Cheetahs Gentlemen's Club and Restaurant Time Square NYC

To be consider for employment please complete all fields on this application and submit.

Cheetahs Gentlemen's Club and Restaurant
On-line Employment Application

Applicant Information
(All fields are required)

1: Date

2: SS Number

3: Full Name:

4: Address:

5: State

6: Zip

7: Home Phone:

8: Cell Phone:

9: E-mail Address:

10: Date Available:

11: Position

12: Are you a citzen of the U.S.?

Yes No

13: If no, are you authorized to work in the U.S.?

Yes No

14: Have you worked at Cheetahs before?:

Yes No

15: If yes, when?

16: Have you ever been convicted of a felony?

Yes No

17: If yes, explain:

Education History
(All fields are required)

18: High School

19: Address

20: From:

21: To:

22: Did you graduate?

Yes No

23: College:

24: Address

25: From:

26: To:

27: Did you graduate?

Yes No

28: Other:

29: Address

30: From:

31: To:

32: Did you graduate?

Yes No

General Information
(All fields are required)

33: Subject of special study

34: Special Training

35: Special Skills

36: Military Service

Previous Employment
(All fields are required)

List former employment. (Starting with last one first)

37: Employer

38: Phone

39: Address

40: Supervisor

41: Job Title

42: Salary

43: Responsibilities:

44: From:

45: To:

46: Reason for leaving

47: May we contact your previous supervisor for a reference?

Yes No

48: Employer

49: Phone

50: Address

51: Supervisor

52: Job Title

53: Salary

54: Responsibilities:

55: From:

56: To:

57: Reason for leaving

58: May we contact your previous supervisor for a reference?

Yes No

References
(All fields are required)

Please list three professional references.

59: Full Name

60: Relationship

61: Employer

62: Phone

63: Address

64: Full Name

65: Relationship

66: Employer

67: Phone

68: Address

Photo Uploads
(All fields are required)

Please upload a headshot photo and full body photo with your on-line application
(Please only send good quaility pictures, no photoshopped or altered images will be acceptable)

69: Headshot photo

70: Full-body photo

Disclaimer and Signature
(All fields are required)

Authorization

" I certify that the facts contained 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 statements contained herein and the references and employers listed above, to give you any and all information concering my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information.
I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative.
This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws."

71: Do you agree to the disclaimer?

Yes No

72: Digital Signature

(REQUIRED)