Application for Employment

Date: ______________________
Position:

Check all that

apply

Marketing Department

Please check one;

Event Promotion/Public Relations

Full
Time

Private Event Coordinator

Public Event Coordinator

Part
Time

Graphics/IT/Art Department
Sales Manager
Server/Bartender
Other___________________________
Did someone refer you, or do you know a current
employee?
YES NO
If so, who? ______________________

Personal Information:
Name:
____________________________________________
Address:
__________________________________________
City:__________________ Zip:________
State__
Phone:______________________
(Type)__________
Email:___________________________________________
SSN:
______________________________________________

Are you available on some nights, weekends, and/or holidays?

Are you 18 years or older?

Yes

No

Are you 21 years or older?

Yes
No
Did you attend college?
Yes
No
If so, where?
_______________________________
Are you currently Employed?
Yes
No
If so, where?
_________________________________
Wage Desired per week:
$_____________________
Yes

No

LexEffect, LLC :: Creative Event Management

@The Plantory 560 e. third street, suite 105
o:: 859.523.4104 f:: 859.971.0112 e:: info@lexeffectky.com w:: www.lexeffectky.com

Application for Employment

Work History:
Have you ever worked in Event Management or Planning?
Yes
No
If so, where? _______________________Supervisor:___________________________
Most Recent Employer: ____________________________________________________
Position:__________________________________
Phone:________________________
Worked from:___________ to _____________
Supervisor:_____________________
Last Rate of
City:_______________ State:________ Pay:__________________________
Eligible for rehire?
Yes
No
Circumstances when leaving:
Resigned with notice
Resigned without notice
Terminated
Still currently employed
Other
Other (please explain) _____________________________________________________
Previous Employer: ________________________________________________________
Position:__________________________________
Phone:________________________
Worked from:___________ to _____________
Supervisor:_____________________
Last Rate of
City:_______________ State:________ Pay:__________________________
Eligible for rehire?
Yes
No
Circumstances when leaving:
Resigned with notice
Resigned without notice
Terminated
Still currently employed
Other
Other (please explain) _____________________________________________________
Previous Employer: ________________________________________________________
Position:__________________________________
Phone:________________________
Worked from:___________ to _____________
Supervisor:_____________________
Last Rate of
City:_______________ State:________ Pay:__________________________
Eligible for rehire?
Yes
No
Circumstances when leaving:
Resigned with notice
Resigned without notice
Terminated
Still currently employed
Other
Other (please explain) _____________________________________________________
*Resumes may be submitted in print, please attach or include them with this application*

References; Only one may be a person related to, or living with you.
Name: _____________________ Company:________________ Phone: ______________
Name: _____________________ Company:________________ Phone: ______________
Name: _____________________ Company:________________ Phone: ______________
Name: _____________________ Company:________________ Phone: ______________

Relation:______________________
Relation:______________________
Relation:______________________
Relation:______________________

LexEffect, LLC :: Creative Event Management

@The Plantory 560 e. third street, suite 105
o:: 859.523.4104 f:: 859.971.0112 e:: info@lexeffectky.com w:: www.lexeffectky.com

Application for Employment

Have you ever been convicted of a felony?

YES

NO

In compliance with Federal and State Equal Employment Opportunity Laws, qualied applicants are considered for all positions without regard to
race, color, religion, sex, national origin, age, veterans status, disability or any other legally protected status.
I certify that answers given herein are true and complete to the best of my knowledge.
In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge and
that my rst three months of employment will be probationary. In consideration of my employment, I agree to conform to the rules and
regulations of LexEffect, LLC and hereby state my understanding that my employment and compensation can be terminated, with or without cause,
and with or without notice, at any time, at the option of either the company or myself. I also understand that no manager or representative of
LexEffect, LLC, other than the president of the company, has any authority to enter into any agreement for employment for any specied period of
time, or to make any agreement contrary to the foregoing. I also understand that an employee handbook, employee agreement, or any other
LexEffect, LLC publication cannot change this at-will relationship.
I understand that unless otherwise prohibited by applicable law, I may be required to submit to a physical, urinalysis or other examination as a
condition of my employment with LexEffect, LLC, including a pre-employment urinalysis drug test. By accepting employment, I agree to submit to
such examination or tests as required by the company, all at company expense.
I authorize you to make such investigations and inquiries of my personal, employment or nancial history and other related matters as may be
necessary in arriving at an employment decision. I hereby release employers, schools or persons from all liability in responding to inquiries in
connection with my application.
Applicants Signature:_____________________________________________________________ Date:___________________________

LexEffect, LLC :: Creative Event Management

@The Plantory 560 e. third street, suite 105
o:: 859.523.4104 f:: 859.971.0112 e:: info@lexeffectky.com w:: www.lexeffectky.com