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.