Careers

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 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 History
High 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 work
Briefly describe any volunteer/community service work you have done in the past 5 years.
Employment History
List all employment in the past ten years, most recent job first.
Name of Employer:
Employer Address
Street Address Address Line 2 City State ZIP Code
Employer Phone
Supervisor 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 State ZIP Code
Employer Phone
Supervisor 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 State ZIP Code
Employer Phone
Supervisor 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:
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
References
Reference Name Position Title, Company Name Phone Number # of years known

Please list 3 professional references.
Upload Attachments
Drop files here or

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

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Coloff Media Employment Application

Education History

Employment History

Coloff Media and its stations are an Equal Opportunity Employer

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Reference Name	Position Title, Company Name	Phone Number	# of years known