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Ken Stanton Music Online Employment Application
Position Desired:
Type:
Choose Option
Full Time
Part Time
Todays date:
If you would like to attach a resume, you may do so here:
Full Legal Name
Last:
First:
Middle:
Home Phone:
Cell phone:
Email Address:
Present Address
Street & Number:
City:
State:
Zip
How long have you lived there?
Previous Address
Street & Number:
City:
State:
Zip:
How long have you lived there?
Information about yourself
What is your primary instrument?
What other instruments do you play?
How long have you played musical instruments
Please indicate any actual experience, special training and qualifications that you have which you feel are relevant to the position for which you are applying:
Have you ever worked for this company before?
Choose Option
Yes
No
If yes, please give dates and position:
Are you capable of satisfactorily performing the essential job duties required of the position for which you are applying?
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Yes
No
NOTE: Answering "Yes" to these questions does not constitute an automatic bar to employment. Factors such as age and time of the offense, seriousness and nature of the violation, and rehabilitation will be taken into account. (Do not include minor traffic citations and arrests or convictions which have been sealed or expunged in answering this question.)
Have you ever pled guilty, or no contest to, or been convicted of any misdemeanor or felony?
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Yes
No
If yes, please give the date(s) and details:
Have you been arrested for any matters for which you are out on bail or on your own recognizance pending trial?
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Yes
No
If yes, please give the date(s) and details:
Record of previous employment
Please list the names of your present or previous employers in chronological order with present or last employer listed first. Be sure to account for all periods of time including military service and any period of unemployment. If self-employed, give firm name and supply business references.
Current or last employer
Business name:
Street & number:
City:
State:
Zip:
Employed from (mo/yr):
Employed to (mo/yr):
Starting pay:
Ending pay:
Tiltle or position:
Name and title of last supervisor:
Exact reason for leaving:
Previous Employer
Business name:
Street & number:
City:
State:
Zip:
Employed from (mo/yr):
Employed to (mo/yr):
Starting pay:
Ending pay:
Title or position:
Name and tiltle of last supervisor:
Exact reason for leaving:
Previous Employer
Business name:
Street & number:
City:
State:
Zip:
Employed from (mo/yr):
Employed to (mo/yr):
Starting pay:
Ending pay:
Title or position:
Name and tiltle of last supervisor:
Exact reason for leaving:
Other information
What is your expected pay rate?
Have you ever been terminated or asked to resign from any job?
Choose Option
Yes
No
If yes, please explain:
Please explain fully any gaps in your employment history:
May we contact your current employer:
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Yes
No
If no, please explain:
Please list the hours you are available on the following days:
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Do you have adequate transportation to and from work?
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Yes
No
How many days of work have you missed in the last two years due to reasons other than paid holidays and vacation?
Number of days this year:
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1-5
6-10
7-15
15 or more
Number of days last year:
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1-5
6-10
7-15
15 or more
Education
High School
Name of school:
Years completed:
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4
3
2
1
Diploma received?
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Yes
No
Describe course of study :
Describe specialized training, experience, skills and extra-curricular activities:
College/University
Name of school:
Years completed:
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4
3
2
1
Diploma/Degree:
Descibe course of study or major:
Describe specialized training, experience, skills and extra-curricular activities:
Graduate/professional
Name of school:
Years completed:
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4
3
2
1
Diploma/Degree:
Describe course of study or major:
Describe specialized training, experience, skills and extra-curricular activities:
Trade or Correspondence
Name of school:
Years completed:
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4
3
2
1
Diploma/Degree
Describe course of study or major:
Describe specialized training, experience, skills and extra-curricular activities:
Other:
Name of school:
Years completed:
Choose Option
4
3
2
1
Diploma/Degree
Describe course of study or major:
Describe specialized training, experience, skills and extra-curricular activities:
Are you bilingual?
Choose Option
Yes
No
If so, what languages do you speak?
Personal references
Please list persons who know you well - not previous employers or relatives.
Reference 1
Name:
Occupation:
Street & number:
City:
State:
Zip:
Telephone number:
Number of years known:
Reference 2
Name:
Occupation:
Street & number:
City:
State:
Zip:
Telephone number:
Number of years known:
Reference 3
Name:
Occupation:
Street & number:
City:
State:
Zip:
Telephone number:
APPLICANT'S STATEMENT & AGREEMENT
In the event of my employment to a position in this Company, I will comply with all rules and regulations of this Company. I understand that the Company reserves the right to require me to submit to a test for the presence of drugs in my system prior to employment and at any time during my employment, to the extent permitted by law. I also understand that any offer of employment may be contingent upon the passing of a physical examination and a test for the presence of alcohol in my system, performed by a doctor selected by the Company. Further, I understand that at any time after I am hired, the Company may require me to submit to a physical examination and an alcohol test, to the extent permitted by law. I consent to the disclosure of the results of any physical examination and related tests to the Company. I also understand that I may be required to take other tests such as personality and honesty tests, prior to employment and during my employment. I understand that should I decline to sign this consent or decline to take any of the above tests, my application for employment may be rejected or my employment may be terminated. I understand that bonding may be a condition of hire. If it is, I will be so advised either before or after hiring and a bond application will have to be completed.
I understand that the Company may investigate my driving record and my criminal record and that an investigative consumer report may be prepared whereby information is obtained through personal interviews with my neighbors, friends, personal references, and others with whom I am acquainted. This inquiry includes information as to my character, general reputation, personal characteristics and mode of living. I understand that I have the right to make a written inquiry within a reasonable period of time to receive additional detailed information about the nature and scope of this investigation. I further understand that the Company may contact my previous employers and I authorize those employers to disclose to the Company all records and information pertinent to my employment with them. In addition to authorizing the release of any information regarding my employment, I hereby fully waive any rights or claims I have or may have against my former employers, their agents, employees and representatives, as well as other individuals who release information to the Company, and release them from any and all liability, claims, or damages that may directly or indirectly result from the use, disclosure, or release of any such information by any person or party, whether such information is favorable or unfavorable to me. I authorize the persons named herein as personal references to provide the Company with any pertinent information they may have regarding myself.
I hereby State that all the information that I provided on this application or any other documents filled out in connection with my employment, and in any interview is true and correct. I have withheld nothing that would, if disclosed, affect this application unfavorably. I understand that if I am employed and any such information is later found to be false or incomplete in any respect, I may be dismissed. I understand if selected for hire, it will be necessary for me to provide satisfactory evidence of my identity and legal authority to work in the United States, and that federal immigration laws require me to complete an I-9 Form in this regard.
If hired, I agree as follows: My employment and compensation is terminable at-will, is for no definite period, and my employment and compensation may be terminated by the Company (employer) at any time and for any reason whatsoever, with or without good cause at the option of either the Company or myself. No implied, oral, or written agreements contrary to the express language of this agreement are valid unless they are in writing and signed by the President of the Company (or majority owner or owners if Company is not a corporation). No supervisor or representative of the Company, other than the President of the Company (or majority owner or owners if Company is not a corporation), has any authority to make any agreements contrary to the foregoing. This agreement is the entire agreement between the Company and the employee regarding the rights of the Company or employee to terminate employment with or without good cause, and this agreement takes the place of all prior and contemporaneous agreements, representations, and understandings of the employee and the Company.
If you have any questions regarding this Statement, please ask a company representative before submitting this application.
I have read and agree to the terms outlined above. By checking this box, I am agreeing to all terms outlined in this employment application.
I Agree
I certify that all of the information that I have provided on this application is true and accurate
I Agree
Before you hit the submit button, please be sure that all required fields in the application have been completed. If you hit the submit button and the application does not proceed forward, you are missing a required field.
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