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Application for Employment

Aria Communications Corporation("ARIA") is an equal opportunity employer.  Qualified applicants will receive consideration without regard to race, creed, color, sex, age, national origin, disability, or any other status protected by law.

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Last Name Middle Initial First Name
Telephone:
 - -
Street Address:
 		Telephone:
 - -
Street Address 2 (if applicable)
 Email:
City State Zip
Have you been employed with Aria in the past?
Yes   No   If "yes" month & year:
Location:
Have you ever applied for employment with Aria in the past?
Yes   No             If "yes" month & year:
Location:
May We call you at work?  Yes   No       
Desired Shifts: Days Evenings/Nights Weekends
Days Available to work: Monday Tuesday Wednesday Thursday
  Friday Saturday Sunday
Salary Desired: Possible Start Date: (MM/DD/YYYY)
How were you referred to Aria?
  Current employee? 
  Walk in?  Newspaper?   Other?
Desired Employment:  Full time:   Part time:  Are you over 18 years old?
Yes   No
Are you legally eligible for work in the United States?
Yes   No 		Will you work additional hours if asked? 
Yes   No
Have you ever been convicted of a misdemeanor involving the misappropriation, misapplication, or misuse of money of another, or of any felony which has not been annulled, expunged or sealed by a court?  Yes   No
If yes, describe in full:

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 School Name & Location of School Course of Study Number of years Completed Did you Graduate Degree or Diploma
High School Yes
 No
Business / Trade / Technical Yes
 No
College Yes
 No
Graduate Yes
 No

OTHER RELEVANT BACKGROUND INFORMATION
Membership in Professional or Civic Organizations (Exclude those which may disclose your race, color,religion, or national origin)
Describe any additional training received relevant to the position you are applying (Military, seminars, classes.....):
Have you ever been in the armed forces?      Yes No
If Yes, which branch?
Have you ever been employed as a teleservices representative for fundraising or sales purposes?
  Yes   No
Company name?      Dates of Employment: 
Have you ever been employed in the direct mail industry? Yes No     
If yes, with whom, in what capacity and when:
Company Name:             
Capacity:                         
Date of employment:

EMPLOYMENT HISTORY
Please give accurate, complete full-time & part-time employment record.  Start with your current or most recent employer.
Give complete employment history for past 5 years.

1

 Company Name:
 Telephone:
- -
Address:
 Employment Dates:
From:  To:
Name of Supervisor:
 Wage:
Start:   Last:
Job Title/Description of Duties:
 Reason for Leaving:

2

 Company Name:
 Telephone:
- -
Address:
 Employment Dates:
From:  To:
Name of Supervisor:
 Wage:
Start:   Last:
Job Title/Description of Duties:
 Reason for Leaving:

3

 Company Name:
 Telephone:
- -
Address:
 Employment Dates:
From:  To:
Name of Supervisor:
 Wage:
Start:   Last:
Job Title/Description of Duties:
 Reason for Leaving:

If presently employed, may we contact your employer? Yes No


What Job Postings are you applying for?  

STATEMENT OF AGREEMENT AND AUTHORIZATION

Please read the following statement thoroughly:

I certify that the information provided in the application for employment is true, correct, and complete to the best of my knowledge. If employed, any misstatement or omission of fact on this application may result in dismissal. I authorize the investigation of all statements and information contained in this application. I release from all liability anyone supplying such information and I release the employer from all liability that might result from making an investigation.

I understand that should an employment offer be extended to me and accepted that I will fully adhere to the policies, rules and regulations of employment at Aria. I understand that acceptance of any offer of employment does not create a contractual obligation upon the employer to continue to employ me in the future. Employment at Aria is "at will" for no specified duration and may be terminated by either Aria or myself at any time, with or without cause.

I understand that a reference check and/or background check will be conducted on me for employment purposes. By agreeing to this statement, I hereby authorize Aria to contact any and all corporations, former employers, educational institutions, law enforcement agencies, city, state, county, federal courts, and military services to release information about my background including but not limited to, information about employment, education, criminal record and general public history records to Aria.

I release from all liability all persons, companies, and schools supplying such information. I indemnify Aria against any liability, which may result from making such requests. The release shall remain in effect for the length of my employment. I understand that I may have a right to request additional disclosures regarding the nature and scope of the investigation.

I agree:

Applicants are considered, and employees are treated, during employment without regard to age, race, color, religion, sex, national origin, marital or veteran status, medical condition or disability.  Date of birth is required from all applicants and employees to facilitate a background check.  This information will be kept separate from other application materials.

Human Resources
Aria Communications Corporation
717 West St. Germain Street
St. Cloud, MN 56301
(320) 258-2700

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