Employment Application Though we are not currently hiring, the Flower City Ballroom is still accepting applications for future expansion of our staff. Feel free to fill out the form below, and we will keep your information on file, for when a position opens up. Personal Information Last Name(required) First Name, Middle Initial(required) Date of Birth (MM/DD/YYYY)(required) Last 4 Digits of Social Security Number(required) ID or Driver's License Number / State Issued(required) Desired Position(required) Floor Staff Snack Bar Staff Beer & Wine Bar Staff Security Staff Any Position Available Are you legally permitted to work in the United States?(required) Yes No Do you have reliable transportation?(required) Yes No Do you have any disability for which we would have to make special accommodations, if hired?(required) Yes No Residential Address(required) City / State / Zip(required) Mailing Address (If Different from Residential Address) City / State / Zip Phone Number(required) OK to text this number?(required) Yes No Email(required) Emergency Contact Information If you are hired, who should we contact on your behalf in case of an emergency?(required) Relationship of Emergency Contact(required) Emergency Contact Phone Number(required) OK to text this number?(required) Yes No Current Employment Are you currently employed?(required) Yes No Do you intend to keep your current job if hired here?(required) Yes No I am not currently employed Current Employer Job Title Current Employer's Phone Number Current Supervisor's Name Past Employment Previous Employer (1)(required) Job Title at Previous Employer (1)(required) Previous Employer's Phone Number (1)(required) Supervisor's Name at Previous Employer (1)(required) Previous Employer (2) Job Title at Previous Employer (2) Previous Employer's Phone Number (2) Supervisor's Name at Previous Employer (2) Previous Employer (3) Job Title at Previous Employer (3) Previous Employer's Phone Number (3) Supervisor's Name at Previous Employer (3) Scheduling and Availability Are you available to work weekdays? (Usually between 12PM and 6PM)(required) Yes No Are you available to work weeknights? (Usually between 6PM and 12AM)(required) Yes No Are you available to work weekend days? (Usually between 12PM and 6PM)(required) Yes No Are you available to work weekend nights? (Usually between 6PM and 12AM)(required) Yes No Education and Skill Assessment Have you completed High School, or received a GED?(required) Yes No Highest Level of Education Completed(required) Can you read and write fluently, in English?(required) Yes No Are you fluent in any other languages?(required) Yes No What other languages are you fluent in, if any? Do you have any past professional experience with food service?(required) Yes No Do you have any past professional experience with beer and wine service?(required) Yes No If applying for a security position, do you have a Guard Card?(required) Yes No I am not applying for a security position Have you passed the Alcoholic Beverage Control Department's Responsible Beverage Service Exam?(required) Yes No What skills do you possess, that you feel are relevant to this job?(required) Legal Checks Have you ever been convicted of a felony unrelated to the possession of marijuana, in any state?(required) Yes No If the answer to the above question is "yes," please explain. Are you legally required to register as a sex offender, in any state?(required) Yes No If the answer to the above question is "yes," please explain. Additional Information Please add any additional comments or information here. Final Disclaimer By signing below, I certify that I have answered all questions truthfully, to the best of my knowledge and ability. I understand that if I am hired at the Flower City Ballroom, and it is later found that I answered these questions untruthfully, it could be grounds for discipline up to and including termination of employment. For the purposes of this document, typing my name in the field below will count as my “digital signature.” Digital Signature (Type Your Name Here)(required) Date Signed(required) Please note that submission of this application does not automatically guarantee employment or an interview. After reviewing the application, Flower City Ballroom management will decide whether or not to contact you and set up an in-person interview. Thank you for your interest in working with us! We hope that this is the first step in a long, fun, and fruitful professional relationship. Submit Application Disclaimer: The information collected in this application will remain confidential, and will only be viewed by the owners and managers of the Flower City Ballroom. Flower City Ballroom, LLC does not give away or sell any collected information. Δ