	Personal Information
Name (last name first)
Telephone
Fax
Email
Address
Mailing Address (if different than above)
Social Security Number
	How did you hear about our job opportunities?
	Are you 21 years or older? Yes No
Nationality
Citizen Of
Desired Position
Desired Salary
Start Date
	Are you currently employed? Yes No
	If yes, may we contact your present employer? Yes No
	Have you ever applied to or worked for this company before? Yes No
	If yes, when?
Work availability?	Weekdays Weekends Shifts: Any Day Swing Grave
	Free training is available for some positions. Would you like to attend free classes? Yes No
	Training is conducted weekdays and Saturdays. My availability is:
Emergency Contact Name:
Phone:
Relationship:
	Do you have any relatives working for the Las Vegas Hotel & Casino? Yes No
	If yes, please list the names and departments of those relatives:
List languages spoken:

	Education
	High School
School Name & Location
Dates Attended
Year Graduated?
Subjects Studied?
	College
School Name & Location
Dates Attended
Year Graduated?
Subjects Studied?
	Business, Trade or Correspondence Schools
School Name & Location
Dates Attended
Year Graduated?
Subjects Studied?

	Employment History for the Past 5 Years
	Employer #1
From Date
To Date
	Name and Address of Employer
Ending Salary
Position Held
Contact Name/Phone
Reason for Leaving
	Employer #2
From Date
To Date
	Name and Address of Employer
Ending Salary
Position Held
Contact Name/Phone
Reason for Leaving
	Employer #3
From Date
To Date
	Name and Address of Employer
Ending Salary
Position Held
Contact Name/Phone
Reason for Leaving
Special Study
	Please give details of any Military Service.
	Have you ever been convicted of a crime? No Yes
	If yes, please fill out the following four fields:
Charge(s)
Disposition(s)
Date(s)
Court(s)
	Please list previous address for past 5 years:
	Please list any prior casino or gaming experience:
	Please list any special skills:
	Please list any medical problems:

	References Give below the names of 3 persons not related to you, whom you have known at least 3 years.
	Reference #1
Name
Address
Phone Number
Type of Business
Years Known
	Reference #2
Name
Address
Phone Number
Type of Business
Years Known
	Reference #3
Name
Address
Phone Number
Type of Business
Years Known

	Authorization
	"I certify that the information I have provided in this application is true and complete to the best my knowledge and I understand that one or more falsified statements within this application is grounds for dismissal. I authorize investigation of all statements contained herein and, the references and employers listed within to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and I release the company from all liability for any damage that may result from use of said information. I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative. I understand that drug use is not tolerated and will be cause for dismissal. I agree to be drug tested prior to employment and i I am subsequently employed I agree to unscheduled, periodic drug testing for the duration of my employment."
	Date
	Signature