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GIBSON'S PHOTO & VIDEO
Fax: 1(413)691-8179
 
Online Employment Application
for per-diem digital photographers
 

We consider applicants for a position without regard to race, color, religion, creed, gender, national origin, disability, marital or veteran status, sexual orientation, or any other legally protected status.

Please complete the following fields and read the applicant's statement before mailing application to us.  If you have any questions, please contact us.

Print out a copy of this application and mail to our office location!  Be sure to set your printer to "landscape" mode before printing. You can also fax it to us.

 

Personal Information

Position Applied For   This position currently available.

First Name Middle Name Last Name
Street/Mailing Address
City State Zip Code
Home Phone Work/Other Phone
Email Address    Social Security Number

If you are under 18 years of age, can you provide required proof of eligibility to work?
 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?
 Yes No
(Proof of Citizenship or immigration status will be required upon employment.)
Most assignments are "one-day" and maybe short notice.
Months you can be available to work  -Winter -Spring -Summer -Fall  Other - 
Do you have your own transportation? Yes No
(Proof of valid driver's license, SSN, and insurance will be required upon employment.)
Have you been convicted of a felony within the last seven years? Yes No
If yes, please explain
Education
 
Name
and Address
Course
of Study
Years
Completed
Diploma
Degree
Elementary School
High School
Undergraduate College
Graduate Professional
Other (Specify)
Describe any specialized training, apprentiship, skills, and extracurricular activities:


Check skills/equipment operated:
Microsoft Excel Fax Machine Personal Computer Calculator Typewriter

List any professional digital cameras you can operate:
Employment Experience

Start with your present or most recent job. Include any job-related military service assignments and volunteer activities. You may exclude organizations which indicate race, religion, gender, national origin, disabilities, or other protected status.

Employer
Dates Employed
Work Performed
From
To

Address

Telephone Number

Hourly Rate/Salary
Starting
Final

Job Title

Supervisor

Reason for Leaving

 

Employer
Dates Employed
Work Performed
From
To

Address

Telephone Number

Hourly Rate/Salary
Starting
Final

Job Title

Supervisor

Reason for Leaving

 

Employer
Dates Employed
Work Performed
From
To

Address

Telephone Number

Hourly Rate/Salary
Starting
Final

Job Title

Supervisor

Reason for Leaving

 

References

Name
Address
Phone Number
Relationship
Years Known

Use the following box to state any additional information you feel may be helpful to us in considering your application.

Applicant's Statement

I certify that answers given herin are true and complete to the best of my knowledge.

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 one year. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at this 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 further understood that this "at will" employment relationship may not be changed by any written document or conduct unless such change is specifically acknowledged, in writing, by an authorized executive of this organization.

I authorize all references and employers named herein to furnish GDPS with whatever information they may have regarding my employment, including my reason(s) for leaving. I am submitting this application voluntarily, and to request that all refernces respond to this inquiry with full and complete information.

Since this reference is an important part of my application for employment with GDPS, I therefore waive and release all reference named herein from any and all claims or causes of action in law or equity, including, but not limited to, defamation of character or invasion of privacy, which might rise from responding to a reference check.

   

We will call you for future assignments upon approval. 

 

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