Address 2

Licenses and Training

Additional Information

Prior Employment

Please list your last two employers.



List two personal references who do not live with you or are related to you. Include their phone numbers and your relationship to them. You must have known them for three years or longer.

I certify that the facts set forth in this application are true and complete to the best of my knowledge. I agree that you may investigate my statements. I agree to permit all past employers to give information concerning me and release them from liability in furnishing such information. If applicable, I authorize my physician to give The Ruby Room any information regarding my health conditions that may affect my job performance. The Ruby Room shall be freed from liability in connection with any security examinations, which may be involved. I understand that any falsification, omission or misrepresentation by me on this application is grounds for termination or if hired, termination. I understand that wages or benefits and other terms and conditions of employment may change at any time without notice at the discretion of the Ruby Room. I acknowledge that my employment at the Ruby Room is at will and that the Ruby Room is free to terminate my employment at any reason, with or without cause and I have these same rights. If hired, I understand that I will be under a 30 day probation period in which my performance and attendance will be reviewed, evaluated and monitored. I understand that this employment application will remain active for 30 days from this date. If I still desire a position at the Ruby Room after this application expires, it will be my responsibility to fill out a new application and file it with the company.