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Open Thursdays, Fridays, & Saturdays, 7pm-2am
338 Buck Blvd, White Haven, PA 18661
570-472-3900
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About Us
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Home
Entertainment
VIP Packages
Events
Drinks
Careers
Entertainer Application
Employment Application
About Us
Contact
Employment Application
License or State ID#
License state of issue
First Name
Last Name
Email
Cell Phone
Home Phone
Date of Birth
Employment Desired
Position you are applying for
Date you can start
Salary desired
Are you employed?
Yes
No
If so, may we contact your employer?
Yes
No
Have you ever applied to this company before?
Yes
No
Past Employment
Employer 1
Address
Date you left
Position
Salary
Reason for leaving
Employer 2
Address
Date you left
Position
Salary
Reason for leaving
Employer 3
Address
Date you left
Position
Salary
Reason for leaving
Education
Grammar
Years attended
Courses of Study
Did you graduate?
Yes
No
High School
Years attended
Courses of Study
Did you graduate?
Yes
No
College
Years attended
Courses of Study
Did you graduate?
Yes
No
Other (trade, business, etc.)
Years attended
Courses of Study
Did you graduate?
Yes
No
References
Name 1
Occupation
Address
Telephone
Name 2
Occupation
Address
Telephone
Name 3
Occupation
Address
Telephone
Other Information
Check each box for each day you are available for work.
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Subject of special study, skills, etc. that you wish for us to know
Comments
I hereby declare that the above statements are true and that any false statements shall be considered fraud and make me liable for dismissal and/or prosecution.
Yes
Signature (enter your full name)
Today's Date
Send
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