APPLICATION FOR EMPLOYMENT -
Referral Source: Employee Employment Agency Friend / Relative Internet Posting Movie Theatre Ad Newspaper Other If referred by an employee, Name of employee: Have you filed an application with UniqueScreen Media before?: Yes - No Have you been employed with UniqueScreen Media before?: Yes - No Are you legally authorized to work for any employer in the United States? (Proof of Citizenship or immigration status will be required upon employment): Yes - No Have you been convicted or pleaded guilty or no contest to any crime, other than a minor traffic violation? (NOTE: A DWI or DUI is not considered a minor traffic violation): Yes - No If so please provide dates and details. (A criminal record will not automatically be a bar to employment. Factors such as the date of the conviction, the seriousness and nature of the violation, and rehabilitation may be taken into account. )
EDUCATION High School or Prep: City: - State (ex. MN): Major, Course or Subjects: Degree Earned: Yes - No
Business School or College: Major, Course or Subjects: Years Completed: 1 2 3 4 5 or more Degree Earned: Yes - No
Graduate School: City: - State (ex. MN): Major, Course or Subjects: Years Completed: 1 2 3 4 5 or more Degree Earned: Yes - No
EMPLOYMENT HISTORY - (Most Recent) Company Name: Address: City: - State (ex. MN): - Zip: Employment Dates (ex. 05/05/2006): / / to / / Starting Wage: - Ending Wage: Company Phone: - - Job Title: Job Duties: Reason for Leaving:
EMPLOYMENT HISTORY - EMPLOYER 2 Company Name: Address: City: - State (ex. MN): - Zip: Employment Dates (ex. 05/05/2006): / / to / / Starting Wage: - Ending Wage: Company Phone: - - Job Title: Job Duties: Reason for Leaving:
EMPLOYMENT HISTORY - EMPLOYER 3 Company Name: Address: City: - State (ex. MN): - Zip: Employment Dates (ex. 05/05/2006): / / to / / Starting Wage: - Ending Wage: Company Phone: - - Job Title: Job Duties: Reason for Leaving:
PROFESSIONAL REFERENCES Name: Company: Title: - Phone: - -
Name: Company: Title: - Phone: - -
RESUME Attach PDF or Word file:
Copy and paste your resume below:
The facts set forth in my application for employment are true and complete. I understand that if employed, any false statement on this application may result in my dismissal. I further understand that this application is not intended to be a contract for employment, nor does this application obligate the employer in any way if the employer decides to employ me. I understand and agree that my employment is at-will and can be terminated by either party with or without notice, at any time, for any reason, or no reason. No one other than an officer of the Company has any authority to enter into any agreement for employment for any specified period of time or to make any agreement contrary to the foregoing an then only in writing signed by an officer. I hereby authorize and permit credit companies, police agencies, former employers, schools and references to provide information concerning me to UniqueScreen Media and I expressly release UniqueScreen Media any such information provider from any liability related to the provision of information pertaining to me. (*You must check here after you've agreed to the above).
