Application for Employment

Personal Information

Are you 16 years or older? * YesNo

Have you been convicted of a crime, or are there any felony chares pending against you? * YesNo

Do you have your own transportation to/from work? YesNo

Do you have a driver's license? YesNo

Are you currently employed? YesNo

Have you had prior broadcast experience? YesNo

Are you familiar with WLJC? YesNo


Degree Received? YesNo

Degree Received? YesNo

Degree Received? YesNo

Employment History 1

Employment History 2

Reference 1

Reference 2

Reference 3


I certify that the statements I have made are true and I authorize the licensee to investigate the accuracy and completeness of the information provided.