DO NOT give smoke breaks. *

Do you have a Driver License? *

Are you legally eligible for employment in the United States? *

Driver License # *

State *

Do you have your own transportation to and from our Carlisle Office or to locations in and around the Central Pennsylvania area? If you rely on someone else for transportation, please answer no. *

Date of Birth (Not required)

Use format xx/xx/xxxx.

Last 4 digits of your Social Security Number *

Are you currently employed elsewhere and if so what is your usual schedule at that work?

Please provide details of your availability. Weekend availability is the most important but we do have some gigs during the week.

What Casino games Can you deal?

Are there any casino games that you can deal that we did not mention above? If so please write them in here.

This work is considered sub-contract work. You would be paid at the conclusion of each event. Depending on how much you work, you may get a 1099 at the end of the year. Please acknowledge that you understand that you would be an independent contractor and not an employee.

I acknowledge that I would be an independant contractor and not an employee

How did you find us?