Employment Opportunities

Cam-Bel Media, Inc. thanks you for your interest. (Please fill in all information to ensure your information is received).

This is a secure form for your protection.

At the present time Cam-Bel Media, Inc. is interviewing for an Account Executives to cover Naples and Ft Myers markets. If you would like to be considered for this position or to be notified of opportunities that may be available in the future, you may submit the following information:

I am interested in a career as a: (if you feel your skills and experience qualify you for more than one of the following areas, feel free to check multiple areas)

Account Executive	Desktop Designer	Web/Interactive Programmer
3D Animator	Video Director	Video Crew Person
Copy Writer	Inside Salesperson	Media Buyer
Creative Director	Photographer	Illustrator
Video Editor	Marketing Executive	Administrative Assistance

Other (please describe below):

On-Line Pre-Application Form

*Name:	*Address:
*City:	*State:
*Zip Code:	*Phone:
Fax:	E-mail Address:

* - Indicates required field.

Position	Date You Can Start
Salary Desired
Are You Employed? Yes No	If So, May We Inquire Of Your Present Employer? Yes No
Ever Applied To This Company Before? Yes No	Where?
Ever Applied To This Company Before? Yes No	When?

Name And Location Of School	Years Attended	Did You Graduate?	Subjects Studies
Grammar School
High School
College
Trade, Business Or Correspondence School

Subjects Of Special Study/Research Work Or Special Training Skills:

U.S. Military Or Naval Service

Rank

Former Employers
(List Below Last Four Employers, Starting With Last One First)

Date Month And Year	Name And Address Of Employer	Salary	Position
From
To
Reason For Leaving
From
To
Reason For Leaving
From
To
Reason For Leaving
From
To
Reason For Leaving

References
Give Below The Names Of Three Persons Not Related To You, Whom You Have Known At Least One Year

Name	Address
1
Business	Years Known

Name	Address
2
Business	Years Known

Name	Address
3
Business	Years Known

Digital Signature: (In order to submit your application you must type in your name as a representation of your signature)

If you prefer you can fill out this form then print it out and fax it to Cam-Bel Media, Inc: 408-228-0888.