Disclosures

Disclosures
We are an equal opportunity employer, dedicated to a policy of non-discrimination in employment on any basis including race, color, age, sex, religion, disability, national origin or any other characteristic protected by law. Consistent with the Americans Disabilities Act, applicants may request accommodations needed to participate in the application process.
Please accept disclosures*

Yes, Accept
Questionnaire

To help us better know you and further assess your qualifications for this position, please answer the following questions as accurately as possible.
Can you provide legal documentation establishing your identity and eligibility to be legally employed in the United States?*

YesNo
Are you now or have you ever been employed by SatCom Marketing, LLC or affiliates?*

YesNo
Have you ever been terminated or asked to resign from a job? If you answer "YES" please explain in further detail in the employment history section.*

YesNo
If under the age 18, please tell us your age:
(This question is to address child labor laws)
Position you are applying for:*
Which location are you applying to?*

Personal Information

Please enter all relevant personal information in the fields below.
Full Name:*

First NameMiddle NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
Alternate Phone

Area CodePhone Number
Email*
example@example.com
If you have the ability to speak a language other than English at a conversational level, an are willing to apply this skill on the job, please specify the language:

Employment History
Current or Previous Employer 1
Employer*
Job Title*
City & State*
Start Date*

MonthDayYear
End Date*

MonthDayYear
Primary Responsibilities
Previous Employer 2
Employer
Job Title
City & State
Start Date

MonthDayYear
End Date

MonthDayYear
(Enter Current if still employed)
Primary Responsibilities
Previous Employer 3
Employer
Job Title
City & State
Start Date

MonthDayYear
Date
End Date

MonthDayYear
(Enter Current if still employed)
Primary Responsibilities

References

List your references below in the order of contact preference, starting with the most relevant one. References are individuals that are familiar with your work capabilities and your educational training. Please provide at least three occupational and/or academic references.
Reference 1
Reference Name*
Reference Employer*
Reference Phone*

Area CodePhone Number
Reference Email*
example@example.com
Years Acquainted*
Reference 2
Reference Name
Reference Employer
Reference Phone

Area CodePhone Number
Reference Email
example@example.com
Years Acquainted
Reference 3
Reference Name
Reference Employer
Reference Phone

Area CodePhone Number
Reference Email
example@example.com
Years Acquainted

Education

List the educational experiences below, starting with the most relevant education. You must specity on education entry.
Education 1
Education Level*
Institution Name & City
Education 2
Education Level
Institution Name & City
Education 3
Education Level
Institution Name & City
General Questions

Please answer the following questions as accurately as possible.
Are you able to work Saturday?*

YesNo
Are you able to work evenings?*

YesNo
Do you have reliable transportation?*

YesNo
Please indicate how you hear about this job
If you were referred to SatCom Marketing by someone, please specify
Please elaborate on your experience that qualifies you for the position of which you are applying

EEO Survey

The following questions are completely voluntary. Your answers will not be considered or made available to anyone at SatCom Marketing, LLC during the hiring process. To enable SatCom Marketing, LLC to meet U.S. Government reporting regulations, please provide the following information. Completion of this form is completely voluntary. Refusal to complete this information will not subject any applicant to adverse treatment. The information that you provide will be recorded and kept in a confidential file, separate from all other records. This information will not be used in consideration of your employment and is protected information.
Race & Ethnicity

Hispanic or Latino: a person of Mexican, Puerto Rican, Cuban, South or Central American, or other Spanish culture or origin, regardless of race.Black or African American (Not Hispanic or Latino): A person having origins in any of the black racial group of Africa.Native Hawaiian or Other Pacific Islander (Not Hispanic or Latino): A person having origins in any of the peoples of Hawaii, Guam, Samoa, or other Pacific Islands.Asian (Not Hispanic or Latino): A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian Subcontinent, including, for example, Cambodia, China, India, Japan Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.American Indian or Alaska Native (Not Hispanic or Latino): A person having origins in any of the original peoples of North and South America (including Central America), and who maintain tribal affiliation or community attachment.Two or More Races (Not Hispanic or Latino): All persons who identify with more than one of the above five races.White (Not Hispanic or Latino): A person having origins in any of the original peoples of Europe, the Middle East, or North Africa.
Gender

FemaleMale
Electronic Signature
Please read the following statement carefully, then acknowledge that you have read and approved it by providing the information requested at the bottom of the page. Please note that an eSignature is the electronic equivalent of a hand-written signature. I understand employment with Employer is contingent on my providing sufficient documentation necessary to establish my identity and eligibility to work in the United States. I have disclosed all information that is relevant and should be considered applicable to my candidacy for employment. I understand I may be subject to a consumer reporting agency investigation after receiving a conditional offer of employment which may include obtaining information regarding my criminal conviction background and/or driving record consistent with federal and state law. I hereby certify that the information given by me is true in all respects. I authorize Employer and its representatives to contact my prior employers and all others for the purpose of verification of the information I have supplied and release same from any liability resulting from the information released. I authorize employers, schools and other persons named on this application to provide any information or transcripts requested. I expressly understand and agree that, if employed, my employment, having no specified term, is based upon mutual consent and may be terminated at will, with or without cause, by either party (the employer or me) with out prior notice to the other, unless otherwise prohibited by law. I understand that no representation, whether oral or written, by any representative or agent of Employer, at any time, can constitute an implied or expressed contract of employment. I certify, under penalty or perjury, that all of the information provided in this application is true and complete, and I understand that any falsification or omission of information may result in denial of employment or, if hired, may result in termination regardless of time lapse before discovery.

DO NOT E-SIGN UNTIL YOU HAVE READ THE ABOVE STATEMENT!

By my eSignature below, I certify that I have read, fully understand and accept all terms of the foregoing statement. Please signify your acceptance by entering the information requested in the fields below.
Full Name*

First NameMiddle NameLast Name
Today's Date*

MonthDayYear
Date
Email Address*
example@example.com
Should be Empty:

Disclosures

Questionnaire

Personal Information

Employment History

References

Education

General Questions

EEO Survey