Online Interview

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First Name






Last Name






Address







City





State





ZIP Code





Phone





Email





Employment History

Current Employer:
Current Position:
Previous Employer:
Previous Position:


Education:




Do you have a dancer's license from the local jurisdiction.
Yes
No




Please respond to selection that describes your highest level of education:
High School or equivalent
Some college coursework
Two-year college degree
Four-year college degree
Beyond a four-year college degree


Experience:




How many years experience do you have in the position for which you are interested?
No experience
Less than one year
At least 1 to 3 years
At least 4 to 6 years
At least 7 to 9 years
Ten or more years




Do you have experience dancing nude.
Yes
No




Do you have experience dancing topless.
Yes
No




Do you have experience entertaining customers in a VIP room.
Yes
No




Do you have experience performing as an exotic dancer in a bar or club.
Yes
No




Do you have experience performing classic strip tease.
Yes
No




Do you have experience providing private dances for customers at their tables.
Yes
No




Do you have formal dance training.
Yes
No


Work/Salary:




What hourly base rate are you looking to receive:
$5.15 to $6.50 per hour
Up to $8.00 per hour
Up to $10.00 per hour
Up to $12.00 per hour
Up to $14.00 per hour
Up to $16.00 per hour
Up to $18.00 per hour
Up to $20.00 per hour
$20.00 or more per hour




Are you willing to work for tips only.
Yes
No




Are you willing to work as an independent contractor for a share of tips.
Yes
No


General:




Are you currently employed?
Yes
No




Are you bi-lingual or multi-lingual?
Yes
No




In addition to English, in which language are you most fluent?
Spanish
French
Italian
German
Russian
Chinese
Japanese
Other
None




Would you consent to pre-commencement testing, if required, including drug screening, medical testing and/or skill-related testing?
Yes
No




Would you consent to pre-employment background checks, if required, including past employment information, education verification, and/or reference checks?
Yes
No




Are you now or have you been a member of the United States Military, National Guard or Reserves?
No
I am a Veteran of the United States military
I am currently a member of the United States military
I am currently a member of the National Guard or Reserves
I was a member of the National Guard or Reserves



Please take a moment to briefly share any additional information about yourself that you feel a prospective employer would like to know. We do not recommend pasting of resumes or cover letters.


Additional Info:
 

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