Digitac Media Employment Application

Name

First NameMiddle NameLast Name

Email

example@example.com

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number

Area CodePhone Number

What position are you applying for?

Full Time / Part Time?

When are you available to start work?

Date

Are you at least 18 years old?

If not, can you provide a valid Work Permit, high school diploma, or equivalent?

If hired, can you verify that you have the legal right to work in the United States?

Do you have any special skills, training, or experience which may help you qualify for this job?

Please explain:

Have you ever been convicted of a crime, excluding misdemeanors and summary offenses?

Please explain:

How did you find out about this job?

What are your hourly / salary expectations?

Upload Resume and/or Writing Sample

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I certify that the information provided herein is true and correct to the best of my knowledge. I understand that, if employed, falsified statements on the Application for Employment form will be considered grounds for termination.

I authorize the company to thoroughly investigage my work experience and any other matters related to my suitability for employment. I further authorize my former employers to disclose to the compay any and all information they may have concerning my previous employment. In addition, I hereby release the company, my former employers, and all other persons from any and all calims, demands, or liabilities arising out of, or in any way related to, such disclosure.

I acknowledge that, if employed, both the company and I have the right to terminate the employment relationship at any time, with or without cause or advance notice. This employment at will relationship will remain in effect throughout my employment with the company and may not be modified by any oral or implied agreement.

Signature

Date

Employment Application

General Information

Certification and Acknowledgement