Confidential Employment Application This is a confidential document. We are Equal Opportunity Employers. Applicant InformationName* First Last Address* Street Address City StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Cell Phone*Alt. PhoneEmail* Are You Currently Employed?*Select OneYesNoWhere & For How Long?*Employment InformationJob Applied For* General Manager Floor Manager Poker Dealer Pit Dealer Pit Manager Cashier/Cage Food/Beverage Server Cook Maintenance Security Do You Currently Have a NH Gaming License?* Primary Secondary None Hours Per Week Available*Select OneUp to 8Up to 16Up to 24Up to 32Up to 40Over 40Do You Currently Have a Driver's License?*Select OneYesNoHighest Level of Education?*Select OneHigh SchoolCollegeCurrently EnrolledPlease Describe Your Degree*Additional InformationPlease Provide a Description of Current & Past Employment*Please Provide a Description of any Special Talents or Circumstances You May Have*Attach a Resume (Optional)PhoneThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.