EUROPE CROUPIER CONNECT LTD



Employment Application
Items marked with an asterisk (*) are required.
 


Jul 31 2010  
Position *
Date of Birth (DD/MM/YYYY) *
Amount of Notice Required *





Contact Information

Last Name (Surname) *
First Name *
Middle Name



Address *


City *
State / Province
Zip / Postal Code



Country *


You must fill in at least one of the following: *
Home Phone
(include country and city code)
Contact Fax
(include country and city code)
E-mail Address




Passport Information
If you have a passport, you must complete each passport field marked with an asterisk, *.

Do you have a Passport? Yes   No
Passport Number *
Nationality *


Country of Issue *
Date of Issue (DD/MM/YYYY) *
Date of Expiration (DD/MM/YYYY) *



 
 
     




Personal Information / Preferences

Primary Language Spoken *
Other Languages Spoken
(Check all that apply)


 English
 French
 German
 Italian
 Portuguese
 Spanish
 Russian
 Other
Do you smoke?






Application Type

Are you applying with someone else or do you wish to join a current employee? *
 No    Yes
If Yes, specify name of co-applicant or employee:


Are you related to any current employee? *
 No    Yes
If Yes, specify name of employee:


Does this employee work for the Casino Division?
 No   Yes

Position held:


 
     
 
   
Have you applied to UK Casino  before? *
 No    Yes
If Yes, what position did you hold and when were you employed?



Training and Experience
Blackjack

Length of experience
Live experience or training only?
Where were you trained?




American Roulette

Length of experience
Live experience or training only?
Where were you trained?




Dice

Length of experience
Live experience or training only?
Where were you trained?




Stud Poker

Length of experience
Live experience or training only?
Where were you trained?




Other    What game?
Length of experience
Live experience or training only?
Where were you trained?





Employment History
List most recent employment first
1.


Start Date (DD/MM/YYYY)
End Date (DD/MM/YYYY)



Employer
Position
Supervisor Name



Address


City
State / Province
Zip / Postal Code



Country

Contact Phone
(include country and city code)
Contact Fax
(include country and city code)
E-mail Address



Reason for Leaving

May we contact this employer for a reference?


2.


Start Date (DD/MM/YYYY)
End Date (DD/MM/YYYY)



Employer
Position
Supervisor Name



Address


City
State / Province
Zip / Postal Code



Country

Contact Phone
(include country and city code)
Contact Fax
(include country and city code)
E-mail Address



Reason for Leaving

May we contact this employer for a reference?


3.


Start Date (DD/MM/YYYY)
End Date (DD/MM/YYYY)



Employer
Position
Supervisor Name



Address


City
State / Province
Zip / Postal Code



Country

Contact Phone
(include country and city code)
Contact Fax
(include country and city code)
E-mail Address



Reason for Leaving

May we contact this employer for a reference?


 
 
 
 
 
Education

School or College
Years Attended
Subjects Studied



Address
Qualifications Obtained




Emergency Contact Information

Next of Kin Relationship



One of the following must be filled in. *
Phone Number
(include country and city code)
Fax Number
(include country and city code)





Background and Medical

Please detail your medical background *

Have you ever been convicted of a crime? *
 No    Yes
A Yes answer does not necessarily exclude you from consideration.
If Yes, please explain:



I understand that the above information will be given to prospective employers and that any false or misleading information could lead to your dismissal from future employment.*
 Decline
 Accept

Resume

Paste resume here (optional)


Declaration

I understand that any false or misleading statement made by me can lead to future dismissal and may be reported to any casino that employs you on the basis of the information given. *
 Decline
 Accept



Items marked with an asterisk (*) are required.