PUBLISHING/BROADCAST/INTERACTIVE MEDIA

AN EQUAL OPPORTUNITY EMPLOYER

 

 
It is the practice of Media General, Inc. and its affiliates to accept applications for employment for existing vacancies only.  As an Equal Opportunity Employer, it is the policy of Media General to afford equal employment opportunity to all individuals, regardless of race, color, religion, sex, national origin, disability, veteran status, or age.

Submitting an application is the first step in the employment process, but does not guarantee an offer of employment or imply acceptance of such an offer. Attaching a copy of your resume to this application does not replace any information requested on the application. Incomplete applications will not be considered.

All applicants are reminded that completeness and accuracy are essential on the application form.  Any incomplete, misleading or false statements in the application form will be cause for denial of employment or termination.
 

Job Applied  for:___________________________________________ Full Time: ___ Part Time: ___ Temporary: ___    

 

Name:  ___________________________________________________Date: __________________________________

                                Last                         First                         Middle

Address:_________________________________________ City:  __________________ State: _________ ZIP: _______

                                                                                                     

Telephone:___________________________________    E-Mail: _____________________________________________

 

Are you 18 years of age or older? _____ Yes  _____ No

 

How did you learn of this opening?

 

If hired, can you furnish proof that you are eligible to work in the United States?    Yes ____    No ____

(If unsure of the documentation needed to prove eligibility to work in the United States, we will explain legal requirements.)

 

Have you been convicted of a felony _____ Yes  _____ No  (A conviction will not necessarily bar an applicant for a job.) If yes, please describe:

 

 

 

 

Can you perform the duties of the job you are applying for:  _____ Yes  _____ No If no, please state the reason:

 

 

 

 

Have you previously been employed by Media General or any of its affiliates? Yes ____ No ____

If yes, give title of position and dates of employment:

 

 

 

 

 

 

EMPLOYMENT HISTORY

Include Military Service and Training

 

Starting with the most recent employer, list all full and part-time jobs or volunteer work, including periods of self-employment and unemployment.

 

 

 

 

If the job for which you are applying involves driving, please answer the following questions:

 

Do you have a valid driver’s license?  Yes ___  No ____    Issued by State of: ____________________________________

 

Driver’s License No:  _________________________________     Expiration Date: ________________________________

 

Has your legal ability to drive in any state been suspended in the last year?  Yes _____ No _____

 

Have you been convicted of DWI, DUI reckless driving or two speeding tickets in the past year?  Yes _____  No _____

 

Do you have a commercial license?  Yes _____  No_____         Are you eligible for one?  Yes _____  No _____

 

What are your Bodily Injury/Property Damage Liability/Personal Injury Protection Insurance Limits?

 

$                                               Who is your carrier?

 

 

 

SPECIAL SKILLS INFOMRATION

 

Foreign Language: __________________________                                                ___ Speak     ___ Write     ___ Fluent

 

Computer Software:            MS Word                ___ Beginner     ___ Intermediate     ___ Advanced     ___ PC     ___ Mac

                                               

                                                MS Excel                ___ Beginner     ___ Intermediate     ___ Advanced     ___ PC     ___ Mac

 

                                                MS Access            ___ Beginner     ___ Intermediate     ___ Advanced     ___ PC     ___ Mac

 

                                                PowerPoint           ___ Beginner     ___ Intermediate     ___ Advanced     ___ PC     ___ Mac

 

                                                Outlook                  ___ Beginner     ___ Intermediate     ___ Advanced     ___ PC     ___ Mac

 

Keyboard WPM:  _____

 

Other Software Programs used:

 

 

 

Business Equipment Used:

 

 

List any job-relevant extracurricular activities and any training programs attended.  (Exclude those activities or programs that would indicate race, religion, age, sex, national origin or ancestry, sexual orientation, disability or political persuasion.)

 

 

 

 

 

TO BE READ AND SIGNED BY APPLICANT

 

IMPORTANT

 

I hereby authorize Media General to investigate all statements contained in this application.  I also authorize third parties such as current and former employers (unless otherwise noted herein), law enforcement organizations, financial institutions, educational institutions contacted by the company to furnish any information relevant to my Application for Employment.  I understand that misrepresentation or omission of material facts will be a cause for immediate dismissal without notice.

 

I certify, as a condition of my employment, that all information given on this application is correct, and that I will comply with all the rules and regulations of this Company that are in effect now and any other policies that may be instituted at a later date.  I also agree to follow all health and safety regulations.

 

I understand that any offer of employment is conditional on my successful completion of a post-offer alcohol and drug test or medical examination.  I consent to such an examination and to all drug and alcohol testing which the Company may require at any time.

 

I also authorize the release of information with regard to my character, ability, and employment and agree to hold any persons contacted harmless with respect to any information they may give.

 

Additionally, I understand that nothing contained in this employment application or in the granting of an interview or in any policies, procedures or handbooks that I might receive, is intended to provide an employment contract between Media General and myself.  No promises regarding employment have been made to me, and I understand that no promise or guarantee is binding upon the Company.

 

In making this application, I understand that if employed, all inventions, improvements and products, conceived, made or suggested by me while I am in your employ and related to, or useful in the newspaper or other communications business or any other field of activity of the Company, shall become the absolute property of the company and I will assign to the company all my rights in any such inventions, improvements and products.

 

Employment with the Company is at-will and may be terminated at any time for any or no reason.

 

I understand that Media General reserves the right to unilaterally modify this policy without notice.

 

NBC 4/WCMH-TV, a division of Media General, Inc. is an equal opportunity employer. It is the policy of this company to consider all applicants for employment based on their qualification in light of job vacancies. Our company fully complies with all applicable laws, which prohibit discrimination on the basis of race, color, religion, sex, national origin, age, marital status or disability.

 

For the safety of our current and future employees, we intend that Media General, Inc. will be a drug-free workplace.

 

 

_______________________________________________  ___________________________________

Applicant’s Signature                                                                         Date

 

 

 

EQUAL OPPORTUNITY EMPLOYER