Legal First Name:
Middle Initial:
Legal Last Name:
Preferred Name
Social Security #:
Date of Birth Mo/DA/YR (Only if under age 18):
Current Address:
City, ST, Zip:
Mailing Address:
City, State, Zip:
Home Phone:
Cell Phone:
Other Phone:
Email:
Position(s) Desired:
Have you ever been convicted of a felony, or a misdemeanor involving any violent act, use or possession of a weapon or act of dishonesty for which the record has not been sealed or expunged? :
If you answered YES to the above question, give dates, details, explanations..:
In case of emergency, who should we contact?:
Are you able to work all race dates on the current schedule on www.DeepSouthDIRT.com (3pm till)?:
If No, explain any conflicts...:
Do you have prior experience at Deep South Speedway?:
If Yes, give details of the Dates, Duties, etc...:
Do you have experience at other race tracks?:
If Yes give Name, Dates, Duties, etc...:
Do you have other related experience (concessions, restaurants, ticket booths, security, etc...)?:
If Yes, give details of Name, Dates, Duties, etc...:
Current or most recent employer:
Address:
City, State, Zip Code:
Job Title:
Supervisor Name:
Phone Number:
May we contact?:
Employment Dates (MO/DA/YR): From
Wages: Start
If currently employed, work schedule:
Duties:
Personal Reference #1 Name
Personal Reference #2 Name
Professional Reference #1(Not Relative): Name
Professional Reference #2(Not Relative): Name
Review this entire application before submitting application. We are an equal opportunity employer. We reserve the right to check references and verify information on the application. Falsifying any information on this application can be considered grounds for dismissal. By signing below you understand and agree that, if employed, the employmMent will be "at will". That is, either you or Deep South Speedway may end the employment relationship at any time, for any reason, or for no reason.
By typing your Full Legal Name in the box you are "electronically" signing this application.: *
Date (MO/DY/YR): *