Loeks Theatres, Inc.

Employment Application

Personal Information

Last Name
First Name
Middle Name
Address
City, State, Zip
Telephone
E-Mail Address
How did you hear about this employment opportunity?
What kind of work would you like to do?
Position Applied For:
  Frontline Staff Security Management Custodial Other
If Other, Specify Position:
Can you work weekends? Yes No
Can you work holidays? Yes No
(Our theatres are open every day of the year)
Do you wish to work full-time? Yes No
Do you wish to work part-time? Yes No
Do you need temporary work? Yes (If yes, until when?) No
Total hours desired each week
Date Available
Rate of Pay Desired
Please list the times that you are available to work:
FromTo
S
M
T
W
Th
F
S
Can you perform the essential functions of the position you're applying for? If no, please explain. Yes No
Do you have any commitments to another employer that might affect your employment with us?
Where would you like to work?
Which location are you interested in working for?
Work Experience
Current Or Most Recent Job
1. Your Job Title
Company Name
Address (include City, State, Zip)
Supervisor's Name
Phone
Email
May We Contact This Employer Now? Yes No
Employment Dates:From To
Pay Rate:Start Finish
Job Duties
Reason For Leaving

Previous Job Before The One Above
2. Your Job Title
Company Name
Address (include City, State, Zip)
Supervisor's Name
Phone
Email
May We Contact This Employer Now? Yes No
Employment Dates:From To
Pay Rate:Start Finish
Job Duties
Reason For Leaving

Previous Job Before The One Above
3. Your Job Title
Company Name
Address (include City, State, Zip)
Supervisor's Name
Phone
Email
May We Contact This Employer Now? Yes No
Employment Dates:From To
Pay Rate:Start Finish
Job Duties
Reason For Leaving
Please answer the following true/false questions
I like going to movies TrueFalse
I enjoy working with customers TrueFalse
I get along well with co-workers TrueFalse
I am a night owl TrueFalse
I am an early bird TrueFalse
I am bright-eyed and bushy-tailed TrueFalse
I like performing; being in the spotlight TrueFalse
I choose a positive attitude TrueFalse
I am fun TrueFalse
I am lively TrueFalse
I am creative TrueFalse
I am kind TrueFalse
I am confident in myself TrueFalse
I am enthusastic TrueFalse
I can do the following...
Turn a frown upside down Be active for an 8+ hour shift
Use email and internet Find creative solutions to problems
Work in a fast-paced environment Exhibit strong follow-through
Multi-task Talk on the Phone
Perform in front of a crowd Work under stress and deadlines
Handle cash transactions Pay attention to details
Work with cash registers Be a quick learner
Be self-sufficient Magic tricks
Other Information
Are you a U.S. Citizen, or do you otherwise possess a lawful right to work in the United States? Yes No
Are you 18 or older? Yes No (if no, list age:)
Have you ever been convicted of a crime other than a routine traffic offense? (includes a "no contest" or "guilty" plea)  If yes, please explain: Yes No
Have you ever been fired, asked to resign, or otherwise been terminated from any job?  If yes, please explain: Yes No
Personal References
Please provide 3 people that you are not related to and are not former emplyees.

1. Name
Email or Phone Number
Occupation
Relationship
Years Known

2. Name
Email or Phone Number
Occupation
Relationship
Years Known

3. Name
Email or Phone Number
Occupation
Relationship
Years Known

Who do you know that is a current employee?
Education
Are you currently a student? Yes No
Choose last grade completed in high school:
8 or less 9 10 11 12 G.E.D.
Name of high school/GED:
City,State
G.P.A.
Choose last completed year of College, Tech or Business School:
Freshman Sophomore Junior Senior Graduate
Graduated?
Name of College/Technical School
City, State
G.P.A.
Major/Area of Study:
Degree:
Extracurricular Activities/Interests:
Please answer the following questions
1. Why do you want to work for us?
2. At Celebration! Cinema, we take pride in our service. What does great service mean to you?
3. Have you been a guest of Celebration! Cinema? If so, please describe a memorable experience. Did this affect your decision to apply?
4. What are some of your personal goals?
5. What would those who know you best list as your greatest strength?Your greatest weakness?
6. Please entertain us - share a funny story. (G-rated, please)

I certify that all of the information provided on this application is true to the best of my knowledge. I understand and agree that any falsifying information or significant omission of fact, either on this application or during the pre-hire process, may disqualify me from further consideration for employment or may be considered justification for dismissal at any time if discovered at a later time.

I authorize all persons, educational institutions, my current and prior employers, law enforcement agencies, and any other organizations or individuals named in this application to provide any relevant information that may be required to arrive at any employment decision.

Celebration! Cinema is the operating business name of Loeks Theatres, Inc. All company employees are "at will" employees. I agree that my employment is for no definite period and may be terminated, with or without cause, at any time by me or the Company. I understand that no management official, other than the President of the Company, has any authority to enter into any agreement contrary to the foregoing or make any oral assurance or promise of continued employment.

I agree that any lawsuit against the Company arising out of my employment or termination, must be brought within the following time limits or forever be barred. For lawsuits requiring a Notice of Right to Sue from the EEOC, within 90 days after the EEOC issues that Notice. For all other lawsuits, within either 180 days of the event giving rise to the claim, or the time limit specified by statute, whichever is shorter. I waive any statute of limitations that exceeds this time limit.

If I, due to a physical or mental disability, require accommodation to perform the job for which I may be selected, I understand that I must give the Company written notice of that need within 182 days after I know or reasonably should have known that an accommodation is needed. Failure to do so may bar me from alleging that the Company has not accommodated me as required by law.

I agree to provide the Company with appropriate specimens to test for the presence of drugs or other controlled substances, and I authorize the disclosure of any such test results to the Company. I understand that decisions concerning my employment will be made as a result of these tests.

Please check this box to acknowledge you understand and
agree to the information above:
 Date:




Applicant Signature for File Copy

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