EMPLOYMENT APPLICATION

Name: Lisa Lessard
Rating: 5
Author: Lisa Lessard

Personal Info
Name * Required
First Middle Last
Phone * Required
Email * Required
Address * Required
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Are you a U.S. Citizen or otherwise legally authorized to work the in the U.S.? * Required
- Yes
- No
Positions Applying for: * Required
Positions Applying for:
Positions Applying for:
Do you prefer: * Required
- Part Time
- Full Time
- Other
Any Shift? * Required
- Yes
- No
Weekends? * Required
- Yes
- No
Evenings? * Required
- Yes
- No
Holidays? * Required
- Yes
- No
If no, please indicate the days or hours you are not available: * Required
Do you have any family members employed by Saratoga Casino Black Hawk? * Required
- Yes
- No
Name of Relative(s)
Relationship to you:
Relative's Job Title
Department
Property:
Have you ever been employed by Saratoga Casino Black Hawk? * Required
- Yes
- No
If you were previously employed by Saratoga, what date and position did you work? * Required
Are you able to lift up to 30 pounds on a regular basis? * Required
- Yes
- No
Are you able to lift up to 70 pounds on a regular basis? * Required
- Yes
- No
Do you have a lifting restriction? * Required
- Yes
- No
Are you able to sit for extended periods of time? * Required
- Yes
- No
Are you able to stand for long periods of time? * Required
- Yes
- No
How did you hear about Saratoga Casino Black Hawk employment? * Required
- Employee Referral
- Radio Station
- Casino Careers On-Line
- Job Hotline
- Unemployment Office
- Casino Executive Magazine
- Newspaper
- Job Fair
- Workforce Development
- Casino Website
- College/ University
- Other
Please indicate years of experience in each: * Required
Word Excel Email PowerPoint Publisher Access Cash Handling Customer Service Gaming Experience Other
Education
High School Education * Required
High School Name Address Course of Study Years Completed Did you graduate? If so, list diploma
College Education * Required
College Name Address Course of Study Years Completed Did you graduate? If so, list degree
Other Education
Please list any professional licenses (Gaming License, Driver's License), designations, certifications, etc., that may relate to this position. Include date granted, name of organization and any other relevant information. * Required
Employment History
Starting with your present or most recent job, list your past 10 years of work experience, include any job-related or military service assignments, self-employment, summer or part time jobs or any gaps in employment. If you are currently employed, may we contact your present employer? * Required
- Yes
- No
Company 1 * Required
Company Name Address Dates Employed (dd/mm/yy – dd/mm/yy) Supervisor Name Phone Number
List Your Duties at Company 1: * Required
Why did you leave Company 1? * Required
Company 2 * Required
Company Name Address Dates Employed (dd/mm/yy – dd/mm/yy) Supervisor Name Phone Number
List your duties at Company 2: * Required
Why did you leave Company 2? * Required
Company 3 * Required
Company Name Address Dates Employed (dd/mm/yy – dd/mm/yy) Supervisor Name Phone Number
List Your Duties at Company 3: * Required
Why did you leave Company 3? * Required
I certify that the information I have provided is true, correct and given completely in all material respects. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in termination. I also understand that I am required to abide by all rules and regulations of Saratoga Casino Black Hawk. In connection with my application for employment Saratoga Casino Black Hawk, I hereby authorize Saratoga Casino Black Hawk and any of its officers, agents, employees, and servants to solicit all relevant information with regard to this application. This authorization includes, but is not limited to, matters of opinion relating to my character, ability, credit history, reputation, and past conduct. I understand that such information will be used by Saratoga Casino Black Hawk in making its decision regarding my employment. I hereby authorize and and request all persons, schools, companies, corporations, government units, credit bureaus, and law enforcement agencies to release such information from liability for complying with this organization. I hereby release and discharge Saratoga Casino Black Hawk, its agents and servants, their respective parents, subsidiaries, affiliates, successors, and assigns, and each of their respective shareholders, officers, directors, employees, former employees, agents, contractors, and attorneys from any claim or liability, including attorney's fees, relating to or arising out of, but not limited to, the performance of the pre-employment investigation, the ultimate employment discrimination, and the disclosure of the information as described herein and as required by law, and any termination of my employment because of the falsity, answers or omissions made by me in this application. I hereby understand and acknowledge that unless otherwise defined applicable by law, any employment relationship with Saratoga Casino Black Hawk is an "at will" nature, which means Saratoga Casino Black Hawk may discharge me at any time with or without cause, and with or without notice, except to the extent my employment may be covered by a Collective Bargaining Agreement. It is further understood that this "at will" employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of Saratoga Casino Black Hawk. * Required
E-Signature Date
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