UP’s Cineplex Employment Application
UP’s Cineplex
Employment Application Form
1. Position & Salary
Position Desired (Select Dept & Role)
Select a role…
Cashier
Auxiliary Staff (Cleaners, Security)
Prep Staff
Server
Line Cook
Cashier
Food Service
Line Cook
Desk Reception
Redemption Centre
Desk Staff
Technical Person
Supervisor
Concession Stand
Projector Service
Desk (Rentals)
Skating Shop
Chef
Bartender
Server
Anticipated Salary (Bi-Weekly) $
Anticipated Salary (Monthly) $
When are you available to start?
2. Personal Information
Full Name
Date of Birth
Social Security #
Gender
Male
Female
Place of Birth
How long have you lived in the BVI?
Are you a Belonger?
Yes
No
Do you require a Work Permit?
Yes
No
Current Address
Phone (Home)
Phone (Work)
Phone (Message/Cell)
Marital Status
Single
Married
Divorced
Widow/er
Name of Spouse
No. of Children
Is your Spouse Employed? (If yes, for whom?)
3. Legal & Licenses
Do you have a valid Driver’s License?
Yes
No
Class
Expiration Date
Have you ever been apprehended by the Police?
Yes
No
If yes, on what charge?
Place of Charge
Were you convicted?
Yes
No
4. Medical History
Are you free from Illness?
Yes
No
Have you ever been seriously ill?
Yes
No
If suffering from an illness, please state details/cause:
Do you have physical disabilities in any of the following?
Sight
Speech
Hearing
Limbs
Heart
Liver
Kidney
Are you a compulsive Alcoholic or Smoker?
Yes
No
5. Educational Background
Primary School (Name, Place, Year Graduated)
Secondary School (Name, Place, Year Graduated)
Major in Secondary School
College (Name, Place, Year Graduated)
Major in College
Other Training (Workshops, Courses, etc.)
6. Work Experience
Are you specialized in any field?
How many jobs have you held in the past?
Last 3 Jobs Held:
Job 1
Job 2
Job 3
7. Character References
Please provide 3 references.
Submit Application
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