Application for Employment

*An Equal Opportunity Employer

Present Address:
Former Address
(Federal and Kansas Law prohibit unlawful employment discrimination on the basis of age with respect to individuals who are at least 40 years of age.)
If Yes Give Dates:
*As an equal opportunity employer, this Company will not discriminate unlawfully against any employee or applicant for employment because of race, color, religion, sex, age, national origin, ancestry, disability, veteran status, citizenship, genetic information, or any other legally protected characteristic.
Dates Employed
Dates Employed
Dates Employed
Dates Employed
Pre-High School
High School
Other (Specify)
* A conviction record will not necessarily be a bar to employment, and factors such as age and time of the offense, the seriousness and nature of the offense, and your rehabilitation will be considered in the hiring decision. You may exclude traffic offenses of a minor nature, but must include driving under the influence or while intoxicated (DUI/DWI) offenses.
List below the names, addresses and phone numbers of two personal references other than relatives or former employers who are familiar with your reliablity, turstworthiness and similar personal traits.
Reference #1
Reference #2

Read this carefully before signing

In signing and submitting this application for employment to you Twin Rivers, I clearly understand and agree:
(1) I certify that the information contained in this application is correct and complete to the best of my Knowledge and understand that any omission, misrepresentation or falsification of information made herein or in any interviews is grounds for refusal to employ me or my dismissal if I am employed;
(2) I authorize the references listed above, schools and current and past employers to give Twin Rivers any and all information concerning my previous employment and any information they may have, personal, or otherwise, and I release all parties from liability for any damage or claim that may result from furnishing the same to Twin Rivers;
(3) If I am employed, I agree to abide by the rules, regulations and policies of Twin Rivers, and my employment and compensation can be terminated, with or without cause, and with or without my notice, at any time, at the option of either Twin Rivers or myself;
(4) I understand that no representative of Twin Rivers, other than the CEO or Human Resource Manager of Twin Rivers, has any authority to enter into any agreement for employment for any specified period of time, or make agreement contrary to the foregoing.