Application for Hourly Employment

Supplying the following information will be considered an expression of interest in seeking employment with the Iowa State Center. Personal contact (by telephone or U.S mail) must be made and the statement at the end of this document signed prior to the Iowa State Center verifying references or other information.

Last Name : M. I. :
First Name :
   

Current Address:


Phone (with Area Code):
Permanent Address:


Phone:

If student, what is your expected graduation date:

Check options on availability:
Days Nights Weekends Holidays Summer
0 to 5 hrs wkly 5 to 10 hrs wkly
10 to 20 hrs wkly20 + hrs wkly

Please NUMBER in order of work preference: (1 through 7)
Click here for job descriptions
Conference Services Concessions Environmental Services
Ticket Office Technical Traffic House

Previous Work Experience: (most recent first)
Employer:
Address:
Position:
Length of service:
 
Employer:
Address:
Position:
Length of service:
 
Employer:
Address:
Position:
Length of service:

Have you ever been convicted of a misdemeanor or a felony?
Yes No

If yes, for what, where, and when:

*Criminal convictions are not an absolute bar to employment but will be considered in relationship to job requirements.

References: (Do not include relatives)
Name:
Address:
Phone Number:
How Acquainted:
 
Name:
Address:
Phone Number:
How Acquainted:

Those under the age of 18 will be required to obtain a work permit from their principal, if a high school student.

Please Read Carefully

I hereby certify that the answers given by me to the foregoing questions and statements made are true and correct, without reservations of any kind whatsoever. I understand that any job offer is contingent upon my providing the documentation required by the Immigration Reform Control Act. If employment is obtained under this application, I will willingly comply with all orders, rules and regulations of SMG and its subsidiaries (Iowa State Center). I understand that nothing in this employment application or in the granting of an interview is intended to create a contract between me and the Iowa State Center for either employment or the provision of benefits and that offer of employment or completion of the Iowa State Center probationary period shall not be construed as a guarantee of continued employment. If an employment relationship is established subsequent to the date of this application, I will have the right to terminate my employment at any time (with or without cause) and I agree that my employment with the Iowa State Center is predicated upon my ability to mentally and physically perform the essential functions of the job for which I am applying, which may be evaluated through a physical examination after an offer of employment is made. I understand that I may be required to submit to a blood and urine test to detect drug and alcohol usage. I further understand that the results of these tests, which will be kept confidential, may be used by Iowa State Center to determine my suitability for employment, or continued employment.

I also authorize my former employers, schools and personal references to give any information they may have regarding me, whether or not it is contained in a written record. I hereby release them and their companies from all liability for issuing same. It is understood that all facts are open to investigation by the Iowa State Center and that, upon investigation, if anything contained in this application is found to be false or misleading, I will be subject to immediate discharge from employment and agree to hold the Iowa State Center and person named herein blameless in that event. I understand that no promise, representation, agreement, practice or policy contrary to the foregoing is binding on the Iowa State Center unless made in writing and signed by an officer of Iowa State Center.