Employment Application Step 1 of 9 11% Central Florida Gaming, LLCd/b/a The Cardroom at Oxford Downs 17996 S. US Hwy 301, Summerfield, FL 34991 Central Florida Gaming, LLC is an equal opportunity employer. This application will not be used for limiting or excluding any applicant from consideration for employment on a basis prohibited by local, state, or federal law. Should an applicant need reasonable accommodation in the application process, he or she should contact a company representative.Applicant InformationName* First Last Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* Employment PositionPosition(s) applying for: Cage Lead Cashier Poker Dealer Poker Dual Rate Poker Room Host Poker Room Supervisor How did you hear about this position?What days are you available for work?What hours or shift are you available to work?What date can you start working if you are hired? MM slash DD slash YYYY Do you have reliable transportation to and from work? Yes No You must be able to lift 30lbs., is there any current physical limitation that would hinder you performing your job? Yes No Explaination Personal InformationHave you ever applied to or worked for Central Florida Gaming, LLC (“CFG”) before? Yes No If yes, when?Do you have any friends, relatives, or acquaintances now working for CFG? Yes No If yes, state name & relationshipAre you 18 years of age or older? Yes No Are you a U.S. citizen or approved to work in the United States? Yes No What documentation can you provide as proof of citizenship or legal status?Are you able to work varied shifts including weekends and holidays? Yes No Have you ever been convicted of a criminal offense (felony or misdemeanor)? Yes No If yes, please state the nature of the crime(s), when and where convicted, and disposition of the case Job Skills/QualificationsPlease list below the skills and qualifications you possess for the position for which you are applying(Note: Central Florida Gaming, LLC complies with the ADA and considers reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions. It is possible that an applicant may be tested on skill/agility and may be subject to a medical examination conducted by a medical professional to determine required accommodation measures. Education and TrainingHigh SchoolNameLocationYear GraduatedDegree Earned College/UniversityNameLocationYear GraduatedDegree Earned Vocational School/Specialized TrainingNameLocationYear GraduatedDegree Earned Military ServiceWere you a member of the U.S. Armed Services? Yes No Branch of the Armed Services in which you served? Army Navy Air Force Marines Coast Guard National Guard Military rank when discharged? How many years served in the Armed Services? What military skills do you possess that would be an asset for this position? Previous EmploymentPlease provide at least 5 year’s of employment history Please Include: • Employer Name • Job Title • Supervisor Name • Employer Address • City, State and Zip Code • Employer Telephone • Dates Employed • Reason for leavingEmployer Number 1Employer Number 2Employer Number 3Employer Number 4Employer Number 5 ReferencesPlease provide 3 personal and professional referencesReference #1Reference #2Reference #3 Additional InformationDo you currently possess a valid Florida Cardroom license? Yes No If so, please note license number At-Will EmploymentThe relationship between you and Central Florida Gaming, LLC is “employment at will”. This means that your employment can be terminated at any time for any reason, with or without cause, with or without notice, by you or Central Florida Gaming, LLC. No representative of Central Florida Gaming, LLC has authority to enter into any agreement contrary to the foregoing “employment at will” relationship. You understand that your employment is “at will”, and acknowledge that no oral or written statements or representations regarding your employment can alter your “at will” employment status, except for a written statement signed by you and one of the Central Florida Gaming, LLC’s designated Managers. RepresentationBy executing this application you represent and warrant that all of the information provided in this application is true and correct. All information provided in this application is true and correct.* I Agree Additional InformationEnter text below