Employment History: (Start with most recent employer)
Company Name: __________________________________________________________________
Address ________________________________________Telephone ________________________
Date Started ____________ Starting Salary ____________ Starting Position __________________
Date Ended _____________ Ending Salary ____________ Ending Position ___________________
Name of Supervisor ________________________________________________________________
May we contact? Yes No
Responsibilities ___________________________________________________________________
________________________________________________________________________________
Reason for leaving ________________________________________________________________
Company Name: _________________________________________________________________
Address _______________________________________ Telephone ________________________
Date Started ___________ Starting Salary ____________ Starting Position __________________
Date Ended _____________ Ending Salary ____________ Ending Position ___________________
Name of Supervisor _________________________________________________________________
May we contact? Yes No
Responsibilities ___________________________________________________________________
________________________________________________________________________________
Reason for leaving ________________________________________________________________
If you have more history that you would like to report, please attach on a separate sheet.
References:
List three personal references, not related to you, who have known you for more than one year.
Name ____________________________ Phone ____________________Years Known_______
Address ______________________________________________________________________
Name ____________________________ Phone ____________________Years Known_______
Address ______________________________________________________________________
Name ____________________________ Phone ____________________Years Known_______
Address ______________________________________________________________________
Please Read Before Signing:
I certify that all information provided by me on this application is true and complete to the best of my knowledge and that I have withheld nothing that, if
disclosed, would alter the integrity of this application.
I authorize my previous employers, schools, or persons listed as references to give any information regarding employment or educational record. I agree
that Providence Performing Arts Center and my previous employers will not be held liable in any respect if a job offer is not extended, or is withdrawn, or
employment is terminated because of false statements, omissions, or answers made by myself on this application. In the event of any employment with
Providence Performing Arts Center, I will comply with all rules and regulations as set by the company in any communication distributed to the
employees.
In compliance with the Immigration Reform and Control Act of 1986, I understand that I am required to provide approved documentation to Providence
Performing Arts Center that verifies my right to work in the United States on the first day of employment.
I understand that employment at Providence Performing Arts Center is “at will,” which means that either I or this company can terminate the employment
relationship at any time, with or without prior notice, and for any reason not prohibited by statute. All employment is continued on that basis. I hereby
acknowledge that I have read and understand the above statements.
Signature _______________________________________________ Today’s Date __________________________________
Providence Performing Arts Center is an Equal Opportunity Employer. This application will not be used for limiting or excluding any
applicant from consideration for employment on a basis prohibited by local, state or federal law. Applicants requiring reasonable
accommodation in the application and/or interview process should notify a representative of the organization.
