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Each section and question must be fully and accurately answered. Fill out this form and then select the “prepare for print” button at the bottom of the form. Print out the form, sign it and either fax or mail it to the address listed on the form. No action will be taken on an incomplete application.

Position

I am applying for Theatre Manager
  This person will supervise theatre activities at off-site screening venues during the Festival and in that capacity will: • Introduce films • Oversee cashiers, volunteers, staff • Communicate with Operations Manager and office daily to coordinate staff issues. • Represent Festival to public • Other duties as assigned
PERSONAL INFORMATION
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Name
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Age  
     
WORK EXPERIENCE (list most recent first)
 
From To  
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Supervisor
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May we contact this employer?....Yes No
From To  
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Supervisor
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May we contact this employer?....Yes No
From To  
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Supervisor
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May we contact this employer?....Yes No
 
Legal
Are you lawfully authorized to work in the U.S.? ...Yes No
Have you ever been convicted of a felony or misdemeanor? ...No Yes (please eplain below)
convictions will not necessarily bar employment
 
Qualifications
Give the qualifications and skills you have that would apply to this position:  
Job requirements
Are you capable of performing the essential functions of the job or occupation for which you have applied?
(see responsibilities)		  Yes No
   
Are you able to work the scheduled days and hours of the job?
(20-40 per week.)		  Yes No
   
Do you meet the minimum qualifications and requirements for the job?
• Ability to perform all essential job functions
• Demonstrated ability to communicate affectively in person and by telephone, meet deadlines, work under pressure with minimal supervision and handle unforeseen situations as they arise
• Knowledge of film is desirable Must be available to work evenings and weekends. Apply in person by Dec. 26, 2003: Northwest Film Center offices 1139 SW Eleventh Ave. Portland, OR 97205 Equal Opportunity/ Affirmative Action Employer )		  Yes No
 
References (please do not list relatives)
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Certification
I HEREBY CERTIFY that the facts set forth in the above application are true and complete to the best of my knowledge. I understand that any false statement on an employment application will result in immediate dismissal upon discovery. I understand that the Portland Art Museum may check my background and references and that this may include a check through various law enforcement agencies and may require pre-employment drug screening. This Employment Application is used to notify me that the nature and scope of an investigation, if one is conducted, could include such general identification information as residence verification, and, as applicable, information concerning my employment, education, general reputation, character, personal characteristics, and habits, and that such information may be developed through personal interviews with third parties such as family members, neighbors, friends, associates, former employers, financial sources, and custodians of official records. Only job-related information developed from such a report will be considered in evaluating my employment application or continued employment. I hereby authorize these persons, companies, organizations or corporations to answer all questions or release any information regarding the items listed in this paragraph. I hereby release them from any liability and hold them harmless from any claim for releasing any truthful information within their knowledge and/or records. I authorize the Portland Art Museum to release to any person, firm, entity or organization with which I may seek employment in the future, any truthful information concerning my work experience with the Museum. I hereby release and hold the Portland Art Museum harmless from any claim for releasing any truthful information within its knowledge and/or records. I further understand that the Portland Art Museum is a drug-free workplace and that suspicion of involvement with illegal drugs will subject me to drug testing, search of my belongings, and disciplinary action up to and including immediate dismissal. I have had an opportunity to have my questions about this statement's content and intent answered, and I understand its terms.
This application is current only for thirty (30) days, at the conclusion of which time, if you have not heard from us and still wish to be considered for employment, it will be necessary for you to fill out a new application.