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Cripple Creek Casino Employment

Personal Information
Prospective employees will receive consideration without discrimination

because of race, creed, color, sex, age, national origin, handicap or veteran status.

Last Name: 

First Name: 

Middle Name: 

Date:

 Street Address:

City:  State:  Zip:

Home Telephone:

 Business Telephone:

Have you ever applied for employment with us?  Yes  No

If yes: Month/year :

 Location: 

Position Desired:

Apart from absence for religious observance, are you available for full-time work?

 Yes No

 If not, what hours can you work? 

 When will you be available to begin  work? 

Are you legally eligible for employment in the United States?  Yes  No

Other special training or skills (languages, machine operation, etc.) 

Social Security Number:

Pay Expected:

Will you work overtime if asked? Yes  No

Employment History
Please give accurate, complete full-time and part-time employment record.
Start with your present or most recent employer.

1. Company Name:

Name of Supervisor:

Job Title and Description:

Telephone:

Employed (state month & year) from  to 

Weekly Pay: start  last 

Reason for Leaving:

 

2. Company Name:

Name of Supervisor:

Job Title and Description:

Telephone:

Employed (state month & year) from  to 

Weekly Pay: start  last 

Reason for Leaving:

3. Company Name:

Name of Supervisor:

Job Title and Description:

Telephone:

Employed (state month & year) from  to 

Weekly Pay: start  last 

Reason for Leaving:

Imperial Casino Hotel
PO Box 869, 123 N. 3rd St., Cripple Creek, Colorado 80813
1-800-235-2922   719-689-7777