Silver Stone Events, LLC
Employment Application
PERSONAL INFORMATION
Today’s Date / (mm/dd/yy) / Social Security Number
Last Name, First Name / Tx Drivers License No
Home Address
City / State / Zip
Phone / Cell Phone
Email / Are you 18 years of age or older? / Yes No
DESIRED EMPLOYMENT
Desired Position
Date you can begin work / (mm/dd/yy) / Are you Currently Employed / Yes No
Did someone refer you / Yes No / If yes, who referred you

EDUCATION

/
/

Number of Years Attended

/

Name of School

/

Location of School

/

Did you Graduate

/

Areas of Study

/

High School

/ Yes No /

College Undergraduate

/ Yes No /

College Graduate Level

/ Yes No /

Other

/ Yes No /

SPECIAL SKILLS

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/

Number of Years Attended

/

Name of School

/

Location of School

/

Did you Graduate

/

Areas of Study

/

Certifications

/ Yes No /

Certifications

/ Yes No /

Certifications

/ Yes No /

Special Skills

/

Special Skills

/

Special Skills

/

TABC Certification

/ Yes No / Cert Number / Expiration Date / (mm/dd/yy) /

TABC Certification is required to be hired at Silver Stone Events, LLC. Please list any special skills you have including knowledge and experience of computer programs and software.

CURRENT OR PAST EMPLOYMENTS
Company Name / Supervisor Name
Company Address / Supervisor Phone Number
City / State / Zip
Starting Date / (mm/dd/yy) / Ending Date / (mm/dd/yy)
Job Title
Beginning Salary or Pay / Ending Salary or Pay
Describe Scope of Work
Reason for Leaving
CURRENT OR PAST EMPLOYMENTS
Company Name / Supervisor Name
Company Address / Supervisor Phone Number
City / State / Zip
Starting Date / (mm/dd/yy) / Ending Date / (mm/dd/yy)
Job Title
Beginning Salary or Pay / Ending Salary or Pay
Describe Scope of Work
Reason for Leaving
CURRENT OR PAST EMPLOYMENTS
Company Name / Supervisor Name
Company Address / Supervisor Phone Number
City / State / Zip
Starting Date / (mm/dd/yy) / Ending Date / (mm/dd/yy)
Job Title
Beginning Salary or Pay / Ending Salary or Pay
Describe Scope of Work
Reason for Leaving

PERSONAL REFERENCES

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/

Name

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Address

/

Phone

/

Years Acquainted

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How Acquainted

/

Reference 1

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Reference 2 /
Reference 3 /

PROFESSIONAL REFERENCES

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/

Name

/

Address

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Phone

/

Years Acquainted

/

How Acquainted

/

Reference 1

/
Reference 2 /
Reference 3 /

OTHER INFORMATION

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Have you been convicted of a felony crime?

/ Yes No /

If yes, please explain in detail

/

Have you been subjected to deferred adjudication on a felony charge?

/ Yes No /

If yes, please explain in detail

/ /

NOTE: A conviction may not disqualify you, but a false statement will.

/ /

I CERTIFY THAT THE FACTS CONTAINED IN THIS APPLICATION ARE TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE AND UNDERSTAND THAT IF INFORMATION IS FALSIFIED, MISSTATEED OR OMITTED THAT THIS MAY BE GROUNDS FOR REFUSAL TO HIRE OR, IF HIRED, TERMINATION. .

I AUTHORIZE INVESTIGATIONS OF ALL STATEMENTS CONTAINED HEREIN AND THE REFERENCES AND EMPLOYERS LISTED ABOVE TO GIVE YOU ANY AND ALL INFORMATION CONCERNING MY PREVIOUS EMPLOYMENT AND ANY PERTINENT INFORMATION THEY MAY HAVE, PERSONAL OR OTHERWISE AND RELEASE SILVER STONE EVENTS, LLC. AND ALL SUCH PARTIES FROM ALL LIABILITY FOR ANY DAMAGE THAT MAY RESULT FROM UTILIZATION OF SUCH INFORMATION.

Signature
Today’s Date / (mm/dd/yy)

Silver Stone Events, LLC Employment Application Last Updated July 1, 2013