Media Production Assistant Position

Application for Employment

Take your first steps to becoming our new Media Production Assistant.
First Name*
Last Name*
Address*

Street Address

Street Address Line 2

CityState

Zip Code
How did you hear about the job?*
Are you a citizen of the U.S. or do you have a legal right to work in the U.S.?*

YesNo
Are you 18 years of age?*

YesNo
Contact Phone Number*

Area CodePhone Number
Email*
Driver's License Number (please include the issuing state)*
Please enter the issuing state, a dash, then the 8 or 10 digits.
Birth Date*

MonthDayYear
MM/DD/YYYY

Marketing Experience

Where have you been and what have you done?
Please rate your experience in the area of marketing.

Significant ExperienceMinimal ExperienceSome ExperienceNo Experience
Please describe your marketing experience.*
What aspect of marketing excites you most?*
What are three words that describe you as a person or as a team member? (please give a brief description as to why you picked your words)*
What do you consider your strongest skill sets in marketing, e.g., social media management, graphic design, video and photo production, etc.?*

Background Information

Tell us a little more about yourself.
Are you legally eligible for employment in the US? *Proof of citizenship or immigration status will be required upon employment.*

YesNo
Are you over 18 years of age?*

YesNo
Have you previously worked for us? (If yes, give dates)
Do you have any friends or relatives employed by us? (If yes, please list)
Who referred you to us?

Resume', Personal and Professional References
Upload References

Attach File(s)
Accepted file types : pdf, doc, docx, xls, xlsx, csv, txt, rtf, html, zip, mp3, wma, mpg, flv, avi, jpg, jpeg, png, gif Cancelof
Upload Resume

Attach File(s)
Accepted file types : pdf, doc, docx, xls, xlsx, csv, txt, rtf, html, zip, mp3, wma, mpg, flv, avi, jpg, jpeg, png, gif Cancelof
Reference #1
Reference Type*

PersonalFamilyProfessional
Relationship to Reference*
Time known*
Reference Name*

First NameLast Name
Reference Email*
example@example.com
Reference Phone Number*

Area CodePhone Number
Reference #2
Reference Type*

PersonalFamilyProfessional
Relationship to Reference*
Time known*
Reference Name*

First NameLast Name
Reference Email*
example@example.com
Reference Phone Number*

Area CodePhone Number
Reference #3
Reference Type*

PersonalFamilyProfessional
Relationship to Reference*
Time known*
Reference Name*

First NameLast Name
Reference Email*
example@example.com
Reference Phone Number*

Area CodePhone Number

Legal History

For any “yes” answers, please attach a detailed explanation in writing. An affirmative answer does not necessarily disqualify an applicant from employment.
Have you ever been convicted of a criminal offense (felony or misdemeanor) involving moral turpitude or violence? (Crimes of moral turpitude involve fraud, theft or dishonesty.) Answer “yes” if you have entered a plea agreement, including a deferred sentence or deferred judgment arrangement in connection with a criminal case. Answering “yes” does not necessarily preclude applicant from employment.*

YesNo
Tell us more.*
Have you ever been investigated, disciplined or dismissed from any volunteer or employment position for any reason or following an allegation of sexual misconduct, physical aggression, verbal aggression, or other inappropriate behavior or conduct?*

YesNo
Tell us more.*
Have you ever been the subject of a complaint or disciplinary proceeding concerning any professional license or professional affiliation held by you?*

YesNo
Tell us more.*
Are you presently taking or have you taken illegal drugs in the past two years?*

YesNo
Tell us more.*
Today's Date

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Date
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Application for Employment