MULLER FAMILY THEATRES
EMPLOYMENT APPLICATION		 Application For:
 
Various Federal, State, and Local Laws prohibit discrimination based on race, creed, color, sex, religion, national origin, age, marital status, disability, veteran status, or sexual orientation. Muller Family Theatres is an EQUAL OPPORTUNITY EMPLOYER and your response to any question will NOT be used as a basis for discrimination, but will be judged on its relevance to the position you are seeking.

PERSONAL INFORMATION Date of Application:

Name (Last) (First) (Middle)

Your E-Mail Address:
Home Address City State Zip

Home Telephone Business Telephone

May we contact you at work?

Yes No

Position Applying For:
Cashier Doorperson Concession Janitorial
Projectionist Asst. Manager Manager

Are you interested in?
(check all that apply)
Full Time Part Time
Temporary Summer Only

Date you are available to start work: If you are under 18 years of age, please state your date of birth:

Please check any days and shifts that you would NOT be able to work. (Check all that apply)
MON
Day
Evening		 TUES
Day
Evening		 WED
Day
Evening		 THUR
Day
Evening		 FRI
Day
Evening		 SAT
Day
Evening		 SUN
Day
Evening

EDUCATION
Type of School Name & Location of School Number of
Years Attended		 Graduated? Degree / Area
of Study
High School Yes No
College Yes No
Graduate School Yes No

SPECIAL SKILLS

Please indicate if you have experience or abilities with any of the following equipment: (Check all that apply)
Cash Registers Computers Concession Equipment Projection Equipment
Other (List)

LEGAL

Are you a U.S. Citizen?Yes No -- if no, do you have a legal right & necessary documents to work in the U.S. Yes No
(Identity and employment eligibility of all new hires will be verified as required by the Immigration Reform and Control Act of 1986)
Were you ever discharged by any company?Yes No
If yes, give the name of the company(ies)
Reason for discharge
Have you ever been convicted of a crime other than a minor traffic violation?Yes No
If yes, please explain the offense and final disposition of the case:

EMPLOYMENT HISTORY

List employment starting with your most RECENT position.
May we contact your present employer?Yes No -- Your PAST employer(s) Yes No

Previous
Employment
Dates

Name/Address/Phone
of Previous Employers

Wage /
Salary

Position

Reason For
Leaving
From:
To:
From:
To:
From:
To:

Have you previously worked for a Muller Family Theatre?Yes No -- If yes, please provide the following information:
LOCATION (City/State):
SUPERVISOR:		 POSITION HELD:
DATES EMPLOYED:
From: To:
Reason for leaving:

REFERENCES

List personal references only. DO NOT list former employers or relatives. If work phone number is not available, provide home phone number
NAME OCCUPATION ADDRESS WORK PHONE YRS KNOWN

OTHER COMMENTS

If you would like to tell us anything else, please enter it here:

PLEASE READ CAREFULLY

In submitting this application for employment, I understand that an investigation may be made whereby information is obtained regarding my character, previous employment, general reputation, educational background, credit record and/or criminal history. I authorize anyone possessing this information to furnish it to Muller Family Theatres and/or a third party company upon request and I release anyone, Muller Family Theatres Corporation, and any third party company from all liability and damages whatsoever in furnishing, obtaining, or using said information.

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in immediate dismissal. I understand, also, that I am required to abide by all rules and regulations of Muller Family Theatres Corporation.

Thank you for completing this application and for your interest in employment with us. We would like to assure you that your opportunity for employment will be based only on your ability and on no other consideration.