Deadwood Station Bunkhouse & Gambling Hall

* First Name

* Last Name

* Street Address & Suite or Apt #

* City

* State

* Zip Code

* Phone

* Email

Employment Information

* If hired, can you provide evidence of legal eligibility to work in the U.S.? Yes No

Position Desired

Wage/Salary Desired

Hours Available Full Time Part Time

Days/Times Available (500 chars left)

Date you can begin work?

* Are you 18 years of age or older? yes no

Education

Name of High School attended, city, state

* Graduate/GED? Yes No

Name of college or technical school, city, state

Degree/Major

Are you presently enrolled in school? Yes No

If yes, give name & address of school and expected degree date.

List any job-related skills or accomplishments, including military service. (80 chars left)

References

* Name, How Long Known, Phone Number

Employment History

List names of employers with present or last employer listed first.

May we contact current employers before you are offered a position? Yes No

Employment History

List names of employers with present or last employer listed first.

Name, Phone & Address of Employer (80 chars left)

Job Title

Dates of Employment

Reason for Leaving

Starting Pay / Ending Pay

Employment History

List names of employers with present or last employer listed first.

Name, Phone & Address of Employer (80 chars left)

Job Title

Dates of Employment

Reason for Leaving

Starting Pay / Ending Pay

Employment History

List names of employers with present or last employer listed first.

Name, Phone & Address of Employer (80 chars left)

Job Title

Dates of Employment

Reason for Leaving

Starting Pay / Ending Pay

Just making sure you are human.

Please enter the information you see here.

Thank you for your application! We will review it shortly.

Employment Application