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Postal code

Have you spoken to anyone at our office about this position? *

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If yes, please provide the name of the person below.

Position(s) applying for: *

Photographer
Videographer
Both
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How did you hear about this position? *

What days and hours are you available to work? *

If hired, what day can you start work? *

Can you work on the weekends? *

Can you work evenings? *

Income desired? *

Have you ever applied to/worked for Media Engage before? *

Yes

No

If yes, please explain and include dates.

Do you have any friends, relatives, or acquaintances working for Media Engage? *

Yes

No

If yes, state name and relationship.

If hired, would you have transportation to/from work? *

Yes

No

Are you over the age of 18? (If under 18, hire is subject to verification of minimum legal age.) *

Yes

No

If hired, would you be able to present evidence of your U.S. citizenship or proof of your legal right to work in the United States? *

Yes

No

If hired, are you willing to submit to and pass a controlled substance test? *

Yes

No

Are you able to perform the essential job functions of the job for which you are applying? *

Yes

No

If no, describe the functions that cannot be performed:

Is there anything the company should know about that would prevent you from fulfilling your job obligations and/or meeting attendance requirements? *

Yes

No

Is yes, please elaborate:

(NOTE: Media Engage complies with the ADA and considers reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions. It is possible that a hire may be tested on skill/agility and may be subject to a medical examination conducted by a medical professional.)

Have you ever been convicted of a criminal offense (felony or misdemeanor)?

Yes

No

If yes, please describe the crime - state the nature of the crime(s), when and where convicted and dispositions of the case.

(NOTE: No applicant will be denied employment solely on the grounds of conviction of a criminal offense. The date of the offense, the nature of the offense, including any significant details that affect the description of the event, and the surrounding circumstances and the relevance of the offense to the position(s) applied for may, however, be considered.)

Education & Training

High School: School Name, City, State

School Name
City
State

Did you graduate High School?

Yes

No

College / University: School Name, City, State

School Name
City
State

Number of years completed:

Did you graduate in Collage/University?

Yes

No

Degree / Diploma earned:

Military Branch:

Rank in Military:

Total Years of Service:

Skills & Duties

Other Licenses or Education Obtained:

Are you currently employed? *

Yes

No

If you are currently employed, may we contact your current employer?

Yes

No

Is there any other information you would like Media Engage to know?

Why should Media Engage hire you? *

Why are you interested in working at Media Engage? *

If applicable, please upload your portfolio or recent work.

Write a brief explanation of your work methods. How do you handle stress? How do you handle an environment that is constantly changing? What are your pet peeves in a work environment *

Please Provide Professional References Below

Reference Name *

Job Title / Company *

Reference Phone *

Reference Name *

Job Title / Company *

Reference Phone *

Please attach a current resume to this application. Your application will NOT be processed without a resume. *

Name (Print) *

Signed Date *

Signature *

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