Sunflower Multimedia Employment Application
If a question does not apply to you, please leave the field empty.

Name	Address_Line_One	Address_Line_Two	City
State	Zip	Phone	Phone_2
Cell_Phone	Pager	Fax	EMail
How_Did_You_Find_Us? Yellowpages Newspaper Tradeshow Search_Engine Internet_Yellowpages Referral Other-Describe_Below	Best_Time_To_Call AM PM Monday Tuesday Wednesday Thursday Friday Weekends	Position_Interested_In? Sales Freelance_Art Graphic_Design Website_Design Website_Programming	Comments_Questions?
Paste_Resume_Here
Pre-Employment Questionaire - An Equal Opportunity Employer - Including a Resume is NOT Enough.
18_Or_Older? (Check only if Yes)	Legally_Employable_in_US? (Check only if Yes)	Can_Provide_Proof? (Check only if Yes)	Legal_Minority? (Check only if Yes)
College Degree	Vocational Certificate	Military Rank	Self_Training
Employment Record: List Current and Previous Employers Starting with the Most Recent One First
Current_Employer Name Address City State Zip Phone Dates_Worked Salary Position_Duties Reason_For_Leaving May_We_Contact? (Check only if Yes)	Employer_3 Name Address City State Zip Phone Dates_Worked Salary Position_Duties Reason_For_Leaving May_We_Contact? (Check only if Yes)	Employer_2 Name Address City State Zip Phone Dates_Worked Salary Position_Duties Reason_For_Leaving May_We_Contact? (Check only if Yes)	Employer_1 Name Address City State Zip Phone Dates_Worked Salary Position_Duties Reason_For_Leaving May_We_Contact? (Check only if Yes)
References: Minimum 3 - Non Relatives Only
Reference_1_Name Address City State Zip Phone Years_Known	Reference_2_Name Address City State Zip Phone Years_Known	Reference_3_Name Address City State Zip Phone Years_Known	Reference_4_Name Address City State Zip Phone Years_Known
Desired Conditions
Available Full_Time Part_Time (Check only if Yes)	Available Weekends Overtime (Check only if Yes)	Hourly_Wage_Desired	Annual_Salary_Desired
REQUIRED CONDITIONS OF EMPLOYMENT
1) I authorize the investigation of all matters which Sunflower Multimedia deems relevant to my qualifications for ---employment, including, but not limited to, all statements contained in this application. 2) I release from all liability any persons or employers supplying such information. 3) I release Sunflower Multimedia from all liability which might result from making said investigation. ---(Check only if you agree to all contitions listed.)
1) I certify that all information submitted by me on this application is true and complete. 2) I understand that any false statements or misrepresentations discovered on this application are grounds for-dismissal. ---(Check only if you agree to all contitions listed.)
1) I agree to conform to all existing and future Sunflower Multimedia rules and regulations. 2) I understand that Sunflower Multimedia reserves the right to adjust wages, hours, and working conditions as deemed ---necessary. 3) I understand that all employment with Sunflower Multimedia is "AT WILL" as defined by Oregon State Employment ---Regulations. 4) If I am hired, I may be terminated at any time, for any reason. ---(Check only if you agree to all contitions listed.)
1) I understand that if all the above REQUIRED CONDITIONS OF EMPLOYMENT are not checked, this application ---will be rejected from all present and future consideration for employment at Sunflower Multimedia. ---(Check only if you agree to, and understand this statement fully.)
THIS APPLICATION BECOMES VOID AFTER 90 DAYS UNLESS RENEWED BY YOU