Employment Applicant Information

Employment Applicant Information

Full Name:


DOB:


Address:

Apartment/Unit #:


City:

State:

Zip Code:

Phone: Email Adresss:

Date Available: Social Security No.:

Desired Salary: Position Applied for:

Are you a citizen of the United States?

YES NO

If no, are you authorized to work in the U.S.?

YES NO

Have you ever worked for this company?

YES NO

If yes, when?

 

Have you ever been convicted of a felony?

YES NO

If yes, explain:

References

Please list three professional references.

Full Name: Relationship:
Company: Address:
Phone:

Education

Address:


From:

To:

Did you graduate? YES NO

Degree:

Previous Employment

Company:

Phone:

Address:

Supervisor:


Job Title:

Starting Salary:

Ending Salary:

Responsibilities:

From:

To:

Reason for Leaving:

May we contact your previous supervisor for a reference? YES NO

Company:

Phone:

Address:

Supervisor:


Job Title:

Starting Salary:

Ending Salary:

Responsibilities:

From:

To:

Reason for Leaving:

May we contact your previous supervisor for a reference? YES NO

Company:

Phone:

Address:

Supervisor:


Job Title:

Starting Salary:

Ending Salary:

Responsibilities:

From:

To:

Reason for Leaving:

May we contact your previous supervisor for a reference? YES NO

Military Service

Branch:

From:

To:

Rank at Discharge:

Type of Discharge:

If other than honorable, please explain:

Questionnaire

Dear Applicant:
Below are a few yes or no questions that we ask you to answer to assist us in moving your application forward in the review process.


Do you have reliable transportation?

Can you type at least 30 WPM?

Are there any days or hours that you are not available to work, including holidays?

What are your major cross streets?

Would any infractions show up on a criminal background check?

Your application and questions will be submitted to our hiring team and human resource which will contact you in the near future. Again, we appreciate your interest in our organization.

Questionnaire

Dear Applicant:
Below are a few yes or no questions that we ask you to answer to assist us in moving your application forward in the review process.


What are you major cross streets?

What year, make, model truck, van or SUV do you own? (This position requires that you use your own vehicle and it must be a truck, van or an SUV.)

Is the vehicle in good condition and free from major damage?

Can you pass a pre-employment drug screen?

Would any infractions show up on a criminal background check?

Are there any days or hours that you are not available to work, including holidays?

Why are you a good candidate for the Cable Technician position?

Disclaimer and Signature

I certify that my answers are true and complete to the best of my knowledge.

If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

Signature:

Date: