Employment ApplicationInterested in working with us? Fill out the application and our team will reach out to you! We can't wait to hear from you! Applicant name * First Name Last Name Address Address 1 Address 2 City State/Province Zip/Postal Code Country Mobile Phone * (###) ### #### Social Security Number * Date of Birth * MM DD YYYY Drivers License * Email * Who should be contacted if you are involved in an emergency? Emergency Contact Name First Name Last Name Relationship to you Emergency Contact Address Address 1 Address 2 City State/Province Zip/Postal Code Country Emergency Contact Phone (###) ### #### Job Position Applied For Full-Time Part-Time Who Referred you to our company? Do you have any friends or relatives who work here? Yes No Are you at least 18 years old? * Yes No Are you willing to work any shift, including nights and weekends? * Yes No If applicable, are you available to work overtime? * Yes No If you were offered employment, when would you be able to begin work? * If hired, are you able to submit proof that you are legally eligible for employment in the United States? * Yes No Are you able to perform the essential functions of the job position you seek with or without reasonable accommodation? * Yes No Have you ever been convicted of a felony or misdemeanor? * THE EXISTENCE OF A CRIMINAL RECORD DOES NOT CONSTITUTE AN AUTOMATIC BAR TO EMPLOYMENT UNLESS RELEVANT TO THE TYPE OF EMPLOYMENT. Yes No Applicant Skills Check any skills that you have. List any other skills that may be useful for the job you are seeking. Enter the number of years of experience, and select the number which corresponds to your ability for each particular skill. Typing Microsoft Office Suite (Word, Excel etc.) Answering Telephones Customer Service A/V Additional Skill 1 Additional Skill 2 List your current or most recent employment first. Please list all jobs (including self-employment and military service) which you have held, beginning with the most recent, and list and explain any gaps in employment. Previous Employment - Name * Previous Employment - Supervisor Name * First Name Last Name Previous Employment - Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Previous Employment - Job Duties * Previous Employment - Reason for Leaving * Previous Employment - Start Date * MM DD YYYY Previous Employment - End Date * MM DD YYYY Add Previous Employer Add Previous Employer Applicant Education and Training Name of High School / GED Address of High School/GED (If known) Address 1 Address 2 City State/Province Zip/Postal Code Country Did you graduate with a diploma? Yes No Name of College/University Address of College/University (If Known) Address 1 Address 2 City State/Province Zip/Postal Code Country Did you receive a degree? Yes No List any other Training (graduate, technical, vocational, safety) that you may have received List any current professional licenses or certifications that you hold List any Awards, Honors or Special Achievements that you have received Have you ever been in the Military * Yes No Are you affiliated with any federally recognized Indian tribe? * Yes No References Reference Name * First Name Last Name Reference Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Reference Phone * (###) ### #### Reference Relationship * Add Additional Reference Add Additional Reference Is there any additional information that you believe should be considered, including whether you are bound by any agreement with any current employer: * CERTIFICATION I certify that the information provided on this application is truthful and accurate. I understand that providing false or misleading information will be the basis for rejection of my application, or if employment commences, immediate termination. * I Agree I Disagree I authorize All Media Integration LLC to contact former employers and organizations regarding my employment and education. I authorize my former employers and educational organizations to fully and freely communicate information regarding my previous employment, attendance, and grades. I authorize those persons designated as references to fully and freely communicate information regarding my previous employment and education. * I Agree I Disagree If an employment relationship is created, I understand that unless I am offered a specific written contract of employment signed on behalf of the of the organization by its CEO, the employment relationship will be “at-will.” In other words, the relationship will be entirely voluntary in nature, and either I or my employer will be able to terminate the employment relationship at any time and without cause. With appropriate notice, I will have the full and complete discretion to end the employment relationship when I choose and for reasons of my choice. Similarly, my employer will have the same right. Moreover, no agent, representative, or employee of All Media Integration LLC, except in a specific written contract of employment signed on behalf of the organization by its CEO, has the power to alter or vary the voluntary nature of the employment relationship. * I Agree I Disagree I understand that All Media Integration LLC may obtain a “consumer report” about from a consumer reporting agency for employment purposes. A “consumer” report is a background screening report that may contain information regarding your criminal history, driving history, and other information about you. It may bear upon your character, general reputation, personal characteristics, and/or mode of living. * I Agree I Disagree I also understand that (1) the Company has a drug and alcohol policy that provides for preemployment testing as well as testing after employment; (2) consent to and compliance with such policy is a condition of my employment; and (3) continued employment is based on the successful passing of testing under such policy. I further understand that continued employment may be based on the successful passing of job related physical examinations * I Agree I Disagree BY SUBMITTING THIS APPLICATION, YOU CERTIFY THAT: I HAVE READ THE INFORMATION PROVIDED BY ME ON THIS APPLICATION AND DECLARE UNDER PENALTY OF PERJURY THAT IT IS TRUE AND CORRECT. * Please sign by typing your full name Thank you for submitting your application! We are excited to review your information and will be contacting you soon. Should you need to reach out to us before then, you can find our phone number and email on our Contact page or submit a request to be contacted.