T:(610) 385-3822
395 West Benjamin Franklin Highway (Rt. 422)
Douglassville, PA 19518

OPEN EVERYDAY

Sunday, Monday, Tuesday

3:00pm-2:00am

Wednesday, Thursday, Friday, Saturday 

12:00pm-2:00am

Employment Application

Thanks for your interest in joining the Utopia Cabaret team. Please fill out ALL lines and boxes and follow ALL instructions before submitting your application. Someone will contact you as soon as we have a chance to review your information. We are unable to respond if you do not send pictures! Again, thanks for your interest in our company and we look forward to speaking with you.

License or State ID#
License state of issue
*First Name
*Last Name
*Cell Phone
*Email
Birthdate (MM/DD/YYYY)

EMPLOYMENT DESIRED
Position you are applying for
Date you can start (MM/DD/YYYY)
Salary desired
Are you employed?
If so, may we contact your employer?
Have you ever applied to this company before?

EMPLOYER
Employer name and address
Position and salary
Date you left
Reason for leaving
Employer name and address
Position and salary
Date you left
Reason for leaving
Employer name and address
Position and salary
Date you left
Reason for leaving

EDUCATION
Grammar
Courses of Study
Years attended
Did you graduate?
High School
Courses of Study
Years attended
Did you graduate?
College
Courses of Study
Years attended
Did you graduate?
Other (trade, business, etc.)
Courses of Study
Years attended
Did you graduate?

REFERENCES
Name
Address
Occupation
Phone
Name
Address
Occupation
Phone
Name
Address
Occupation
Phone
Check each box for each day you are available for work Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Subject of special study, skills, etc. that you wish for us to know
Upload a face image
Upload a body image
Comments
I hereby declare that the above statements are true and that any false statements shall be considered fraud and make me liable for dismissal and/or prosecution.
*Electronic Signature
*Todays Date (MM/DD/YYYY)

Location

395 West Benjamin Franklin Highway
(Rt. 422)
Douglassville, PA 19518
Tel: (610) 385-3822
Open 11:30am-2am Daily

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 Utopia Cabaret © 2017  |  All Rights Reserved