APPLICATION FOR EMPLOYMENT
1014 Productions is an Equal Opportunity Employer

PERSONAL/GENERAL INFORMATION:
NAME:           

ADDRESS:      

PHONE:         

E-MAIL:         

TYPE OF POSITION DESIRED:
(check all interested in)
                    Full-Time
                    Part-Time
                    Internship
                    Contract/Per Diem
                    Temporary

TARGET FIELD:
(check all interested in)
                    Sales & Marketing Representative (commissions only)
                    Advertising/Public Relations
                    Website Design
                    Graphic/Print Design
                    Photographer
                    Videographer
                    Secretarial/Clerical
                    Internship
                    Other (please explain )

ARE YOU APPLYING FOR A SPECIFIC JOB YOU SAW POSTED?
                    Yes (please list: )
                    No

IF YES, WHERE DID YOU HEAR ABOUT THIS POSITION?
                    1014 Productions Website
                    Online Posting (site: )
                    Newspaper (which one? )
                    Employment Fair
                    College Posting (which college? )
                    Other (please describe: )

AVAILABLE START DATE:
       

HAVE YOU EVER BEEN CONVICTED OF A CRIME?
                    No
                    Yes
                        If yes, please explain:

EDUCATIONAL INFORMATION:
    High School Name:   
       
    Address:
       
    Date Graduated:
       
    Course Studied:
       
    Honors Received:
       
    Extracurricular Activities:
       

    College Name:   
       
    Address:
       
    Date Graduated:
       
    Degree(s) Received:
       
    Major(s)/Minor(s):
       
    Honors Received:
       
    Extracurricular Activities:
       

    Graduate School Name:   
       
    Address:
       
    Date Graduated:
       
    Degree(s) Received:
       
    Major(s)/Minor(s):
       
    Honors Received:
       
    Extracurricular Activities:
       

EMPLOYMENT INFORMATION:
(please list most recent first)
    Company Name:   
       
    Address:
       
    Phone Number:
       
    Job Title:
       
    Supervisor:
       
    May We Contact Them?
        Yes
        No
    Job Duties:
       
    Dates Of Employment:
        to
    Reason For leaving:
       

    Company Name:   
       
    Address:
       
    Phone Number:
       
    Job Title:
       
    Supervisor:
       
    May We Contact Them?
        Yes
        No
    Job Duties:
       
    Dates Of Employment:
        to
    Reason For leaving:
       

    Company Name:   
       
    Address:
       
    Phone Number:
       
    Job Title:
       
    Supervisor:
       
    May We Contact Them?
        Yes
        No       
    Job Duties:
       
    Dates Of Employment:
        to
    Reason For leaving:
       

ADDITIONAL INFORMATION:
Please list any additional information you wish to provide us with (skills, training, hobbies, etc.).  Also, please tell us what makes you special - why we should consider you for a position with 1014 Productions.

REFERENCES:
Please provide us with three references.  We ask for non-relatives that have known you for a minimum of three years.
    Name:   
       
    Address:
       
    Phone Number:
       
    Company Name:
       
    Job Title:
       
    How Do You Know Them?
       
    How Long Have You Known Them?
       

    Name:   
       
    Address:
       
    Phone Number:
       
    Company Name:
       
    Job Title:
       
    How Do You Know Them?
       
    How Long Have You Known Them?
       

    Name:   
       
    Address:
       
    Phone Number:
       
    Company Name:
       
    Job Title:
       
    How Do You Know Them?
       
    How Long Have You Known Them?
       

It is the policy of 1014 Productions to conduct background checks on any potential applicant.  These checks include, but are not limited to, verification of education and experience, reference checks and criminal background checks.

I verify that the information in this application is accurate and complete.  I understand that 1014 Productions may verify any or all of this information in considering me for employment.  I agree to undergo a criminal background check and drug screening, if required.

PLEASE INITIAL:         TODAY'S DATE: