Online Applications :: PREMIERE, INC

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About Premiere, Inc.

Online Applications

We consider applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, maritial or veteran status, or any other legally protected status.

Position(s) Applied For

Date of Application

09/09/2010

How Did You Learn About Us?

Advertisement Friend Inquiry Employment Agency Relative Other

Last Name	First Name	Middle Name

Address	City	State	Zip Code

Telephone Number(s)

1: -- 2: -- 3: --

Social Security Number (voluntary)

Best time to contact you at home is:

If you are under 18 years of age, can you provide required proof of your eligibility to work?

Yes No

Have you ever filed an application with us before?

Yes No

Have you ever been employed with us before?

Yes No

Do any of your friends or relatives, other than spouse, work here?

Yes No

Are you currently employed?

Yes No

May we contact your present employer?

Yes No

Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status? Proof of citizenship or immigration status will be required upon employment.

Yes No

Date available for work

What is your desired salary range?

Are you available to work:

Full Time

Part Time

Temporary

Are you currently on "lay-off" status and subject to recall?

Yes No

Can you travel if a job requires it?

Yes No

EDUCATION

School	Name and Address of School	Course of Study	No. Years Completed	Diploma / Degree
High School
Undergraduate College
Graduate/Professional
Other (Specify)

ADDITIONAL INFORMATION
State any additional information you feel may be helpful to us in considering your application, including any job related training in the U.S. Military.

Note to Applicants: DO NOT ANSWER THIS QUESTION UNLESS YOU HAVE BEEN INFORMED ABOUT THE REQUIREMENTS OF THE JOB FOR WHICH YOU ARE APPLYING.

Are you capable of performing in a reasonable manner, with or without a reasonable accomidation, the activities involved in the job or occupation for which you have applied? A review of the activities involved in such a job or occupation has been given.

Yes No

EMPLOYMENT EXPERIENCE
Start with your present or last job. Include any job related military service assignments and volunteer activities. Exclude organizations which indicate race, color, religion, gender, national origin, disabilities or other protected status.

1.

Employer

Dates Employed

Work Performed

From

Hourly Rate/Salary

Starting

Final

Address

Telephone Number(s)

Starting/Present Job Title

Supervisor

Reason for Leaving

May We Contact

Yes No

Employer

Dates Employed

Work Performed

From

Hourly Rate/Salary

Starting

Final

Address

Telephone Number(s)

Starting/Present Job Title

Supervisor

Reason for Leaving

May We Contact

Yes No

Employer

Dates Employed

Work Performed

From

Hourly Rate/Salary

Starting

Final

Address

Telephone Number(s)

Starting/Present Job Title

Supervisor

Reason for Leaving

May We Contact

Yes No

REFERENCES Do not include family members or past supervisors.

Name	Phone Number	Best Time to Call	Occupation
1.	--
2.	--
3.	--

APPLICANT'S STATEMENT

I certify that answers given herein are true and complete.
I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.
This application for employment shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time.
I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an "at will" nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause. It is furthur understood that this "at will" employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization.
In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the Employer.