Employment Application | Wichita Grand Opera

Name*

First Last

Email*

Phone

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Date Available to Start

Salary Requirments*

If you are under 18 years of age, can you provide a work permit?

Yes
No

If no, please explain

Have you ever worked for this company before?

Yes
No

If yes, when?

Are you legally allowed to work in the United States?

Yes
No

Type of employment desired

Full-time
Part-time
Temporary
Seasonal

Have you ever pleaded guilty, no contest or been convicted of a crime?*

(Answering yes to these questions does not constitute an automatic rejection for employment. Date of the offense, seriousness and nature of the violation, rehabilitation and position applied for will be considered.)

Yes
No

If yes, give dates and details

Driver’s License Number

(if applicable to position)

State

Name and Location of College

Years Attended

Degrees Completed

Other Subjects Studied

Trade, Business or Correspondence School

Years Attended

Subjects Studied

Did you graduate?

Yes
No

Summarize your special skills or qualifications*

Employment History

Company Name	Title	Actions

There are no Employers .

Please submit references with name, contact info and relationship to applicant.

Max. file size: 256 MB.

Upload a cover letter (addressed to Mr. Edward Lada, President and CEO).

Max. file size: 256 MB.

Upload a resume.

Max. file size: 256 MB.

“I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employer and any pertinent information they may have, perusal or otherwise, and release the company from all liability for any damage that may result from utilization of such information. I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative. This waiver does not permit the release or use of disability related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws.”*

I Agree

Date

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