Job Application "*" indicates required fields Step 1 of 8 12% GENERAL INFORMATIONName* First Middle Last Date* MM slash DD slash YYYY Address* Street Address City State / Province / Region ZIP / Postal Code Primary Phone*Date available for work* MM slash DD slash YYYY Email* ARE YOU LEGALLY AUTHORIZED TO WORK IN THE UNITED STATES* Yes No Do you now, or will you in the future, require immigration sponsorship for work authorization (e.g., H-I B)?* Yes No (If hired, verification will be required consistent with federal law,)Are you at least I8 years old?* Yes No (lf no, you may be required to provide authorization to work.)Do you have a driver's license?* Yes No Operator Commercial * Driver's license number * State of issue * Expiration date: * POSITION INFORMATIONPosition applied for:*Applying for: Full-time Part-time Seasonal /Temporary EDUCATIONSchool Name and Location Number of Years Completed Diploma, Degree, or Certificate ReceivedCourse of Study or MajorHich School (or G.E.D.equivalent) College or UniversityGraduate SchoolVocational or Trade SchoolOtherBACKGROUND INFORMATIONDuring the past 5 years, have you ever been terminated. suspended. or asked to resign from any position!*YesNolf yes,please explainFor the purpose of verifying information on this application. have you ever worked or attended school under a different name at any of the organizations you have listed?YesNolf yes, specify nameHave you ever been convicted of a felony that has not been expunged, sealed, pardoned, annulled, statutorily eradicated. or dismissed upon condition of probation? You are not required to disclose sealed or expunged records of conviction or arrest, or sealed or expunged juvenile records of conviction or arrest.YesNolf yes, specify conviction date, and crimePROFESSIONAL REFERENCESList three professional references (other than those listed as a current/former supervisor) that we may contact:NamePhoneEmail Type of AcquaintanceNamePhoneEmail Type of AcquaintanceNamePhoneEmail Type of Acquaintance EMPLOYMENT RECORDList all employment experience for the past 5 years, starting with the most recent or present employer, including US in. Military service or training. Using a separate section for each position, describe in detail all work experience, You may include as part of your employment history any verifiable work performed on a volunteer basis. Resumes may not be substituted in place of completing the following employment information.ARE YOU CURRENTLY EMPLOYED. Yes No Current EmployerPhoneGeographic LocationFrom MM slash DD slash YYYY Your PositionTo MM slash DD slash YYYY Supervisor's Name/TitleMay we contact! Yes No Primary responsibilities HAVE YOU BEEN PREVIOUSLY EMPLOYED (If any, you can add up to 3 previous employers)YesNoPrevious Employer 1*Phone*Geographic Location Your Position*From* MM slash DD slash YYYY Your Position*To* MM slash DD slash YYYY Supervisor's Name Title*Primary responsibiIities* Previous Employer 2PhoneGeographic Location Your PositionFrom MM slash DD slash YYYY Your PositionTo MM slash DD slash YYYY Supervisor's Name TitlePrimary responsibilities Previous Employer 3PhoneGeographic LocationFrom MM slash DD slash YYYY Your PositionFrom MM slash DD slash YYYY Supervisor's Name TitlePrimary responsibilities How did you learn about High Roller Group, LLC? Check all that apply: High Roller Group. LLC's website Recruiter Word of mouth Other Careers website or job board (Monster. Indeed. CareerBuilder, etc.) Social media (Linkedln, Facebook, etc.) Have you worked for High Roller Group, LLC before?YesNolf yes, at what location!Job Title Have you signed or otherwise agreed to any non-solicitation. non-competition, or other similar post-employment restriction or agreement with your current or any prior employer! Yes No If yes. explain:PLEASE READ CAREFULLY AND INITIAL EACH PARAGRAPH BEFORE SIGNING I understand that, where permissible under applicable federal, state, or local law, I may be subject to a pre-employment drug test after receiving a conditional offer of employment and must receive a negative result for illegal drug use before being permitted to commence work with High Roller Group, LLC. I understand that if I am applying for a position that requires a commercial driver license, where permissible under applicable federal, state. or local law. I may be subject to a pre-employment medical examination after receiving a conditional offer of employment and must meet the qualifications for the position, with or without reasonable accommodation, before being permitted to commence work with High Roller Group. LLC. I understand that, where permissible under applicable federal, state, or local law, I may be subject to a pre-employment background check after receiving a conditional offer of employment to investigate my criminal background, driving record and other matters related to my suitability for employment. I understand that a separate disclosure and consent form will be provided to me prior to any background check. I understand that employment with High Roller Group, LIC is also contingent on my providing sufficient documentation necessary to establish my identity and eligibility to work in the United States. I authorize High Roller Group, LLC and its representatives to contact my current and former employers (with the exception of my current employer. if I have marked "May we contact?" on page 3 of this application as "No"), schools, references. and other persons or organizations I have named in this application for the purpose of verifying the information I have provided. I release my current and former employers, references, and other persons or organizations named in this application from any liability resulting from the information released. I authorize employers. and other persons or organizations named in this application to provide any information or transcripts requested. I hereby certify that, if employed, my employment with High Roller Group, LLC will not conflict with, violate. breach. or result in default under, any contract. agreement. or understanding that I am a party to or am bound by, including any non-solicitation, non-competition, or other similar post-employment restriction or agreement I have with any current or former employer, other than the contracts, agreements, covenants. or understandings I have disclosed in this application, if any. I understand and agree that, if hired, my employment will be at will, which means employment is for an indefinite period of time and may be terminated by myself or High Roller Group, LLC at any time, with or without cause, and with or without notice. I certify that all of the above information is true and complete and I understand that any falsification or omission of information made by me may disqualify me from further consideration for employment or, if hired, may result in my termination at any time during the period of my employment, regardless of the amount of time that has passed. Note: An offer of employment is conditioned upon complying with High Roller Group, LLC's requirements including, but not limited to, signing a separate disclosure and consent form prior to any background check.MY SIGNATURE IS EVIDENCE THAT I HAVE READ AND AGREE WITH THE ABOVE STATEMENTS.ResumeAccepted file types: doc, docx, pdf, txt, Max. file size: 3 MB.Applicant's signature*Date* MM slash DD slash YYYY CAPTCHAPhoneThis field is for validation purposes and should be left unchanged.
936-590-7373 | Login