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

    Education

    Degree Received? YesNo

    Degree Received? YesNo

    Degree Received? YesNo

    Employment History 1

    Employment History 2

    Reference 1

    Reference 2

    Reference 3

    Other

    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.