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  1. Surveys
  2. 2012
  3. January
  4. A
  5. Application
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Exit Survey »
 
 
Thank you for your interest in working as an image maker for our company. We ask that you spend a few minutes answering our questions so that we can consider you for hire.

c2 Cinema hires image makers as independent contractors and are not employees of the company. This questionnaire is not an offer for employment it is strictly a pre-qualifier for the position. If your application is accepted, the next step is a telephone interview and the third step is an in-person interview.

By typing "I Agree" in the box below, you certify that the facts contained in this application are true and complete to the best of your knowledge and understand that if hired, falsified statements on this application shall be grounds for dismissal.

It also states that you agree with the following statements, "I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise and release the company from all liability for any damage that may result in utilization of such information."

"I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative."

"This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by The Americans with Disabilities Act (ADA) and other relevant federal and state laws."
 
 
 
Are you a photographer or videographer?
 
Photographer
 
Videographer
 
Both
 
 
 
First Name
   
Last Name
   
Street Address
   
City, State, Zip
   
Home Phone #
   
Cell Phone #
   
Email
   
 
 
 
Date of Birth
   
 
 
 
Are you legally authorized to work in the U.S.?
 
Yes
 
No
 
 
 
1. Name of one professional reference
   
Reference Phone #
   
2. List a second professional reference
   
Reference Phone #
   
3. List a third professional reference
   
Reference Phone #
   
*Emergency Contact Name
   
*Emergency Contact's Phone #
   
 
 
 
Have you ever been convicted of, plead guilty/No contest to, or had a suspended imposition of sentence for any offense (other than a minor traffic violation)?
A convictional record will not necessarily exclude your from consideration. This information will be used only for job-related purposes and only to the extent permitted by law.
 
Yes
 
No
 
Explain
 
 
 
 
Do you have reliable transportation?
 
Yes
 
No
 
 
What camera and equipment do you have? (You must own your own equipment. Renting is not an option for this position.)
   
 
 
Please provide an online link to a sample of your work on the web? (Shorten the hyperlink at http://tinyurl.com, if necessary.)
   
 
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