Application for Employment

Employment Application
Name
Name
First
Last
If hired, can you provide written evidence that you are authorized to work in the U.S.?
Are you a veteran?

Education

Please add all relevant schools using the "+" button at the bottom of this section.
Did you graduate?
Are you currently employed?

Current Employer

Supervisor name
Supervisor name
First
Last
Please provide either a phone number or email address (or both)
Please provide either a phone number or email address (or both)
May we contact your current employer?

Previous Employers

Provide details of your previous employment in chronological order. Include military service (indicating rank) and work-related volunteer activities.

Please add all employment using the "+" button at the bottom of this section.

Supervisor name
Supervisor name
First
Last
Please provide either a phone number or email address (or both)
Please provide either a phone number or email address (or both)

References

Please provide the names of three (3) references relative to your past employment.

Name
Name
First
Last
Name
Name
First
Last
Name
Name
First
Last

Applicant’s Statement

I understand that ROSENFELD MEDIA follows an “employment at will” policy, in that I or ROSENFELD MEDIA may terminate my employment at any time, or for any reason consistent with applicable federal or state law; this “employment at will” policy cannot be changed verbally or in writing, unless the change is specifically authorized in writing by the President of this organization. I understand that this application is not a contract of employment; I understand that federal law prohibits the employment of unauthorized aliens; all persons hired must submit satisfactory proof of employment authorization and identity; failure to submit such proof will result in denial of employment.

I understand that ROSENFELD MEDIA will thoroughly investigate my work and personal history and verify all data given on this application, on related papers and in interviews. I authorize all individuals, schools and firms named therein, except my current employer if so noted, to provide any information requested about me, and I release them from all liability for damage in providing this information.

I certify that all the statements herein are true and understand that any falsification or willful omission shall be sufficient cause for dismissal or refusal of employment.