Fillable KTIV Television, Inc. (City of Oakland)

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KTIV Television, Inc. (City of Oakland)

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KTIV Television, Inc.
EMPLOYMENT APPLICATION
INSTRUCTIONS TO APPLICANT: Please answer all questions and sign. You must fully and accurately complete this employment
application. Incomplete applications will not be considered.
When completing, do not identify race, color, gender, age, national origin, religion or provide any extraneous information.
Applications are considered active only for 30 days. Submission/receipt of an application does not mean that the company currently has a job
position available.
The company will consider all applicants without discrimination on any basis prohibited by law and is an equal employment opportunity
employer.
1. PERSONAL INFORMATION
Name: ____________________________________________________________________________________
Last First Middle Initial
Address: __________________________________________________________________________________
City State Zip
Phone: ___________________________________________________________________________________
Please provide your most recent previous address
Address: __________________________________________________________________________________
City State Zip
If you are hired, you must supply proof of your age.
Are you authorized to work lawfully in the United States for the Company? Yes_____ No______
Have you ever worked for the company before? Yes_______ No_______ When? ________________________
Reason for leaving. __________________________________________________________________________
Name of last supervisor at the company? __________________________________________________________
Have you ever applied for work with the company before? Yes_______ No_______ When? __________________
2. KIND OF WORK DESIRED
What kind of work are you seeking? ______________________________________________________________
__________________________________________________________________________________________
Date you can begin work: ______________________________________________________________________
Rev. 2018
Certain Jobs may require working overtime and on weekends. Are you available for such hours of work? (Answering “No” to this
question does not mean you will be ineligible for employment) Yes____No____
3. EMPLOYMENT HISTORY
Last Employer
Company Name: ______________________________________________________________________________
Address: _____________________________________________________________________________________
City State Zip
Phone: ______________________________________ Job Title: ________________________________________
Dates Employed: _______________ to _______________
Reason for leaving or desiring change: _____________________________________________________________
Immediate Supervisor: __________________________________________________________________________
Describe duties and responsibilities: _______________________________________________________________
__________________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________
Previous Employer
Company Name: ______________________________________________________________________________
Address: _____________________________________________________________________________________
City State Zip
Phone: ______________________________________ Job Title: ________________________________________
Dates Employed: _______________ to _______________
Reason for leaving or desiring change: _____________________________________________________________
Immediate Supervisor: __________________________________________________________________________
Describe duties and responsibilities: _______________________________________________________________
__________________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________
4. Education
High School____________________________________________________________________________________
Name City State
Did you graduate? Yes _________ No ________
Other schools attended:
___________________________________________________________________________________________________________________________
Name City State
Dates of attendance _______________ to _______________
Rev. 2018
Did you receive a degree? Yes_______No_______ When? ________________________________________
Area of study/type of degree? ______________________________________________________________________
____________________________________________________________________________________________________________________________
Name City State
Dates of attendance _______________ to _______________
Did you receive a degree? Yes_______No_______ When? ________________________________________
Area of study/type of degree? ______________________________________________________________________
5. OTHER BACKGROUND
During any period of employment with the company, will you work for another employer or do you intend to seek
additional work elsewhere? Yes_______No_______
Please describe below the three most important things to you about the place you work.
____________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________
6. REFERENCES
Identify three persons not related to you that you have known for at least one year.
____________________________________________________________________________________________________________________________
Name Address/Phone Years Acquainted
____________________________________________________________________________________________________________________________
Name Address/Phone Years Acquainted
____________________________________________________________________________________________________________________________
Name Address/Phone Years Acquainted
READ BEFORE SIGNING
I certify that the information on this application is complete, true and correct to the best of my knowledge. I understand that omission or
misrepresentation of facts may be grounds for rejection of this application or for dismissal from employment as subsequently discovered.
I authorize Company to verify the accuracy of the information contained herein and to obtain reference information. I hereby release
Company and its agents and representatives from any/all liability and damages of whatever kind and nature which at any time, could result from
requesting, obtaining and/or having an employment decision based on such information.
Signature: ____________________________________________________________________________Date:___________________________
Rev. 2018
By typing your name on the signature line and submitting the Application electronically, you are electronically signing this Application and
making the representations and authorizations referenced therein, and agree that your typed name constitutes your signature on this
Application.
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KTIV Television, Inc. (City of Oakland)

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Completed 22 May 2021

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