APPLICATION FOR EMPLOYMENT
*** Important - Please Read ***
Paul Bunyan Communications is subject to certain governmental recordkeeping and reporting requirements for the administration of civil rights laws and regulations. In order to comply with these laws, we invite employees to voluntarily self-identify their race and ethnicity. Submission of this information is completely voluntary and refusal to provide it will not subject you to any adverse treatment. The information will be kept confidential and will only be used in accordance with the provisions of applicable laws, executive orders and regulations, including those that require the information to be summarized and reported to the federal government for civil rights enforcement. When reported, data will not identify any specific individual.
This document will not be retained with your employment record or used in the employment selection process.
If you choose not to provide this information, please click the button below indicating your decision. This election will also have no effect on the employment selection process.
- A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin regardless of race.
- A person having origins in any of the original peoples of Europe, the Middle East or North Africa.
- A person having origins in any of the black racial groups of Africa.
- A person having origins in any of the peoples of Hawaii, Guam Samoa, or other Pacific Islands.
- A person having origins in any of the original peoples of the Far East, Southeast Asia or the Indian Subcontinent, including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand and Vietnam.
- A person having origins in any of the original peoples of North and South America (including Central America), and who maintain tribal affiliation or community attachment.
- All persons who identify with more than one of the above five races.
You are a “protected veteran” if you belong to one of the categories of veterans described below:
  • Disabled Veteran: A veteran who served on active duty in the U.S. military and is entitled to disability compensation (or who but for the receipt of military retired pay would be entitled to disability compensation) under laws administered by the Secretary of Veterans Affairs, or was discharged or released from active duty because of a service-connected disability.
  • Other Protected Veteran: A veteran who served on active duty in the U.S. military during a war, or in a campaign or expedition for which a campaign badge was authorized under the laws administered by the Department of Defense.
  • Recently Separated Veteran: A veteran separated during the three year period beginning on the date of the veteran’s discharge or release from active duty in the U.S. military.
  • Armed Forces Service Medal Veteran: A veteran who, while serving on active duty in the U.S. military, participated in a U.S. military operation that received an Armed Forces service medal.
How do I know if I have a disability?
You are considered to have a disability if you have a physical or mental impairment or medical condition that substantially limits a major life activity, or if you have a history record of such an impairment or medical condition.
  • Blindness
  • Deafness
  • Cancer
  • Diabetes
  • Epilepsy
  • Autism
  • Cerebral palsy
  • HIV/AIDS
  • Schizophrenia
  • Muscular dystrophy
  • Bipolar disorder
  • Major depression
  • Multiple sclerosis (MS)
  • Missing limbs or partially missing limbs
  • Post-traumatic stress disorder (PTSD)
  • Obsessive compulsive disorder
  • Impairments requiring the use of a wheelchair
  • Intellectual disability (previously called mental retardation)
Paul Bunyan Communications considers all applicants for employment without regard to race, color, religion, sex, national origin, age, handicap or disability, sexual orientation, marital status, status as a Vietnam-era or special disabled veteran or other legally protected status in accordance with federal law and applicable state and local law. Paul Bunyan Communications also provides “reasonable accommodations” to qualified individuals with disabilities, in accordance with the Americans With Disabilities Act and applicable state and federal laws.
General Information
Federal law requires that employers hire only individuals who are authorized to be lawfully employed in the United States. In compliance with such laws, Paul Bunyan Communications will verify the status of every individual offered employment with the company. In this connection, all offers of employment are subject to verification of the applicant’s identity and employment authorization, and it will be necessary for you to submit such documents as are required by law to verify your identification and employment authorization upon employment.
Record Of Education
Prior Work History
Skills
References
Pre Employment Statement
Please read carefully. I understand and agree that:
  1. The information that I have provided on this application is true and complete to the best of my knowledge. Any misrepresentation or omission of any fact in my application, resume, or any other materials, or during any interviews, can be justification for refusal of employment, or, if employed, termination from Paul Bunyan Communications’ employ.
  2. Any offer of employment I may receive from Paul Bunyan Communications is contingent upon my successful completion of the company’s total pre employment screening process, including the company’s receiving references that it considers satisfactory, and my satisfactory comple- tion of any post offer pre employment medical examination the company may require. I also agree, if employed, to submit to a medical examination at any time at the company’s request if job related and required by business necessity. I hereby consent to having the results of any post offer pre employment or post employment medical exam’s I may be required to take disclosed to Paul Bunyan Communications.
  3. I understand that as a condition of employment, I may be required to undergo and successfully pass a screening for alcohol and/or drugs. I also understand and agree that, if employed, I may be required to submit to an alcohol or drug screening by Paul Bunyan Communications. I hereby consent to having the results of any such alcohol or drug screening I may be required to undergo disclosed to Paul Bunyan Communications.
  4. In processing my application for employment, the company may verify all the information provided by me, or may procure or have prepared a consumer or an investigative consumer report for this purpose concerning my prior employment, military record, education, character, general reputation, personal characteristics, criminal record and mode of living. I understand that upon written request to the company, I will be informed whether an investigative consumer report was requested, given full information as to the nature and scope of this investigation and given an opportunity to obtain a copy of the report.
  5. I authorize and request that all of my present and former employers and those individuals I have listed as personal references furnish information about my employment record, including a statement of the reason for the termination of my employment, work performance, abilities and other qualities pertinent to my qualifications arising from furnishing the requested information.
  6. In consideration of my employment, I agree to comply with the policies, rules, regulations and procedures of the company, including the required Agreement Relating to Confidential Information and Non Competition.
* A conviction record will not necessarily be a bar to employment. This information will be used only for job-related purposes and only to the extent permitted by applicable law.
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