K & G Theatres

Personal Information

Name
First	Middle	Last

Address
Street	City	State	Zipcode

Contact
Phone Number	Email

Contact
Are you over the age of 18? (If no, you will be required to submit a work permit or proof of graduation from high schol or proof of age upon employment.)	Yes No
Are you legally authorized to work in the United States? (Proof will be required upon employment.)	Yes No
Have you worked for a K&G Theatres before?	Yes No
Do you personally know anyone employed by K&G Theatres? If so, please enter their names and relationships to you below:
If you have ever been convincted of a felony, please explain below: A CONVINCTION RECORD WILL NOT NECESSARILY BE A BAR TO EMPLOYMENT. Factors such as age at the fime of the offense, type of offense and relevance to the job which you are applying, seriousness and nature of the offense, and rehabilitation will be taken into account.

In Case of Emergency, notify:
Name	Address

Phone	Relationship

Education

	Name and City/State of School	Diploma/Degree Earned	Course of Study	# Of Years Comp- leted
High School
College / University
Other

Employment

Name of Company

Type of Business

Address

Telephone

Name and Title of Immediate Supervisor

Telephone

From	To	Type of Work

Starting Position Title	Ending Position Title	Ending Salary

Duties and Responsibilities

Reason for Leaving

If you have ever been discharged or asked to resign from any job, please explain.

Please explain any gaps in your employment history.

References

References Please provide 3 references.
Name	Occupation	Address	Telephone