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EMPLOYMENT HISTORY

Beginning with the most recent employment, list your last three places of employment. All spaces must be completed. You may supplement your application with a resume, however, do not specify "see resume." Incomplete applications may be rejected.

From:

To:

To Date must greater than From date.

If currently employed there, may we contact your employer? YesNo

APPLICANT’S CERTIFICATION AND AGREEMENT – PLEASE READ CAREFULLY.

I AGREE TO CONFORM TO THE RULES AND REGULATIONS OF MELBOURNE GREYHOUND PARK, AND I UNDERSTAND THAT MELBOURNE GREYHOUND PARK HAS COMPLETE DISCRETION TO MODIFY SUCH RULES AND REGULATIONS AT ANY TIME, EXCEPT THAT IT WILL NOT MODIFY ITS POLICY OF EMPLOYMENT AT-WILL.

I AUTHORIZE MELBOURNE GREYHOUND PARK OR ITS AGENT(S) TO CONFIRM ALL STATEMENTS CONTAINED IN THIS APPLICATION AND/OR RESUME AS IT RELATES TO THE POSITION I AM SEEKING AND TO THE EXTENT PERMITTED BY FEDERAL, STATE OR LOCAL LAW. I ALSO AGREE TO COMPLETE ANY REQUISITE AUTHORIZATION FORMS FOR THE BACKGROUND INVESTIGATION.

I ALSO AUTHORIZE AND CONTENT TO, WITHOUT RESERVATION, ANY PART OR AGENCY CONTACTED BY MELBOURNE GREYHOUND PARK TO FURNISH THE ABOVE-MENTIONED INFORMATION. I HEREBY RELEASE, DISCHARGE AND HOLD HARMLESS, TO THE EXTENT PERMITTED BY FEDERAL, STATE AND LOCAL LAW, ANY PARTY DELIVERING INFORMATION TO MELBOURNE GREYHOUND PARK OR ITS DULY AUTHORIZED REPRESENTATIVE(S) PURSUANT TO THIS AUTHORIZATION FROM ANY LIABILITY, CLAIMS, CHARGES OR CAUSES OF ACTION WHICH I MAY HAVE AS A RESULT OF THE DELIVERY AND DISCLOSURE OF THE ABOVE REQUESTED INFORMATION. I HEREBY RELEASE FROM LIABILITY MELBOURNE GREYHOUND PARK AND ITS REPRESENTATIVE(S) FOR SEEKING SUCH INFORMATION AND ALL OTHER PERSONS, CORPORATIONS OR ORGANIZATIONS FURNISHING SUCH INFORMATION.

I UNDERSTAND THAT MELBOURNE GREYHOUND PARK IS IN THE HOSPITALITY BUSINESS AND THAT WORKING EVENINGS, WEEKENDS AND HOLIDAYS WILL NE NECESSARY AND REQUIRED AS A CONDITION OF EMPLOYMENT.

EMPLOYMENT IS CONTINGENT ON RECEIVING A PERMANENT STATE PARI-MUTUAL LICENSE.

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