PERSONAL INFORMATION
Position Desired:

AN EQUAL OPPORTUNITY EMPLOYER
All applications will receive consideration for employment without regard
to sex, race, color, national origin, age, religion, or disability

Telephone Number: ( ) -
First Name:
Middle Initial:
Last Name:

Street Address:

Suite:
City:
State: Zip Code:

Schedule Preferred:

Full time    Part Time    On Call    

Shifts Preferred:

Days    Swing    Grave
Are you  at least 18 years of age? Yes      No
Are you  at least 21 years of age? Yes      No
Have you previously worked for the Palace Casino Resort, LLC? Yes      No
If yes, please list when and what department.
Do you have any relatives employed by the Palace Casino Resort LLC? Yes      No
If yes, please list name, position and/or department.
If you are not a citizen, do you have the right to work in the United States? Yes      No
Have you ever been arrested or convicted of a crime other than a minor traffic violation? (Conviction will NOT automatically disqualify you from eligibility for employment. ) Yes     No
If yes, please explain:
Please list days or times you CANNOT work:
Do you now have or plan to have other employment while employed at the Palace Casino Resort? Yes     No
When are you available for employment?
EDUCATION AND TRAINING
Graduated Name City/State Major/Degree
High School:
College:
Training Programs:
Do you have any special skills, training, experience or qualifications related to the position you are applying for?