Careers Marketing Consultant Cedar Falls, IA Posted 3 weeks ago Part-Time Office Assistant Forest City, IA Posted 3 weeks ago Account Executive KMCH Manchester, IA Posted 4 months ago Web Designer Coloff Digital Forest City, IA Posted 6 months ago Coloff Media Employment Application It is the policy of Coloff Media not to discriminate in its employment and personnel policies because of a person’s sex, age, race, religion, color, marital status, sexual orientation, citizenship status for legal residents, disability or national or ethnic origin or other protected classes. Name* First Middle Last Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* Select the location you are applying for.* Cedar Falls Charles City Forest City Manchester Mason City New Hampton **Coloff Media has multiple locations across Iowa.Are you legally eligible to work it the United States?* Yes No **All applicants will be required to furnish proof of identity and legal work authority within 3 business days of hire.Do you have a valid driver’s license to operate an automobile in this state?* Yes No Driver’s License Number:* Are you insurable at standard rates to operate an automobile in this state?* Yes No If no, explain below:*Equipment/Machines you can operate and/or licenses you hold:Are you applying generally?* Yes No Position you are applying for:* Desired Salary How did you learn about this specific opening with Coloff Media?* Radio Ad Internet listing Referral Agency Job Fair Walk In Have you ever been previously employed with this company including all acquired or affiliated companies?* Yes No If yes, enter your employment dates and locations below:Are you available for full-time work?* Yes No If no, what days/hours are you available?Will you work overtime (if required)?* Yes No Are you subject to any contractual restrictions that would prevent, or interfere with you accepting the position or performing the duties of this job?* Yes No Education HistoryHigh school level?* 9 10 11 12 Name and location of high school:*Did you graduate?* Yes No If you attended college how many years did you attend? Name and location of college/university:Dates that you attended college/university:Degree/Course of study: Did you attend Graduate, Vocational, Technical, Business Training School?* Yes No Name and location of Graduate/Vocational/Technical/Business Training School:Dates that you attended Graduate/Vocational/Technical/Business Training School:Have you ever been convicted of a crime?* Yes No A positive answer will not automatically disqualify you for employment. You are not obligated to disclose sealed or expunged records of conviction or arrest.Are you currently serving probation or deferred adjudication for any crime?* Yes No If you answered “yes” to any of the above, please explain:Volunteer/Community Service workBriefly describe any volunteer/community service work you have done in the past 5 years.Employment HistoryList all employment in the past ten years, most recent job first.Name of Employer: Employer Address Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Employer PhoneSupervisor name: Position: Duties:Start Employment Date: MM slash DD slash YYYY End Employment Date: MM slash DD slash YYYY Reason for leaving: Beginning salary: Ending salary: Name of Employer: Employer Address Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Employer PhoneSupervisor name: Position: Duties:Start Employment Date: MM slash DD slash YYYY End Employment Date: MM slash DD slash YYYY Reason for leaving: Beginning salary: Ending salary: Name of Employer: Employer Address Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Employer PhoneSupervisor name: Position: DutiesStart Employment Date: MM slash DD slash YYYY End Employment Date: MM slash DD slash YYYY Reason for leaving: Beginning salary: Ending salary: Within the past ten years, have you been terminated or asked to resign by an employer?* Yes No If you answered "yes", please provide employer, dates and circumstances Coloff Media contacts present & prior employers to obtain references regarding work history, conduct and suitability for employment. May we contact your present employer at this time? Yes No ReferencesReference NamePosition Title, Company NamePhone Number# of years known Please list 3 professional references.Upload Attachments Drop files here or Select files Accepted file types: mp3, pdf, Max. file size: 256 MB, Max. files: 3. Attachment could include resumes, sound checks or anything else you'd like us to view or listen to. Please note we will only accept .PDF and .MP3 files.Signature*By signing you verify and agree to all of the following; that all the information on this application is true, correct and complete. You also verify that you have not withheld any information requested by Coloff Media. You understand that false, misleading or omitted information with result on rejection of your application, reprimand or termination from employment, whenever discovered. You authorize Coloff Media and its agents to confirm all information provided on this application and attachments (including resumes) and to investigate your suitability for employment. You agree to furnish additional information if requested. You release Coloff Media and all persons and companies from any claims, liabilities or damages from obtaining or furnishing information about you. Any conditional offers of employment by Coloff Media is subject to successful completion of all employment requirements including but not limited to verifying employment and personal references. This application is not a job offer or employment contract with Coloff Media for any specified time period. If hired, your employment will be for an undetermined time period and you may resign or be terminated by Coloff Media at any time without notice or requirement of cause. You understand and agree that no employee or official with Coloff Media has any authority to alter the terms of your at-will employment through oral statements or promises. In order to be binding on Coloff Media, any agreement or promise that alters this policy must be in writing and signed by the head of the division. Any conditional offer of employment by Coloff Media is subject to successful completion of all employment requirements including but not limited to verifying employment and personal references. If employed, I agree to abide by and comply with all of Coloff Media policies, rules and procedures. Date signed:* MM slash DD slash YYYY Coloff Media and its stations are an Equal Opportunity Employer
