Application for Employment

MetroTix, Inc.
531 N. Grand Blvd.
Saint Louis, MO 63103
Position applying for:
Full Name
Address Line 1:
Address Line 2:
City:
State:
Zip Code:
Phone Number #
E-mail:
1. If you are under 18, and it is required, can you furnish a work permit?
If no, please explain
2. Have you ever been employed here before?
3. Are you legally eligible for employment in this country?
4. Date available for work?
5. Type of employment desired?
   Availability: (select all that apply)
weekday morning
weekday afternoon
weekday evening
weekend morning
weekend afternoon
weekend evening
6. Are you able to meet the attendance requirements of the position
7. Have you been convicted of a crime in the last seven (7) years?
If yes, please explain
CONVICTION WILL NOT NECESSARILY BE A BAR TO EMPLOYMENT. EACH INSTANCE AND EXPLANATION WILL BE CONSIDERED IN RELATION TO THE POSITION FOR WHICH YOU ARE APPLYING.
8. May we contact your present employer?
EMPLOYMENT HISTORY
Provide the following information for your past four (4) employers, assignments or volunteer activities, starting with the most recent.
Employer #1
FROM TO
Employer:
Telephone:
Job Title:
Address:
Immediate Supervisor & Title:
Summarize the nature of work performed and job responsibilities:
Reason for leaving:
Hourly Rate/Salary:
Start: Final:
Employer #2
FROM TO
Employer:
Telephone:
Job Title:
Address:
Immediate Supervisor & Title:
Summarize the nature of work performed and job responsibilities:
Reason for leaving:
Hourly Rate/Salary:
Start: Final:
Employer #3
FROM TO
Employer:
Telephone:
Job Title:
Address:
Immediate Supervisor & Title:
Summarize the nature of work performed and job responsibilities:
Reason for leaving:
Hourly Rate/Salary:
Start: Final:
Employer #4
FROM TO
Employer:
Telephone:
Job Title:
Address:
Immediate Supervisor & Title:
Summarize the nature of work performed and job responsibilities:
Reason for leaving:
Hourly Rate/Salary:
Start: Final:
Skills & Qualifications / Resume / Salary History
Summarize any training, skills, licenses, and/or certificates that may qualify you as being able to perform job-related functions in the position for which you are applying, and include your salary history. You may also paste your resume into this space.
Educational Background
NAME AND LOCATIONYEARS COMPLETEDGRADUATE?COURSE OF STUDY
H.S.
College
Other
References
NameTelephoneYears Known
I understand that if I am employed, any misrepresentation or material omission made by me on this application will be sufficient cause for cancellation of this application or immediate discharge from the employer's service, whenever it is discovered.

I give the employer the right to contact and obtain information from all references, employers, educational institutions and to otherwise verify the accuracy of the information contained in this application. I hereby release from liability the employer and its representatives for seeking, gathering and using such information and all other persons, corporations or organizations for furnishing such information.

The employer does not unlawfully discriminate in employment and no question on this application is used for the purpose of limiting or excusing any applicant from consideration for employment on a basis prohibited by local, state or federal law.

This application is current for only 60 days. At the conclusion of this time, if I have not heard from the employer and still wish to be considered for employment, it will be necessary to fill out a new application.

If I am hired, I understand that I am free to resign at any time, with or without cause and without prior notice, and the employer reserves the same right to terminate my employment at any time, with or without cause and without prior notice, except as may be required by law. This application does not constitute an agreement or contract for employment for any specified period or definite duration. I understand that no representative of the employer, other than an authorized officer, has the authority to make any assurances to the contrary. I further understand that any such assurances must be in writing and signed by an authorized officer.

I understand it is this company's policy not to refuse to hire a qualified individual with a disability because of that person's need for a reasonable accomodation as required by the ADA.

I also understand that if I am hired, I will be required to provide proof of identity and legal work authorization.

By submitting this application, I represent and warrant that I have read and fully understand the foregoing and seek employment under these conditions.