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Submit Application for Employment

Personal Information

Are you 16 years or older? *  Yes No

Have you been convicted of a crime, or are there any felony chares pending against you? *  Yes No

Do you have your own transportation to/from work?  Yes No

Do you have a driver's license?  Yes No

Are you currently employed?  Yes No

Have you had prior broadcast experience?  Yes No

Are you familiar with WLJC?  Yes No

Education

Degree Received?  Yes No

Degree Received?  Yes No

Degree Received?  Yes No

Employment History 1

Employment History 2

Reference 1

Reference 2

Reference 3

Other

 I certify that the statements I have made are true and I authorize the licensee to investigate the accuracy and completeness of the information provided.

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