Employment Application

1st Capital Gaming
We are an Equal Opportunity Employer.

I. Personal Information

Full Name

Date

Address

City, State, Zip

Phone Number

Email Address

Are you 18 years of age or older?

Yes No

Are you legally authorized to work in the U.S.?

Yes No

II. Position & Availability

Position Applied For

Date Available to Start

Please check your availability below:

Shift	Mon	Tue	Wed	Thu	Fri	Sat	Sun
Morning
Afternoon
Evening

III. Gaming & Product Knowledge

IV. Employment History (Most Recent)

Employer 1 (Company Name)

Job Title

Dates Employed

Reason for Leaving

Employer 2 (Company Name)

Job Title

Dates Employed

Reason for Leaving

V. General Information

Can you perform the essential functions of the job for which you are applying?

Yes No

Applicant Statement: I certify that my answers are true and complete. I understand that false or misleading information in my application or interview may result in my release.

Digital Signature (Type Full Name)

Date

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Employment Application