Revolver Dance Hall & Saloon



Position to be filled:

More than one field may be selected.

General Information:

Mobile or Home
If needed to contact a friend or family member in case of personal emergency.
Time available to work
Bartenders & Security, please see position specific area.

Social Media Links: Optional

Education Information:

Employment History:

List up to three [3] employers, start with the most recent position held. All information must be completed to be considered. You may attach a resume but not in place of completing the required information.
Allowed file types: .doc, .docx, .odt, .ods, .pdf, .ppt, .pptx, .xls, .xlsx


Must include at least one [1] reference, with the option of including up to three [3].

Position Specific Information:

Your weight
Your height

Certification and Authorization

The above information is true and correct. I authorize Revolver Dance Hall & Saloon to inquire into my education, past employment history, and references as needed to research my qualifications for this position. If employed, I will be required to provide original documents which verify my identity and right to work in the United States under the Immigration Reform and Control Act (IRCA) of 1986. The document(s) provided will be used for the completion of Form I-9. I hereby acknowledge that I have read and agree to the above statements.

Certification: Full Name