Employment Casino Licence Application

EMPLOYMENT CASINO LICENCE APPLICATION

Complete this application fully and truthfully. The information provided will be used to determine suitability for employment in positions requiring a casino employment licence. False statements, omissions, or misrepresentations may be grounds for denial, revocation of licence, or disciplinary action. All fields are required unless otherwise indicated.

Personal Information

Position Information

Employment Type: Full-time Part-time Temporary/Seasonal

Employment History (Most Recent First)

Education

Professional References (Three Required)

Disclosures and Legal Declarations

Have you ever been convicted of, pled guilty to, or entered a plea of nolo contendere for any felony or misdemeanor? Yes No

Have you ever been subject to disciplinary action, licence denial, or employment sanction by a gaming or liquor control authority? Yes No

Are there any pending criminal charges against you? Yes No

Are you legally authorized to work in the United States? Yes No

Authorizations, Consent and Release

By checking the boxes below and signing this application I authorize the employing entity and licensing authority to:

• Obtain criminal history reports, fingerprint records, credit history, and other investigative consumer reports as permitted by law;
• Contact prior employers, references, educational institutions, licensing authorities, and law enforcement agencies to verify information;
• Collect and retain records necessary for licensing, suitability determinations, and regulatory compliance.

I consent to fingerprinting and a criminal background check as a condition of licensure and employment: I consent

I authorize release of my employment records, licensing records, credit information, and criminal history to the employer and licensing authority: I authorize

I understand that the information provided will be used to determine eligibility for a casino employment licence and that submission of this application does not guarantee issuance of a licence or employment.

At-Will Employment and Equal Opportunity

If employed, I understand that employment is at-will unless a written agreement signed by the authorized representative of the employer states otherwise. Either the employer or I may terminate the employment relationship at any time, with or without cause or notice.

The employer is an equal opportunity employer. Decisions regarding hiring, promotion, discipline, and termination will be made without regard to race, color, religion, sex, national origin, disability, age, or other protected classifications under applicable law.

Applicant Certification and Acknowledgment

I certify under penalty of perjury that the statements contained in this application are true, complete, and correct to the best of my knowledge. I understand that any false statement, omission, or misrepresentation may disqualify me from licensure and employment and may be grounds for criminal prosecution, administrative penalties, or employment termination.

I authorize the employer and licensing authority to verify any information supplied on this application, including contacting prior employers and references, and to obtain investigative consumer reports and records necessary to evaluate my suitability for licensing and employment.

I acknowledge that I have read and understand the foregoing statements and agree to comply with all applicable laws, regulations, and workplace policies related to gaming operations.

Consent to Contact Previous Employers and References: I consent

Additional Information

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