CONTENT CREATOR

Position for which you are applying

Full Name

First Name Middle Name Last Name

Phone Number

Home Phone Number

Work Phone Number

Cell Phone Number

Email Address

High School Name

Years Attended

Graduated?

Yes No

College Name

Years Attended

Graduated?

Yes No

Degree / Major

Trade or Correspondence School

Years Attended

Graduated?

Yes No

Degree / Major

Experience Please include dates employed, Employer name, address and phone number, Position, Salary, Wage, Supervisor's name and phone number, and your reason for leaving.

Most recent position

Second most recent position

Third most recent position

Please explain any gaps in employment

Other Relevant Experience Please list any other experience you have, including dates, employer name address and phone number, position, salary, supervisor's name and phone number, and reason for leaving.

Experience #1

Experience #2

Experience #3

Please list four individuals who are very familiar with your professional work and character who may be contacted. Please include their name, position, business phone, home or cell phone, and address.

References

In the field below, please respond to each of the following questions: 1. Why do you want to be a Content Creator for Lightbox Collective? 2. What experience do you have specific to the position you are applying for and how would you use that experience to be a success at Lightbox Collective? 3. Describe your greatest accomplishments as a Creator.

Narrative Response

List degrees, honors, commendations, elective or appointive offices held, or other distinctions received.

HONORS AND DISTINCTIONS

BACKGROUND INFORMATION

Are you, or have you ever been, listed on a sex offender registry?

Yes No

Have you ever been found guilty or entered a plea of no-contest for any criminal charge?

Yes No

Have you ever received a deferred judgment, or in some other way had a guilty plea or conviction removed from your record?

Yes No

If you answered “yes” to any of the above questions, provide date, incident, specific charge, city/state in which occurred:

Have you ever been asked to resign from a position, or been given the choice of resigning or being terminated from your position?

Yes No

Have you ever been the subject of an investigation or other formal/informal proceeding that resulted in the termination of your employment or resignation?

Yes No

Have you ever been the subject of an investigation into wrong doing or other formal/informal proceeding, resulting in disciplinary or criminal action?

Yes No

Briefly explain any “yes” response(s):

Responding "yes" to any of the previous questions is not an automatic bar to employment. The date of the offense and the relationship between the offense or infraction and the position for which you are applying will be considered.

Are you legally eligible to work in the United States?

Yes No

Are you able to perform with or without reasonable accommodation, the essential job functions required of the position?

Yes No

Do you currently hold a valid Texas Drivers License.

Yes No

Are you currently under contract for any other Company?

Yes No

By my electronic submission of this form: • I attest that all the information contained in this application is accurate, complete, and true. • I am bound by all elements of the agreement section of the application. • I understand and accept that electronic submission will be considered equivalent to an original hand written signature on a paper copy of the application.

Name

Signature

Clear

Date

Personal Information