Application for employment. Huxley Communications Job Application Name Name Name Name Email * Primary Phone * Secondary Phone Address * Address Street Address Street Address Apt, Unit, Suite Number Apt, Unit, Suite Number City City State/Province State/Province Zip/Postal Zip/Postal Country Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Bulgaria Burkina Faso Burundi Côte d'Ivoire Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Croatia Cuba Curacao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern Mariana Islands Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Saint Barthelemy Saint Helena, Ascension and Tristan da Cunha Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten (Dutch part) Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Korea South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Country Position Applying For or Area of Interest * Employment Desired * Full-time Part-time Full- or Part- time Date Available to Start * Desired Salary Range Are you a US citizen? * Yes No Do you have a valid driver's license? * Yes No Have you been convicted of a traffic violation? * Yes No Please explain * Have you ever been convicted of a felony? * Yes No Please explain * Please describe your employment history. References (Please list the names and contact of three persons not related to you whom you have known at least one year whom we may contact as references) Disclaimer * Disclaimer and signature I certify that all information on this application is true and complete to the best of my knowledge. I authorize the investigation of all statements contained in this application including requests for information from the Department of Motor Vehicles, Department of Criminal Investigations or other agencies. I release all persons, firms, agencies or other entities from any liability or damages for requesting or furnishing information. I acknowledge that any employment relationship with this company is at will, which means that I may resign at any time and the Employer may terminate me at any time with or without cause. I further understand that this at will employment relationship may not be changed. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in termination. I understand that I am required to abide by all rules and regulations of the employer. I understand that if my job requires the operation of a commercial vehicle, drug testing is required. Signature Clear Date Attach your cover letter, resume, or any relevant documents Drop a file here or click to upload Choose File Maximum upload size: 257.95MB If you are human, leave this field blank. Submit
