Application for Employment

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Your Personal Information

THIS APPLICATION WILL REMAIN ACTIVE FOR 60 DAYS FROM THE DATE OF APPLICATION. Applicants are considered for all positions without regard to race, color, creed, religion, sex, national origin, age, ancestry, atypical hereditary cellular or blood trait, gender identity or expression, affectional or sexual orientation, marital or civil status, veteran status, familial status, genetic information, victim of domestic/sexual violence status, disability or other classification protected by applicable law.

Your Name(Required)

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Your Email Address(Required)

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Address

Street Address Address Line 2 City State ZIP Code

Your Phone(Required)

Best Time To Call You(Required)

When is the best time for us to reach you via telephone?

Are you legally authorized to work in the United States on an unrestricted basis:(Required)

Yes

No

State age if under 18

Are you still a student?

How did you hear about Donnelly.media:(Required)

Position(s) applied for:(Required)

List friends or relatives presently working for Donnelly.media:

Were you previously employed by Donnelly.media?(Required)

Yes

No

Employed, when?(Required)

Have you ever applied for a position with Donnelly.media:(Required)

Yes

No

Applied, when?(Required)

Would you work:(Required)

Regular Full-Time

Regular Part-Time

Summer

Temporary Full-Time

Temporary Part-Time

Are you on a lay-off and subject to recall?(Required)

Yes

No

Can you travel if a job requires it?(Required)

Yes

No

If you are offered a job, on what date will you be available for work?(Required)

List professional, trade, or business organizations to which you belong:

(It is not necessary that you list any groups that indicate race, color, creed, religion, sex, national origin, age, ancestry, atypical hereditary cellular or blood trait, gender identity or expression, affectional or sexual orientation, marital or civil status, veteran status, familial status, genetic information, victim of domestic/sexual violence status, disability or other classification protected by applicable law.

Employment Experience

List each job held. Start with your present or last job. Include military service assignments held in the U.S. Armed Forces, National Guard, or Reserve units, including the particular branch you have served in. Note: a dishonorable or general discharge from military service is not an absolute bar to employment, and other factors will affect a nal hiring decision.

Are you presently employed?(Required)

Yes

No

If so, may we contact your present employer?(Required)

Yes

No

Current Employment

Current Employer Name

Current Employer Phone

Current Employer Address

Street Address Address Line 2 City State ZIP Code

Supervisor's Name

JOB TITLE AND WORK PERFORMED

Start Date

If exact date is not known, estimate.

End Date

Leave blank if still working

Current Hourly Rate/Salary

Previous Employment

Employer Name

Employer Phone

Address

Street Address Address Line 2 City State ZIP Code

Supervisor's Name

JOB TITLE AND WORK PERFORMED

Start Date

End Date

Hourly Rate/Salary

Reason for Leaving

Previous Employment

Employer Name

Employer Phone

Address

Street Address Address Line 2 City State ZIP Code

Supervisor's Name

JOB TITLE AND WORK PERFORMED

Start Date

End Date

Hourly Rate/Salary

Reason for Leaving

Additional Info

Summarize Special Skills and Qualifications Acquired from Employment or Other * Experience:

References

References(Required)

3 references requested. Use the plus icon at the right to add additional references.

Name

Relationship

Email Address

Phone

Terms and Conditions

THIS APPLICATION WILL REMAIN ACTIVE FOR 60 DAYS FROM THE DATE OF APPLICATION.(Required)

If I am employed, in consideration thereof, I agree to abide by the rules and regulations of Donnelly.media and I recognize, understand and agree that my employment and compensation can be terminated with or without cause and with or without notice, at any time, at the option of Donnelly.media. I understand that no one other than the President of Donnelly.media has the authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, and that any such agreement must be in writing and signed by the President of Donnelly.media.

I certify that answers given herein are true and complete to the best of my knowledge.
I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. I authorize the references 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 all parties from all liability for any damage that may result from furnishing same to you. I also agree to permit Donnelly.media to conduct substance abuse tests, during review of this application and/or during my employment, if Donnelly.media deems necessary, and any other background investigative procedures it deems appropriate.

DONNELLY.MEDIA AND I UNCONDITIONALLY AGREE NOT TO ELECT A TRIAL BY JURY AND HEREBY KNOWINGLY, INTELLIGENTLY AND VOLUNTARILY WAIVE ALL RIGHTS HE/SHE/IT MAY HAVE TO TRIAL BY JURY IN ANY SUIT, ACTION, PROCEEDING, DISPUTE, .CONTROVERSY OR CLAIM ARISING FROM OR RELATING IN ANY WAY TO ANY RELATIONSHIP OR
MATTER INVOLVING DONNELLY.MEDIA AND ME.

In the event of employment, I understand that false, incomplete or misleading information given in my application or interview(s) may result in discharge.

I also understand and agree that prior to starting any work, I may be subject to my taking a medical examination from a health care provider designated by Donnelly.media, and that in his/her opinion I must be medically able to perform the work for which I was hired.

I agree to the terms and conditions.

Upload Your Resume

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Accepted file types: pdf, doc, docx, Max. file size: 25 MB.

Signature of Applicant (by typing signature below, will count as a legally binding e-signature.)(Required)

Date(Required)

Donnelly Media Group

Application for Employment

Your Personal Information

Employment Experience

Current Employment

Previous Employment

Previous Employment

Additional Info

Record of Education

References

Terms and Conditions