Beauty Through The Lens · L.L.C. · Controlled Form

State of New Jersey · NAICS 541921

BTL-PBL-05 · Volume 05

Employment Application

Creating Lasting Memories Through Beautiful Photography.

Standardized job application capturing legally permitted information — identity, work history, education, references, EEO voluntary disclosure, and pre-employment authorizations. Complies with FCRA, ADA, Title VII, GINA, and state ban-the-box laws (NJ/PA/NY/CT).

BTL-PBL-05.010

Form

Vol 05 — Human Resources & Talent

Position Applied For

Position / title *

Date available to start *

Employment type sought (full-time / part-time / freelance / seasonal) *

Desired compensation

How did you hear about this opening?

Are you legally authorized to work in the United States? *— Yes / No — sponsorship not offered for this role unless stated.

Yes / N/A

Will you now or in the future require sponsorship for employment visa status?

Yes / N/A

Are you at least 18 years of age (or working papers on file if a minor)? *

Yes / N/A

Applicant Information

Full legal name (Last, First, Middle) *

Other names used (for records/reference checks)

Home address *

City / State / ZIP *

Phone *

Email *

Preferred contact method

Work Experience — most recent first (attach additional pages if needed)

Employer 1 — company name *

Employer 1 — address, supervisor & phone

Employer 1 — position & dates (MM/YYYY – MM/YYYY) *

Employer 1 — duties & reason for leaving

May we contact this employer?

Yes / N/A

Employer 2 — company name

Employer 2 — address, supervisor & phone

Employer 2 — position & dates

Employer 2 — duties & reason for leaving

May we contact this employer?

Yes / N/A

Employer 3 — company name

Employer 3 — position & dates

Employer 3 — duties & reason for leaving

Education & Credentials

High school / GED — school & completion status

College / university — school, degree, field of study

Additional certifications (photography, first aid, CPR, drone Part 107, etc.)

Relevant technical skills & software

Photography / Role-Specific Qualifications

Years of professional photography experience

Specialty areas (portrait, boudoir, wedding, editorial, product, etc.)

Portfolio / website URL

Owned equipment relevant to role

Valid driver's license? State & class— Only if driving is an essential function of the role.

Professional References (not former supervisors)

Reference 1 — name / relationship / phone / email *

Reference 2 — name / relationship / phone / email *

Reference 3 — name / relationship / phone / email

Conditional Pre-Employment Screening (contingent on offer)

I understand any offer is contingent on successful I-9 verification, reference checks, and — where legally permitted — an FCRA-compliant background check disclosed separately. *— Criminal history is NOT requested on this application. Ban-the-box: NJ N.J.S.A. 34:6B-11; NYC Fair Chance Act; PA 18 Pa. C.S. § 9125; CT Gen. Stat. § 31-51i.

Yes / N/A

Voluntary EEO Self-Identification (optional — not used in hiring)

Gender identity— Optional. Kept in a segregated EEO file per 29 C.F.R. § 1602.

Race / ethnicity— Optional.

Veteran status— Optional — VEVRAA self-ID.

Disability status (invited to voluntarily self-identify)— Optional.

Applicant Certification

I certify that all information provided is true and complete. I understand that any misrepresentation or omission may result in withdrawal of an offer or termination of employment. *

Yes / N/A

I understand that, if hired, employment is at-will (except where state law provides otherwise) and may be terminated by either party at any time. *

Yes / N/A

Applicant signature *

Date *

Prepared by

Name · Title · Date

Reviewed by

Name · Title · Date

Approved by

Owner · Katheryn L. Wilkins · Date

Controlled document — BTL-PBL-05.010. Complete all required fields (marked *). Retain per Volume 15 retention schedule.