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12/15/25, 12:01:00 am
:
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GIFT CERTIFICATES
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Application Form
"
*
" indicates required fields
Name
*
First
Last
Email
*
Phone
*
Date available to begin work
Work Experience
How were you referred to TCR?
Are you a citizen of the United States and/or authorized to work in the United States?
*
Yes
No
Have you ever been convicted of a Felony?
*
Yes
No
If yes, please explain:
Education
High School
*
Please include School, Location, and Date Graduated
College
Please include School, Location, Date Graduated/Attended, and degree obtained if applicable
References (1 required)
No relatives. Please include work-related references only.
Reference (not a relative)
*
First
Last
Reference Phone
*
Reference Email
Disclaimer & Digital Signature
By checking "I Agree" below and typing my full name in the following field, I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release. I understand that employment with Theatre Cedar Rapids (the Company) is at-will, meaning that I, or the Company, may terminate my employment at any time, or for any reason consistent with applicable state or federal law. I authorize the Company to conduct a thorough background investigation of my work and personal history, and verify all data given on this application and during interviews. I hereby release the Company, and its representatives or agents, from any liability that might result from such an investigation. I authorize all individuals, schools, and firms named to provide any requested information and release them from all liability for providing the requested information. I understand this application will be active for a period of 6 months; after that time, if I wish to be considered for employment, I must submit a new application. I certify that all the statements in this completed application are true and understand that any falsification or willful omission shall be sufficient cause for dismissal or refusal to hire.
*
I agree
I disagree (voids application)
Full Name
*
Typing your full name represents willingness to certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.
Date Submitted
*
MM slash DD slash YYYY
Notes or additional information you would like us to know:
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