Sent
Mar 24, 2025 4:06 PM GMT
(a year ago)
From
[email protected] (Gametime Living)
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EMAIL READ a year ago
This document is a IN PROGRESS Sign Request.
GameTime Living (G.T.L)
1501 SW Kansas Ave, Topeka KS, 66612
Last Name:________________________First Name:________________________
Middle Initial:____________
Contact Number_______________________________
**Date of Birth:_______________ ** Social Security Number: _____--_____--_____
**Gender: _____**Race: ________ **DL Number: ________--_______--_________
Maiden or other name(s) used in any and all other records of birth or records of
residence.____________________________________________________
**Address:.____________________________________________________
Apartment or #:_________City:_______________State:_________ Zip:_____________
Are you a US citizen: Yes _______ No_______
Are you eligible to work in the United States? Yes _______ No_______
Position applying for: PCA
__________________________________________________________
Are you seeking Full or Part-time work?
__________________________________________________________
When are you available to begin work?
__________________________________________________________
Do you know anyone currently employed or previously employed with Game time Living?
Yes _______ No_______ IF YES, Who?
__________________________________________________________
Game time Living is a Drug-Free Employer Please Answer All Questions TO APPLICANT: Applicants will
be considered without discrimination because of race, color, sex, age, religion, national origin, disability,
veteran’s status, or any other category protected by applicable law. GTL also provides reasonable
accommodations to qualified individuals with disabilities in accordance with the Americans with
Disabilities Act (ADA) and applicable state and local laws.
I agree to allow the Company Gametime Living to check my driving record prior to hire and to check it
periodically thereafter. I further agree to report any license suspensions, serious accidents or offenses, or