Employment Application
First Name
*
Last Name
*
Phone Number
*
Email Address
*
Instagram Username
*
Portfolio Website (if you have one)
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Position Details
Desired Position
*
How did you hear about the position?
*
Social Media Post
Friend or Family Member
Double Tap Media Website
Other
Date you can start:
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Month
-
Day
Year
Date
Referred by? (If applicable)
Are you available for full-time employment (40+ hours/week)?
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Yes
No
Are you currently employed?
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Yes
No
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High School Education
Name and location of high school
Did you graduate?
Yes
No
What year did you graduate?
Did you go to college?
*
Yes
No
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College Education
Which of these applies to you?
*
I graduated from college.
I am currently enrolled in college.
I went to college, but did not graduate with a degree.
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College Education (cont.)
When did you graduate?
*
Name and location of college
*
Years attended
*
Subjects studied
*
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College Education (cont.)
When will you graduate?
*
Name and location of college
*
Years attended
*
Subjects studied
*
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College Education (cont.)
Name and location of college
*
Years attended
*
Subjects studied
*
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General
What interests you most about working at Double Tap Media?
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What have you liked most about working in your previous job(s)?
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What have you liked least about working in your previous job(s)?
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If life goes as you hope, where do you see yourself in 5 years?
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If you could have your dream job, what would you do?
*
What personal strengths do you believe you have to offer our team and our clients?
*
What working knowledge or skills would you like to improve?
*
Do you have any special interests or skills that you would like us to know about?
*
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General (cont.)
Have you been convicted of a crime within the last 5 years?
*
Exclude minor traffic violations.
If yes, explain.
We will not necessarily exclude you from consideration.
Have you been convicted of a felony?
*
Yes
No
If yes, explain.
We will not necessarily exclude you from consideration.
Have you been employed before?
*
Yes
No
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Former Employers - 1
List your last three employers below, beginning with your most recent employer.
Name of present or previous employer
*
City, State
*
Position
*
Description of work
*
Reason for leaving
*
Name of supervisor
*
Supervisor phone number
*
Supervisor email
*
Can we contact this supervisor?
*
Yes
No
Starting date
*
-
Month
-
Day
Year
Date
Leaving date
*
-
Month
-
Day
Year
Date
Average hours worked per week
*
Starting pay
*
Final pay
*
Have you been employed anywhere else?
*
Yes
No
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Former Employers - 2
List your last three employers below, beginning with your most recent employer.
Name of previous employer
*
City, State
*
Position
*
Description of work
*
Reason for leaving
*
Name of supervisor
*
Supervisor phone number
*
Supervisor email
*
Can we contact this supervisor?
*
Yes
No
Starting date
*
-
Month
-
Day
Year
Date
Leaving date
*
-
Month
-
Day
Year
Date
Average hours worked per week
*
Starting pay
*
Final pay
*
Have you been employed anywhere else?
*
Yes
No
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Next
Former Employers - 3
List your last three employers below, beginning with your most recent employer.
Name of previous employer
*
City, State
*
Position
*
Description of work
*
Reason for leaving
*
Name of supervisor
*
Supervisor phone number
*
Supervisor email
*
Can we contact this supervisor?
*
Yes
No
Starting date
*
-
Month
-
Day
Year
Date
Leaving date
*
-
Month
-
Day
Year
Date
Average hours worked per week
*
Starting pay
*
Final pay
*
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References
Below, give the names of three persons, not related to you, whom you have known for at least two years.
Reference 1
First and last name
*
Reference Type
*
Personal
Business
Email
*
Phone Number
*
Reference 2
First and last name
*
Reference Type
*
Personal
Business
Email
*
Phone Number
*
Reference 3
First and last name
*
Reference Type
*
Personal
Business
Email
*
Phone Number
*
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Authorization
I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information. I authorize a criminal record investigation. I also understand that any conviction of any crime or moral turpitude will void any offer of employment and the offer will be withdrawn. I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for a specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative. Submission of this online application for employment is understood to be your signature acknowledging all of the above, on the date the submission was made.
I agree to the above statement.
*
Yes
Submit
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