• Please provide the following contact information:

  Name
  Street Address
  Address (cont.)
  City
  State/Province
  Zip/Postal Code
  Home Phone
  Other Phone
  E-mail

• Are you over 18 years old?

           Yes     No

• Are you employed now?

            Yes     No

• Have you ever applied with Tejas Bingo before?

           Yes     No        If no, When:

• Position Applying For:

• When can you start?

• Salary Desired:

• Education:

• Work History:

• References:

• Please provide any special skills:

  
  

• Please provide any other information (activities, interests organizations):