Applications are considered without regard to race, color, religion, s

R.S.E.  DJ’s

ex, national origin, age, marital or veteran status, or the presence of a non-job-related medical condition or handicap.

PERSONAL INFORMATION:

Today’s Date :              Start Date : 

 Full Time       Part Time      Temporary  Referral Source       

Name:    

Street Address:    Phone: 

City/State/Zip:     

SSN:  --

Have you ever been convicted of or charged with a felony or misdemeanor:   YES    NO

If yes, please explain details in full, including dates, details of offense(s) charged, jurisdiction and disposition of case:

EMPLOYMENT DESIRED:

Position Applying For :  DISC JOCKEY  ASSISTANT 

Are you employed now?  YES    NO

EDUCATION:

 Schools/Colleges Attended:                                                                # Years                        Year Grad                               Degree           

Employer: 

Job Title:                  Supervisor:

City/State/Zip:             Phone:  EXT

Describe Duties/Responsibilities/Accomplishments: 

Reason for Leaving: 

Rate of Pay: 

Dates of Employment (Month/Year): FROM:     TO:    

Employer:

Job Title:                        Supervisor:

City/State/Zip:                        Phone:  EXT. 

Describe Duties/Responsibilities/Accomplishments: 

Reason for Leaving:

Rate of Pay:

Dates of Employment (Month/Year): From To

Employer: 

Job Title:                        Supervisor:

City/State/Zip:                     Phone:  EXT.

Describe Duties/Responsibilities/Accomplishments:

Reason for Leaving: 

Rate of Pay:

Dates of Employment (Month/Year): From To

BUSINESS REFERENCES:  Please provide individual and company names, position, addresses and phone numbers for 2 business references.

Name:

Company:

Position:

City/State/Zip:                                              Phone: EXT.

Name: 

Company:

Position:

City/State/Zip:                                                Phone: EXT.

PERSONAL REFERENCES: Please provide names, addresses, phone numbers, relationship and how long known for 3 personal references .

Name:

Relationship:

How long:

Name:

Relationship:

How long:

Name:

Relationship:

How long:

SPECIAL SKILLS: Describe any special skills or qualifications for this work:

I CERTIFY that the above answers are true and complete to the best of my knowledge. I authorize R.S.E.  DJ’s, to investigate any statement contained in this application, and to obtain a credit report on me (and my company if this application is for reselling by a company) as necessary to determine my qualifications. I understand that this application is not and is not intended to be any kind of contract or agreement. In the event of employment, I understand that any false or misleading information given in my application, correspondence, discussions or interview may result in immediate termination. I understand also, that I am required to abide by all rules, regulations and policies of R.S.E.  DJ’s.

Signed:               _______________________________________________________

Date:             

FOR R.S.E. DJ’s USE ONLY:

Arrange Interview: YES NO     DATE: JANUARY FEBUARY MARCH MAY JUNE JULY AUGUST SEPTEMBER OCTOBER NOVEMBER DECEMBER YEAR:  2006 2007 2009 2009 2010

Place: 

Remarks:

Copyright Rainbow Street Entertainment2008