Scarborough Downs Employment Application

Please print out this application, complete it and mail it to Scarborough Downs
or drop it off at our security office.

Date __________________________ Social Security_________________________________________

First Name _____________________ Last Name _________________________ Middle Initial_____

Address _____________________________________ City _______________ State ____ Zip_______

Phone Number _________________ Emergeny Contact & Number________________________________

Name of any relative who may work here __________________ Referred by___________________

Employment Desired:    Position 1 ______________________________________________________
                       
                       Position 2_______________________________________________________

                       Date you can start ______________________________________________
                       
                       Date you plan on leaving ________________________________________
                       
                       Desired Salary __________________________________________________

Are you employed now_____ If so, may we inquire of your present employer?_______________

Have worked at Scarborough Downs before? __________

If so, when? ___________________________ Department_________________

Days you cannot work____________________________________________________________________

Education:    Name and City of School         Year Grad.    Subjects

High School   ______________________________  __________    ____________________________

College       ______________________________  __________    ____________________________

Other         ______________________________  __________    ____________________________

Subjects of study or research work:_____________________________________________________

Any special talents that mey help you in your work: ____________________________________

What foreign languages do you speak fluently?___________________________________________

Activities, Civic, Athletic, Etc._______________________________________________________


References: Give at least 3 persons not related to you whom you have know at
least 1 year.

Name           Address                  Phone #           Business           Years known

______________ ________________________ _________________ __________________ ___________

______________ ________________________ _________________ __________________ ___________

______________ ________________________ _________________ __________________ ___________

Former Employers: List below last four employers with most current first.

Month/Year   Name, Address, Phone         Salary    Position       Reason for leaving

____________ ____________________________ _________ ______________ _____________________

____________ ____________________________ _________ ______________ _____________________

____________ ____________________________ _________ ______________ _____________________

____________ ____________________________ _________ ______________ _____________________

Resposibilities: List responsibilities in positions you have worked that may
help in the position for which you have applied.

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

Physical Record: Do you have any impairments that would interfere with your
ability to perform the job you applied?

________________________________________________________________________________________

________________________________________________________________________________________

I authorize investigation of all statements contained in this application. I understand
that misrepresentation or omission of facts called for is cause for dismissal. Further,
I understand and agree that my employment is for no definite period and may regardless
of the date of payment of my wages and salary terminated at any time without previous
notice. I further understand my employment may be seasonal.

Date _____________ Signature ___________________________________________________________

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