Employment Application Please enable JavaScript in your browser to complete this form.Employer Information Employer: Nevada Music Academy LLC Address: 6525 N. Buffalo Drive, Suite 150 City/State/ZIP: Las Vegas, Nevada 89131 Telephone: 702-907-7616 It is the policy of Nevada Music Academy LLC to provide equal employment opportunities to all applicants and employees without regard to any legally protected status such as race, color, religion, gender, national origin, age, disability, or veteran status. Applicant Information Applicant Name *Address *LayoutCity *State *Zip Code *LayoutMobile Phone *Email *LayoutSocial Security *Driver's License Number *State *Emergency Contact Who should be contacted if you are involved in an emergency? LayoutContact Name *Relationship to you *Address *LayoutCity *State *Zip Code *LayoutMobile Phone Number *Email *Job Position Applied For *Who referred you to our company? *Are you at least 18 years old? *Choose SelectionYesNoHow will you get to work? *If you are offered employment, when would you be available to begin work? *LayoutAre you legally eligible for employment in the United States? *Choose SelectionYesNoAre you able to perform the essential functions of the job position with or without reasonable accommodation? *Choose SelectionYesNoLayoutAre you legally eligible for employment in the United States? *Choose SelectionYesNoAre you able to perform the essential functions of the job position with or without reasonable accommodation? *Choose SelectionYesNoWhat reasonable accommodation, if any, would you require?Have you ever been convicted of any crime? *Choose SelectionYesNoIf yes, please describeTHE EXISTENCE OF A CRIMINAL RECORD DOES NOT CONSTITUTE AN AUTOMATIC BAR TO EMPLOYMENT UNLESS RELEVANT TO THE TYPE OF EMPLOYMENT. Applicant's Education and Training LayoutHigh School *College/UniversityLayoutDid you receive a degree? *Choose SelectionYesNoIf yes, degree receivedLayoutOther Training (graduate, technical, vocational)Did you receive a certificate/degree?Choose SelectionYesNoAwards, Honors, Special AchievementsLayoutMilitary Service *Choose SelectionYesNoBranchSpecialized TrainingReferences List any two people who would be willing to provide a reference for you. LayoutName *Mobile Phone *Email *Relationship *LayoutName *Mobile Phone *Email *Relationship *Please provide any other information that you believe should be consideredCERTIFICATION I certify that the information provided on this application is truthful and accurate. I understand that providing false or misleading information will be the basis for rejection of my application, or if employment commences, immediate termination. I authorize Nevada Music Academy LLC to contact former employers and educational organizations regarding my employment and education. I authorize my former employers and educational organizations to fully and freely communicate information regarding my previous employment, attendance, and grades. I authorize those persons designated as references to fully and freely communicate information regarding my previous employment and education. I HAVE CAREFULLY READ THE ABOVE CERTIFICATION AND I UNDERSTAND AND AGREE TO ITS TERMS. LayoutSignature *Clear SignaturePrint Name *Date *Submit
