ShowGirls
Gentlemen's club

Stage Name :..........................................................................                                             Start : .............................................................

DANCERS REGISTRATION APPLICATION

Name............................................................................................................................................................................................................
                                      last                                                                              First

Phone: (..........) .........................................................

Address :......................................................................................................................................................................................................
                                   Street
.....................................................................................................................................................................................................................
 City                                                                                State                                                                          Zip Code

Date of Birth : ..................................................    Drivers License # : ................................................ State: ............................................

Social Security # : ...............................................................

Experience; .................................................................................................................................................................................................

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Height      : ......................................... Weight    : .........................................

Measurements : .........................................
Married : .........................................


Remarks :.....................................................................................................................................................................................................

Have you ever been convicted of any crime or misdemeanor other than a parking violation?                                       Yes                    No:
(A Conviction is not necessarily a basis for disqualification for a position )
Have you ever been  dismissed of released from employment of have you ever resigned to avoid discharge?                      Yes                    No:
If the answer is "Yes to any of these questions, explain in this space, including where:

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AUTHORIZATION TO RELEASE INFORMATION

I authorize ShowGirls Gentelmens`s club to obtain any information required for a compete background investigation. such information includes, but is not limited to : employment history, Driving record, no credit history needed, criminal/ civil index.

Signature :.................................................................................................. Date : .................................................................................................

 

REFERENCES / EXPERIENCE 

Job title:......................................................................

From : .............................................................To : .............................................................Total: .............................................................
                          Month / Day / Year                                                              Month / Day / Year                                                          Month / Day / Year

NAME OF ORGANIZATION: ..................................................................................................................................................................

Address : .....................................................................................................................................................................................................

Telephone : (........)............................................................

Type of Organization : .............................................................. name & Title of Supervisor: ..................................................................

Specific duties: ............................................................................................................................................................................................

Reason for leafing: .....................................................................................................................................................................................

May we contact this employer :                     Yes                    No:

 
Job title:......................................................................

From : .............................................................To : .............................................................Total: .............................................................
                          Month / Day / Year                                                              Month / Day / Year                                                          Month / Day / Year

NAME OF ORGANIZATION: ..................................................................................................................................................................

Address : .....................................................................................................................................................................................................

Telephone : (........)............................................................

Type of Organization : .............................................................. name & Title of Supervisor: ..................................................................

Specific duties: ............................................................................................................................................................................................

Reason for leafing: .....................................................................................................................................................................................

May we contact this employer :                     Yes                    No:

 
Job title:......................................................................

From : .............................................................To : .............................................................Total: .............................................................
                          Month / Day / Year                                                              Month / Day / Year                                                          Month / Day / Year

NAME OF ORGANIZATION: ..................................................................................................................................................................

Address : .....................................................................................................................................................................................................

Telephone : (........)............................................................

Type of Organization : .............................................................. name & Title of Supervisor: ..................................................................

Specific duties: ............................................................................................................................................................................................

Reason for leafing: .....................................................................................................................................................................................

May we contact this employer :                     Yes                    No: