Contractor Application

Contact Information

Name          
Address    
City State Zip  
Home Phone Cell Fax  
Number to call in case of Emergency:        
Email Date of Birth      
SS# DL#      
What position are you applying for?
(check all that apply)		          
Mobile DJ Club DJ
Computer Tech Office Assistant
Videographer Outside Sales Assc.

Personal Information

How did you hear about us?        
     
Do you own a vehicle? Yes  No If Yes, what make/model?  
Is it reliable? Yes  No Is it well maintained? Yes  No  
insured by: Number of tickets in past 3 years?  
         
Do you have health insurance? Yes  No If yes, through who?  

 

Do you own any CDs? Yes  No If so, how many?  
Do you own any pro sound or lighting equipment? If so, what kind.      
     
     

 

Have you ever been convicted of a crime? Yes  No      
If so, please explain:        
       

About You

Are you eligible to work in the US?          Yes  No  
Why do you want to work with A DJ Connection?    
Why would you be successful with A DJ Connection?
Please elaborate on past successes and plans for the future.
If hired, when would you be willing to start training?

Education

High School City  
Graduated Yes  No Degree  
Date Completed      
         
College City  
Graduated Yes  No Degree  
Other Academic Achievements:      
   

Employment History

Are you currently employed? Yes  No Where?
May we contact your employer? Yes  No Supervisor Name Phone Number      
Past Employment
Place of Employment Supervisor  
City State
Zip Phone #
Duties
     
Start Date End Date Reason For Leaving
Place of Employment Supervisor    
City State    
Zip Phone #    
Duties
     
Start Date End Date Reason For Leaving

References

Name Phone      
Name Phone      
Name Phone      
Name Phone      
             

By submitted this application you agree that the information submitted is true, complete, and correct.  Any misstatement or omission of fact may result in dismissal.  Submission also gives your consent to run necessary credit, criminal, and employment background checks.