Personal Information

Male            Female   

Name (Last, First, Middle)             Social Security Number    Birthdate 

Present Address                                  City                 State     Zip Code

Permanent Address                              City                State     Zip Code

Home Phone #       Alt Phone #          Cell Phone #          Pager #

E-Mail Address                         Age       Do you have a valid driver's license?

              Yes            No

Educational History

Please enter the information for each each school you have attended.

High School:  City: State:

Years Attended:      Did you graduate?   Yes    No

College/University:  City: State:

Years Attended:  Did you earn a degree?  Yes  No

Other:  City: State:

Years Attended:  What did you earn?

Other Experience

Do you have any DJ Experience?    Yes    No

If so, what type and for how long?

Former Employers

Please list in the box below any other jobs you've have held in the past.  Make sure to include the dates you were employed, the name of your employer, your earning wages, the position(s) you held and your reason(s) for leaving.

References

List any references you have in the spaces below.

Name                      Address                   Business                  Years Known

Availability

Which days/times are you available to work? (We require at least one day which starts at 4:00pm)

Friday:  Saturday:  Both:

In addition, we hold monthly teams meetings (usually on the first Sunday of the month from 7:00pm until 9:00pm).  

Will you be able to attend the monthly meetings?   Yes        No

Do you have access to the internet regularly?         Yes        No

Do you have your own form of transportation?       Yes        No

Have you ever been convicted of a felony?            Yes        No

(If yes, please explain, including date and location)

Employment Desires

Please mark the following positions that you may be interested in or would at least like more information on.

Disc Jockey    

Management

Equipment Maintenance

Secretarial Work    

Other

Comments:

**Please Read The Following Before Submitting**

Authorization

    "By submitting this, I certify that the facts in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal.

    I authorize investigation of all the statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release Phantasm DJ's Inc. from all liability for any damage that may result from utilization of such information."