First Name: (required) Last Name: (required) Dancer/Stage Name: Date of birth : (required) 123456789101112 / 12345678910111213141516171819202122232425262728293031 / 2000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970 Social Security No.: (required) -- Gender: Female Bilingual English and Spanish: NoYes Phone: (required) Current Home Address: (required) City: State: TexasAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming--District of ColumbiaPuerto RicoGuamAmerican SamoaU.S. Virgin IslandsNorthern Mariana Islands Zip Your Email (required) Government Issued ID / Drivers License: Position applying for: entertainerwaitress Have you ever danced before?: (required) yesno What clubs have you worked at?: Have you ever been convicted of a felony?: (required) yesno Bio, Tell us about yourself: (required) Reason for Wanting Job: (required) Your Facebook page: Your Snapchat name: (required) Your Instagram name: (required) Photo Requirements We require 3 current photos ( no older than 3 months ). These photos will be reviewed by management for the purpose of considering you for job. These photos will be kept confidential. Head Shot: (required) Full Body: (required) Entertainers Outfit: APPLICANT ACCEPTANCE AND CONSENT By checking the "I Agree" box I acknowledge that I have read and accept the terms and policies of Paradise City. I understand that any violation of club policy, state or local laws is immediate grounds for termination. I affirm that all information submitted is true and correct. Applicant Acceptance and Consent:I AgreeI Disagree