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Submit a General Application

Please fill out the form below and click Submit to process your application for consideration.
Fields with an asterisk (*) are required.

Contact Information
* First Name:
Middle Name:
* Last Name:
Maiden Name:
* Address 1:
Address 2:
* City:
* State:
* Zip:
* County:
* Phone:
* Email:
* Soc. Sec. # (last four only):
Government Issued ID:
Attachments
Resume:
Supported formats: Word, PDF, RTF, Text, and HTML.
  - or Upload from:
 
Cover Letter:
You can type in a Cover Letter or Copy/Paste from an existing document.
General Information
* Are you legally eligible to be employed in the United States (Proof of identity and eligibility will be required upon employment):
Yes   No
* Are you at least 21 years of age (Certain positions require a minimum age of 21 for employment):
Yes   No
* Are you at least 19 years of age (If no, you are not eligible for employment at this time):
Yes   No
* Have you been convicted of a felony or a misdemeanor within the last seven years (conviction will not automatically disqualify you from consideration for employment):
Yes   No
If yes, please provide details for each such conviction (Date/Jurisdiction/Offense/Circumstances surrounding conviction):
* Have you ever worked for this Company before:
Yes   No
If yes, please provide details (Where/When/Job Title):
* Do any of your relatives work here:
Yes   No
If yes, please provide name(s) and department(s):
* Have you had any accidents in the past three years:
Yes   No
If yes, how many accidents:
* Do you have any moving violations in the past three years:
Yes   No
If yes, how many moving violations:
Open Positions
Please select openings of interest to you.
Bartender
Cashier
Cook
Customer Service
Driver
Host
Housekeeping
Inventory Control
Maintenance
Mutuel Clerk
Security
Server
Utility
Employment Outlook
* When would you be available to begin work:
* Are you available for full-time employment:
Yes
No
If you are not available for full-time employment, please specify your availability:
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
* Are you available to work any shift:
Yes
No
If you are not available to work any shift, please specify your availability:
1st Shift
2nd Shift
3rd Shift
* Are you presently employed:
Yes   No
If presently employed, why are you considering leaving:
Education

Give record of all High Schools, Colleges, Universities and Vocational/Technical Schools you have attended.

School Name & Location Did you Graduate? Degree Received Subjects Studied/Major
*
*
Yes   No
Yes   No
Yes   No

If you have completed any special courses, seminars and/or training, please describe:
Employment History

Give your full employment record, starting with your current or most recent employment

EMPLOYER 1

Dates Employed Employer Name & Address Employer Phone
From:

To:
Job Title Supervisor Name & Title May we Contact?

Yes
No
Responsibilities Reason for Leaving Salary/Hourly Rate
Start:

End:

EMPLOYER 2

Dates Employed Employer Name & Address Employer Phone
From:

To:
Job Title Supervisor Name & Title May we Contact?

Yes
No
Responsibilities Reason for Leaving Salary/Hourly Rate
Start:

End:

EMPLOYER 3

Dates Employed Employer Name & Address Employer Phone
From:

To:
Job Title Supervisor Name & Title May we Contact?

Yes
No
Responsibilities Reason for Leaving Salary/Hourly Rate
Start:

End:
References
Please provide three references (not relatives).

Name Relationship Phone Number Email
*
*
*
*
*
*
*
*
*
Authorization

Disclosure Statement
Jefferson County Racing Association, Inc. (JCRA) does not discriminate in hiring or any employment practice on the basis of race, ancestry, color, religion, sex, age, marital status, national origin, medical condition, disability, veteran status, or any other basis protected by law. No question on this application is intended to secure information to be used for such discrimination. If you feel that you have been discriminated against in a prohibited manner during the selection process, please ask to speak to someone in Human Resources in order for this matter to be investigated further.

I hereby acknowledge that I have read the foregoing disclosure statement and understand the contents.

Statement of Applicant
The facts set forth in this application and any supplemental items are true and complete to the best of my knowledge. I understand that, if employed, falsified statements on this application shall be considered sufficient cause for immediate discharge. I hereby authorize investigation of all statements contained herein and employers listed above to give you any and all information concerning my employment, and any pertinent information they may have, and release all parties from all liability for any damage that may result from furnishing same. I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for the company to hire me.

If I am hired, I understand that either the company or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of the company has the authority to make any assurance to the contrary. It is agreed and understood by me that participation in any of the benefits programs of this company does not create a contract of employment. Additionally, the Employee Handbook or statements of the company policy is not a contract and should not be construed as a contract and cannot create a contract of employment with me and that any such contract must be in writing, designated as an employment contract and signed by both parties. I understand that JCRA may conduct drug screening on all applicants and that failure to pass such test will result in my application being rejected, or, if employed, my employment being terminated.

I understand that I am required to abide by all rules and regulations of the company. If hired, I pledge to abide by the company's policies concerning equal employment opportunity and prohibition of unlawful harassment. Further, I promise to immediately report any violation of such policies in the manner set forth by those policies. I also understand that if asked, I am required to cooperate in any investigation by or on behalf of JCRA. In the event of my employment, any company materials entrusted to me during the course of my employment will be returned to JCRA on the last day of my employment, whether I resign or am terminated. I agree and understand that should I become employed, I will not at any time or in any manner, either directly or indirectly, divulge, disclose or communicate to any person, firm or corporation in any manner whatsoever any confidential information concerning matters affecting or relating to the business of JCRA, including, without limiting the generality of the foregoing, any of its customers, its services or products, its manner of operation, its plans or other "proprietary information." I understand that I may be asked to sign a confidentiality agreement consistent with this paragraph as a condition of employment.

I understand that this application will be maintained for sixty (60) days. At the conclusion of this time, if I have not heard from JCRA and still wish to be considered for employment, it will be necessary for me to fill out a new application.

* Signature (type your full name):
* Date:

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