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Applicant Information

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I authorize you to make such investigations and inquiries of my personal, employment, financial or medical history and other related matters as may be necessary in arriving at a decision. (Generally, inquires regarding medical history will be made only if and after a conditional offer has been extended.) I hereby release employers, schools, health care providers and other persons from all liability in responding to inquiries and releasing information in connection with my application. I understand that false or misleading information given in my application or interview (s) may result in discharge. I understand that information I provide regarding current and/or previous employers may be used and that I have the right to: ∙ Review information provided by previous employers; ∙ Have errors in the information corrected by previous employers and for those previous employers to resend the corrected information to the prospective employer; and ∙ Have a rebuttal statement attached to the alleged erroneous information if the previous employer(s) and I cannot agree on the accuracy of the information.
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Are you a citizen of the United States?
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If no, are you authorized to work in the U.S.(*)
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Have you ever worked for this company?(*)
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If yes, when?
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Have you ever been convicted of a felony(*)
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If yes, explain?
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What position are you applying for?(*)
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Date you can start:(*)
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EDUCATION

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REFERENCES

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PREVIOUS EMPLOYMENT

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Ending Salary
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May we contact your previous supervisor for a reference?
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May we contact your previous supervisor for a reference?
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May we contact your previous supervisor for a reference?
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U.S. Military Service
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DISCLAIMER AND SIGNATURE

I certify that all the information submitted by me on this application is true and complete. I understand that employment is conditioned upon a background check and if any false information, omissions, or misrepresentations are discovered, my application will be rejected
If I am employed, my employment will be "At Will" and may be terminated at any time with or without cause and with or without notice. I also understand the terms and conditions of my employment may change at any time. If employed I agree to conform to all Soderberg's rules and regulations. I also agree to submit to any medical examination and drug test as teemed appropriate by the company.
I understand that the filling out of this application or the advent of an interview does not imply a promise for employment and does not obligate Channel X Radio to hire. Only the President of the company can or will enter into an employment agreement.
Applicants for position that require driving a commercial motor vehicle (CMV) at any time will be required to undergo controlled substances and at our discretion, alcohol testing prior to employment and will be subject to further testing throughout the period of employment. Applicants will also be asked to sign forms for release of information from previous employers where driving a CMV was one of your functions. Failure to sign will prevent this employer from using you as a CMV driver.
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This form has been designed to strictly comply with State and Federal fair employment practice laws prohibiting employment discrimination. We are an equal opportunity employer
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Our Stations & Broadcasting Areas

| WCXU 97.7 FM PRESQUE ISLE, CARIBOU |
| WCXX 102.3 FM MADAWASKA, EDMUNDSTON |
| WCXV 98.1 FM VAN BUREN, GRAND FALLS |
| W276AY 103.1 FM FORT KENT, CLAIR |

Get in Touch

Telephone: 800-660-9298
152 East Green Ridge Road
Caribou, Maine 04736-3737
Email: channelxradio@yahoo.com