Application

Initial Information

Facility Preference

Erie Insurance Arena

Bayfront Convention Center

Warner Theatre

UPMC Park

Personal Data

First Name

Last Name

Address

City

State

Zipcode

Email Address

Phone Number

Are you at least 18 years old? (If not, your employment will be subject to verification that you meet state/federal minimum age requirements for the type of work you are applying for and have obtained a valid work permit.)

Yes

Are you legally authorized to work in the United States? (If hired, you will be required to provide proof of work authorization.)

Yes

Please list any other names by which you have been known. (Do not include maiden names)

If required to drive a motor vehicle for the job applying for, state your Drivers License Number

Drivers License Expiration Date

Positions Desired

First Choice

Second Choice

Third Choice

The ECCCA Facilities operates on a variety of shifts which may include early morning or late evening hours. The ECCCA depends on each employee to work the shift for which he/she is hired on a regular basis. Will you be able to meet this attendance require

Yes

Please briefly list any qualifications you have that relate to the position(s) for which you are applying.

Are you employed now?

Yes

What is your current compensation?

May we contact your current supervisor for a reference?

Yes

Education

Name of High School

Address

Courses of Study

Number of years attended/diploma or degree received

Name of College/University

Address

Course of Study

Number of years attended/diploma or degree received

Name of Trade, Business or other school

Address

Course of Study

Number of years attended/diploma or degree received

Employment History

1. Employer's Name

Address

Phone Number

Supervisor

Job Title/Type of Work

Date you started the position

Date you left the position

Reason for leaving

Compensation when you started

Compensation when you left/current

2. Employer's Name

Address

Phone Number

Supervisor

Job Title/Type of Work

Date you started the position

Date you left the position

Reason for leaving

Compensation when you started

Compensation when you left/current

3. Employer's Name

Address

Phone Number

Supervisor

Job Title/Type of Work

Date you started the position

Date you left the position

Reason for leaving

Compensation when you started

Compensation when you left/current

Other Information

Please list any special courses, training, seminars, etc. which you have completed that might relate to the position(s) for which you are applying.

Please list any licenses, certificates or professional accrediations you hold that might relate to the position(s) for which you are applying.

Have you any "sideline" business interests that could conflict with the Authority's operations?

Yes

Why would you like to work for the Erie County Convention Center Authority?

Please provide any other information not requested that you feel will be helfpul to the Erie County Convention Center Authority in evaluating your suitability for employment.

References

Reference #1 Name

Phone Number

Relationship

How long known?

Address

Reference #2 Name

Phone Number

Relationship

How long known?

Address

Reference #3 Name

Phone Number

Relationship

How long known?

Address

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