Application form-Cinema 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