First name:	MI:
Last Name:
Street address:
City:
State:	Zip:
Primary phone:	()
Secondary phone:	()

Have you ever been employed by the Herald-Leader?
Yes No
If yes, give month/year: /

Have you ever applied for employment with the Herald-Leader?
Yes No
If yes, give month/year: /

Job title(s) for which you are applying:
*Before applying, please view the Job Listings for current open postions. Only applications for CURRENT OPEN POSITIONS will be reviewed for consideration.
1. Please Select a Job Title Administrative Assistant Advertising Account Executive Advertising Budget & Project Analyst Advertising Sales Associate Circulation District Manager Database Clerk Design/Copy Editor Financial Services Rep Graphic Artist HVAC Technician Imaging Specialist Market Research Manager News Assistant Offset Press Operator Packaging Specialist Paginator Phone Account Executive Photographer Press Operator Production Custodian Programmer Reporter Security Officer Support Clerk Reeltender Reeltender/Paper Handler Visual Communications Specialist

2. Please Select a Job Title Administrative Assistant Advertising Account Executive Advertising Budget & Project Analyst Advertising Sales Associate Circulation District Manager Database Clerk Design/Copy Editor Financial Services Rep Graphic Artist HVAC Technician Imaging Specialist Market Research Manager News Assistant Offset Press Operator Packaging Specialist Paginator Phone Account Executive Photographer Press Operator Production Custodian Programmer Reporter Security Officer Support Clerk Reeltender Reeltender/Paper Handler Visual Communications Specialist

3. Please Select a Job Title Administrative Assistant Advertising Account Executive Advertising Budget & Project Analyst Advertising Sales Associate Circulation District Manager Database Clerk Design/Copy Editor Financial Services Rep Graphic Artist HVAC Technician Imaging Specialist Market Research Manager News Assistant Offset Press Operator Packaging Specialist Paginator Phone Account Executive Photographer Press Operator Production Custodian Programmer Reporter Security Officer Support Clerk Reeltender Reeltender/Paper Handler Visual Communications Specialist

Complete job descriptions are available when applicants come in to sign paperwork.
I have read the job description(s) for this/these positions(s).
Yes No
I am able to perform the essential functions.
Yes No

Are you legally eligible for employment in the United States?
Yes No

Date available to begin work:

How did you learn about this job opportunity?
Newspaper Ad Career/Job Fair
Website/Online Other:

What special training or skills do you have? 
(languages, machine operation, etc.)

Do you have relatives currently employed by The Herald-Leader?
Yes No
If yes, list name(s):

Have you ever been convicted of a felony?
Yes No
If yes, describe:

A conviction does not automatically mean you will not be hired. The basis for your conviction and how long ago are important. Give all facts so that an informed decision can be made.

Drivers License #:		State:
Expiration date:

Has your license ever been suspended, restricted, or placed on probation?
Yes No

If yes, why?

Company 1

Company name:
Phone number:		()
Address:
City:
State:		Zip:
Employed: (month & year)		From: to:
Weekly pay: (starting, ending)		Start: end:
Job title and a brief description of your work:
Name of supervisor:
Supervisor's title:
Reason for leaving:

Company 2

Company name:
Phone number:		()
Address:
City:
State:		Zip:
Employed: (month & year)		From: to:
Weekly pay: (starting, ending)		Start: end:
Job title and a brief description of your work:
Name of supervisor:
Supervisor's title:
Reason for leaving:

Company 3

Company name:
Phone number:		()
Address:
City:
State:		Zip:
Employed: (month & year)		From: to:
Weekly pay: (starting, ending)		Start: end:
Job title and a brief description of your work:
Name of supervisor:
Supervisor's title:
Reason for leaving:

Company 4

Company name:
Phone number:		()
Address:
City:
State:		Zip:
Employed: (month & year)		From: to:
Weekly pay: (starting, ending)		Start: end:
Job title and a brief description of your work:
Name of supervisor:
Supervisor's title:
Reason for leaving:

Company 5

Company name:
Phone number:		()
Address:
City:
State:		Zip:
Employed: (month & year)		From: to:
Weekly pay: (starting, ending)		Start: end:
Job title and a brief description of your work:
Name of supervisor:
Supervisor's title:
Reason for leaving:

We may contact the employers listed above unless you indicate those you do not want us to contact.

Do not contact this/these employers (list and state reason):

Reference 1

Name:
Title:
Company:
Phone:		()

Reference 2

Name:
Title:
Company:
Phone:		()

Reference 3

Name:
Title:
Company:
Phone:		()

High School

Name:
Address:
City:
State:		Zip:
Did you graduate?		Yes No
Degree/diploma received:

College/University

Name:
Address:
City:
State:		Zip:
Did you graduate?		Yes No
Degree/diploma received:

Other

Name:
Address:
City:
State:		Zip:
Did you graduate?		Yes No
Degree/diploma received:

If you have a resume in digital format, you may attach it here.
PDF or Microsoft Word files only.

I hereby declare the information provided by me in this application for employment is true, correct and complete to the best of my knowledge. I understand that any misstatement or omission of fact on this application shall be considered cause for refusal to hire or, if hired, dismissal.

I hereby authorize the Lexington Herald-Leader to verify all of the information provided in this application for employment and I hereby give my consent for all contacted persons, including former employers, to provide information that they may have personal or otherwise, with regard to the subjects covered by this application of employment. Further, I hereby release any schools, persons, employers and organizations from any and all liability which they might otherwise incur as a result of providing information in connection herewith.

I understand that final applicants for all positions are required to pass a drug test and a criminal background check. I also understand that some positions require a physical examination to determine fitness for duty. Such a physical is required only after a job offer has been made.

I understand that if I am hired, my Social Security number will be verified with the Social Security Administration office on my first day of employment.

I understand that this application of employment is not a contract for employment and that if hired, my employment is at-will and can be terminated at any time, with or without notice, for any reason or no reason, at the option of the Lexington Herald-Leader or myself.

Date: