Jobs — The Grove Media

Applicant Information

Full Name:

First Name: Middle Initial: Last Name:

Address:

Address: Apartment/Unit:

City: State: Zip:

E-Mail Address: Phone:

Date Available:

MM/DD/YYYY

Additional Info:

Social Security Number: Desired Salary:

Position Applied For:

Are you a citizen of the United States?

If no, are you authorized to work in the U.S.?

Have you ever worked for The Grove Media?

If so, when?

Have you ever been convicted of a felony?

If yes, explain.

Are you over the age of 18?

If no, are you legally permitted to work in the state of Pennsylvania?

Education

High School:

Name: Address:

Attended:

From: To:

Ex: 1999

Did You Graduate?

Degree:

College:

Name: Address:

Attended:

From: To:

Ex: 1999

Did You Graduate?

Degree:

Other Education:

Name: Address:

Attended:

From: To:

Ex: 1999

Did You Graduate?

Degree:

References

Please list three professional references.

Reference 1:

Full Name Relationship:

Company: Phone:

Address:

Reference 2:

Full Name Relationship:

Company: Phone:

Address:

Reference 3:

Full Name Relationship:

Company: Phone:

Address:

Previous Employment

Company 1:

Name: Phone:

Address: Supervisor:

Job Title:

Salary:

Starting: Ending:

Responsibilities:

Employed From:

MM/DD/YYYY Employed To:

MM/DD/YYYY

Reason for Leaving:

May we contact your previous supervisor for a reference?

Company 2:

Name: Phone:

Address: Supervisor:

Job Title:

Salary:

Starting: Ending:

Responsibilities:

Employed From:

MM/DD/YYYY Employed To:

MM/DD/YYYY

Reason for Leaving:

May we contact your previous supervisor for a reference?

Company 3:

Name: Phone:

Address: Supervisor:

Job Title:

Salary:

Starting: Ending:

Responsibilities:

Employed From:

MM/DD/YYYY Employed To:

MM/DD/YYYY

Reason for Leaving:

May we contact your previous supervisor for a reference?

Additional Information (Optional)

Sales Experience:

Apple Products Experience:

How would you describe your level of knowledge about apple products and digital media?

Tell us anything you want us to know.

If you have a resume upload it here

Disclaimer

I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

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