JOB APPLICATION

We consider applicants for all positions without regard to race, color, religion, creed, gender, national origin, age disability, marital or veteran status, sexual orientation, or any other legally protected status.

Sorry, we do not hire temporary or summer only help.

Position

Position(s) Applied For

Desired Location

How Did You Learn About Us?

Advertisement Friend Walk-In Employment Agency Relative Other

Personal Information

First Name

Middle Initial

Last Name

Address

City

State

Zip Code

Telephone Number

Email Address

Eligibility & Application History

If you are under 18 years of age, can you provide required proof of your eligibility to work?

Yes No

Have you ever filed an application with us before?

Yes No

If Yes, give date

Have you ever been employed with us before?

Yes No

If Yes, give date

Work Eligibility

Are you currently employed?

Yes No

May we contact your present employer?

Yes No

Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status?

Yes No

Proof of citizenship or immigration status will be required upon employment.

Availability

Date Available to Start

Are you available to work

Full-Time Part-Time Shift Work Temporary

Are you currently on "lay-off" status and subject to recall?

Yes No

Can you travel if a job requires it?

Yes No

Background

Have you been convicted of a felony within the last 7 years?

Yes No

Conviction will not necessarily disqualify an applicant from employment.

If Yes, please explain

Education

High School (Name and Address)

Course of Study

Years Completed

Diploma/Degree

Yes No

Undergraduate College (Name and Address)

Course of Study

Years Completed

Diploma/Degree

Yes No

Graduate/Professional (Name and Address)

Course of Study

Years Completed

Diploma/Degree

Yes No

Other (Specify)

Course of Study

Years Completed

Diploma/Degree

Yes No

Foreign Languages

Indicate any foreign languages you can speak, read and/or write.

Skills & Training

Describe any specialized training, apprenticeship, skills and extra-curricular activities. Describe any job-related training received in the United States military.

Employment Experience

Start with your present or last job. Include any job-related military service assignments and volunteer activities. You may exclude organizations which indicate race, color, religion, gender, national origin, disabilities or other protected status.

Job 1

Employer

Telephone Number

Address

Job Title

Supervisor

Reason for Leaving

Starting Date of Employment

Ending Date of Employment

Starting Hourly Rate/Salary

Final Hourly Rate/Salary

Work Performed

Professional & Civic Activities

List professional, trade, business or civic activities and offices held. You may exclude membership which would reveal gender, national origin, age, ancestry, disability or other protected status.

Additional Information

Summarize special job-related skills and qualifications acquired from employment or other experience. With all of the applications that the Gallery of Sound receives, what sets you apart from the other applicants? State any additional information you feel may be helpful to us in considering your application.

Job Requirements Acknowledgment

Note to Applicants: DO NOT ANSWER THIS QUESTION UNLESS YOU HAVE BEEN INFORMED ABOUT THE REQUIREMENTS OF THE JOB FOR WHICH YOU ARE APPLYING.

Are you capable of performing in a reasonable manner, with or without a reasonable accommodation, the activities involved in the job or occupation for which you have applied? A description of the activities involved in such a job or occupation is attached.

Yes No

References

Reference 1

Name

Phone

Address

Reference 2

Name

Phone

Address

Reference 3

Name

Phone

Address

Applicant's Statement

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.

This application for employment shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time.

I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an "at will" nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause. It is further understood that this "at will" employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization.

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the employer.

I accept the statement.