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Contact Form

Location:
1004 State Route 725
(Miamisburg-Centerville Rd)
Dayton (Centerville), OH 45459

Telephone:
(937) 438-1155 (after 3PM)

 

 

contact form will be here

Directions:
3 miles east of I-75 Exit 44 at McEwen Rd. (opposite Saturn of Dayton).
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Employment Application

If you are interested in working at Vue Ultra Lounge,
please fill out the online employment application below.

Personal Information

First Name
Last Name
Home Phone
Cell Phone
Email Address
   
Address
Date Of Birth
City
Position Applying For
State When Can You Start
Zip
Wage Desired
Are You Employed?
If So May We Contact Your Employer?
Have Your Ever Applied To This Company Before

Employment History

Present or Most Recent Employer
Current Employer
Former Employer
Employer Address
Employer Address
Your Position
Your Position
Salary Salary
Dates (Month/Yr.) Dates (Month/Yr.)
Reason For Leaving

Reason For Leaving

Education

Grammer School
High School
Courses of Study
Courses of Study
Years Attended
Years Attended
Did You Graduate? Did You Graduate?
       
College
Other (Trade, Business)
Courses of Study
Courses of Study
Years Attended
Years Attended
Did You Graduate? Did You Graduate?

Refrences

Name
Name

Address

Address

Occupation
Occupation
Relationship Relationship
Telephone Telephone
Please List The Days and Times You Are Available To Work For Each Day Please List Any Special Skills or Training You May Have That May Apply
Upload Your Picture (Optional) Please have picture in one of the following formats. jpg, jpeg,bmp,tiff
Upload Your Resume (Optional) Please have resume in a word document format.