Employment Application
An Equal Opportunity Employer
Omaha World-Herald Building
1314 Douglas Street Suite 600
Omaha, NE 68102
(402) 444-1000
  Date: April 18, 2014, 12:14 am
The Omaha World-Herald has brought the news to readers across the Midlands for over 120 years. We appreciate your interest in becoming part of that tradition. It is our intention that all applicants are given equal opportunity and that selection decisions are based on job related factors. Therefore, it is important that you fill out this application form completely and accurately. Please use your legal name in the name fields.
The Field descriptions in RED text are required
Position Applying For: Date Available for Work:
*We appreciate your interest in the Omaha World-Herald, however, we can only accept job applications for positions that are currently open and available. These positions are listed under Current Job Openings on Omaha.com and OWH.com, they are posted in our Lobby, and/or they are advertised in the Marketplace Jobs section of the Omaha World-Herald.
PERSONAL & GENERAL INFORMATION
First Name:
Middle Name:
Last Name:
List any other names if different from name given on application:
Address:
City: State:
Zip Code: County:
E-mail: Phone:
Are you 18 or older?
Are you applying for part-time or full-time work? Expected Pay:
Special training or skills (machines you can operate, typing speed, apprenticeships, etc.)
Are you a citizen of the United States, or specifically authorized to be employed in the United States?
Note: The law requires that you provide evidence and a sworn statement of your citizenship or work authorization if you are hired.
Any offer of employment that you receive is contingent upon your providing the documentation and statement that we will request from you.
Are you now, or have you ever been, employed by any other companies listed HERE? If so, please list name of company and dates of employment:
Company Start Date End Date
Please provide the names of any relatives employed at any of the companies shown HERE, and identify the company:
Name Company
Have you applied for employment with The Omaha World-Herald in the last year?

If so, please list the dates that you previously have applied on.

What days and hours can you work?
- Monday - Tuesday - Wednesday
- Thursday - Friday - Saturday
- Sunday
EDUCATION
Name & Location of School Select Last Year Completed Major Course Diploma/Degree
High School
College/University
College/University
Business or Trade School
EMPLOYMENT HISTORY
Please complete the following employment record of your last full or part-time jobs. All information must be completed and accurate. Begin with your current or most recent employer. The following information must be completed in order to be considered for employment, regardless of whether or not a resume is attached.
Employer: Address/City:
From (MM/YYYY): To (MM/YYYY):
Starting Salary: Final Salary:
Supervisor: Phone:
Job Title:
Reason for Leaving:
Can we contact this employer for information? If no, why not?
Briefly describe the nature and duties of your position:
 
Employer: Address/City:
From (MM/YYYY): To (MM/YYYY):
Starting Salary: Final Salary:
Supervisor: Phone:
Job Title:
Reason for Leaving:
Can we contact this employer for information? If no, why not?
Briefly describe the nature and duties of your position:
 
Employer: Address/City:
From (MM/YYYY): To (MM/YYYY):
Starting Salary: Final Salary:
Supervisor: Phone:
Job Title:
Reason for Leaving:
Can we contact this employer for information? If no, why not?
Briefly describe the nature and duties of your position:
PERSONAL/PROFESSIONAL REFERENCES (Do not include relatives. List three references.)
Name Relationship Company City/State Work Phone Home Phone E-mail
GENERAL INFORMATION
Have you ever been fired or asked to resign?
If so, explain:
Within the last seven (7) years, have you been convicted of a crime or violation other than a minor traffic infraction? (A conviction record will not necessarily be a bar to employment. Factors such as job relevance, age and time of the offense, seriousness and nature of violation will be taken into account).
If yes, please explain the circumstances of the conviction(s) including the date, nature, place of the offense, disposition and any other relevant information.

(Note: No applicant will be denied employment solely on the grounds of conviction of a criminal offense. The date of the offense, the nature of the offense, including any significant details that affect the description of the event, and the surrounding circumstances and the relevance of the offense to the position(s) applied for may, however, be considered.)


If yes, please explain the circumstances of the conviction(s) including the date, nature, place of the offense, disposition, and any other information you may want to bring to our attention:
Is there any reason why you might have difficulty performing the job for which you are applying?
If so, explain:
APPLICANT RESUME
Please paste your resume into the box below (optional):
HOW DID YOU LEARN OF THE WORLD-HERALD POSITION FOR WHICH YOU ARE APPLYING?
Omaha World-Herald Newspaper OWH.com Omaha.com (Marketplace Jobs) Employee Referral
Employment Agency Job Posting Job Fair College Job Board Career Link
Other:
APPLICANT SIGNATURE

I certify that the information in this application is true and I understand that any omission, false or misleading statement shall void this application. If I should become employed and it is determined at any time during my employment that a false or misleading statement was made, I shall be subject to immediate dismissal for cause.

I understand that my employment references will be checked and, in the event that the job for which I am applying requires certain levels of physical performance, I agree to take a physical examination. I authorize my former employers and other sources to furnish all work-related information to the Omaha World-Herald. I agree to take no action nor bring any claim against such employer or other source for furnishing such information or against the Omaha World-Herald for using such information.

I understand that this application is not an employment contract. In the event of my hire, I may terminate my employment at any time by giving proper notice. Likewise, I may be terminated from employment for any reason.

I understand that if accepted for employment, notwithstanding any answer which is contained in this application, I may be required to work various days and shifts, overtime or at other Omaha World-Herald locations.

I understand I will be required to successfully pass a drug screening examination. I hereby consent to a pre-and/or postemployment drug screen as a condition of employment, if required.

Check this box to certify that you have read and accept the above statement.