EmailMe Form - Millennium Cabaret Employment Application

Name *
Current Address *

Street Address City State / Province / Region Postal / Zip Code
Phone Number *
### - ### - ####
Email *
Date of Birth *
MM / DD / YYYY
What position are you applying for?
EMPLOYMENT HISTORY
Last Employer *

Employer Name

Address

Phone

Position Held

Dates (From - To)

Salary

Reason for Leaving
Second Last Employer *

Employer Name

Address

Phone

Position Held

Dates (From - To)

Salary

Reason for Leaving
Third Last Employer *

Employer Name

Address

Phone

Position Held

Dates (From - To)

Salary

Reason for Leaving
Please tell us about your experience in the entertainment/hospitality industry. *
What are are you looking to start? *
MM / DD / YYYY
Terms *

This certifies that I completed this application, and all entries on it and information in it are true and complete to the best of my knowledge. By signing, you consent to receive text or email messages from Millennium Cabaret. Standard rates may apply. Reply STOP to end or HELP for assistance.
Signature of Applicant *
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