Online Job Application Step 1 of 5 20% Name＊ First Middle Last Address＊ Street Address City State / Province / Region ZIP / Postal Code Phone number＊Alternative phone numberEmail address＊ Position(s) applying for:＊Earnings expected＊ Date available for work＊ MM slash DD slash YYYY Days/hours not available for work Please check all of the following options you are seeking:＊ Full-time Part-time Weekends Evenings Temporary Have you applied or worked here before?＊ Yes No If yes, when? MM slash DD slash YYYY Any other names you’ve worked under Name of agency or person who referred you Age Certification＊ I certify that I am at least 18 years of age. EducationHigh SchoolSchool Name Years Completed Diploma/Degree Describe the course of studyDescribe specialized skills, training, or apprenticeshipsCollege, Technical School, UniversitySchool Name Years Completed Diploma/Degree Describe the course of studyDescribe specialized skills, training, or apprenticeshipsGraduate/ProfessionalSchool Name Years Completed Diploma/Degree Describe the course of studyDescribe specialized skills, training, or apprenticeshipsDo you plan to continue your education?＊ Yes No If yes, what course of study and when? Computer software Microsoft Word Microsoft Excel Microsoft Powerpoint Adobe Photoshop Adobe Illustrator Adobe InDesign Former or active U.S. Military＊ Yes No Work HistoryHave you ever been employed in the past?＊ Yes No List below the names of all employers, beginning with the most recent. Include part-time jobs, summer jobs, businesses of your own, volunteer work. Incomplete applications will not be considered.Employer 1Name of employer＊ Address＊ Phone＊Job title＊ Name of supervisor＊ Starting date＊ MM slash DD slash YYYY Ending date＊ MM slash DD slash YYYY Work/duties performed＊Reason for leaving＊Add second employer Employer 2Name of employer＊ Address＊ Phone＊Job title＊ Name of supervisor＊ Starting date＊ MM slash DD slash YYYY Ending date＊ MM slash DD slash YYYY Work/duties performed＊Reason for leaving＊Add third employer Employer 3Name of employer＊ Address＊ Phone＊Job title＊ Name of supervisor＊ Starting date＊ MM slash DD slash YYYY Ending date＊ MM slash DD slash YYYY Work/duties performed＊Reason for leaving＊Add fourth employer Employer 4Name of employer＊ Address＊ Phone＊Job title＊ Name of supervisor＊ Starting date＊ MM slash DD slash YYYY Ending date＊ MM slash DD slash YYYY Work/duties performed＊Reason for leaving＊Add fifth employer Employer 5Name of employer＊ Address＊ Phone＊Job title＊ Name of supervisor＊ Starting date＊ MM slash DD slash YYYY Ending date＊ MM slash DD slash YYYY Work/duties performed＊Reason for leaving＊Add sixth employer Employer 6Name of employer＊ Address＊ Phone＊Job title＊ Name of supervisor＊ Starting date＊ MM slash DD slash YYYY Ending date＊ MM slash DD slash YYYY Work/duties performed＊Reason for leaving＊ Pre-employment Consent to Drug TestI understand that any job offer is contingent upon my successfully passing a pre-employment drug test. I hereby agree to such pre-employment drug test if requested and authorize the testing facility to release the test results to The Columbian.Sign＊Please draw in the gray box to sign your application. Please read carefully and sign.The Columbian is an Equal Opportunity Employer. Federal and State laws prohibit discrimination in employment because of sex, age, race, color, religion, marital status, national origin, ancestry, or disability.I certify that the information I provided on this application is true and correct. I understand that falsification of any of the information asked on this application will be grounds for my immediate termination from the Company. I authorize my previous employers to release to The Columbian all information regarding my prior employment and release them from liability for any such disclosures. I also understand that I will be subject to reasonable suspicion drug or alcohol testing during my employment, if hired; I agree to such testing and authorize the testing facility to release the results to The Columbian. I also understand and agree that if I am subsequently hired by The Columbian, my employment shall continue “at-will” as long as is mutually agreeable to both The Columbian and me. I know that this provision regarding the at-will nature of my employment cannot be modified except in writing, signed by the Human Resources Director. Lastly, I understand that this paragraph sets forth the entire agreement between The Columbian and me with regards to the at-will nature of my employment.Sign＊Please draw in the gray box to sign your application.Send a file(s)If you also want to include a resume or cover letter or want to send us any other documents, please feel free to upload them here. Drop files here or Select files Accepted file types: jpg, gif, png, pdf, doc, docx, rtf, xls, xlsx, csv, txt, Max. file size: 512 MB, Max. files: 5. Please check the box to confirm you're human: 59349
