Job Application
First Name
Last Name
Middle Name
Home Telephone Number
Cell
Email
Address Information
Street
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
District of Columbia
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip
General Information
Previous Address if less than five years at present address
How did you hear about employment opportunities at TELCO
If you were referred by TELCO employee please state their name
Are you related to any TELCO employee?
Yes
No
Name
Location
Position
Have you worked for TELCO in the past
Yes
No
if yes, please list dates & REASON FOR LEAVING
Have you ever worked for TELCO under a different name
Yes
No
if yes please explain
Are you legally eligible to be employed in this country?
Yes
No
Are you currently employed?
Yes
No
May we contact you current employer?
Yes
No
Have you ever applied with us before?
Yes
No
when?
Have you ever been terminated or asked to resign from any job?
Yes
No
Please explain
Are you under 18 years of age?
Yes
No
Do you have any working papers?
Yes
No
EMPLOYMENT DESIRED
Position
Date Available
Salary Desired
Full Time OR Part Time?
Full Time
Part Time
Days/ Hours Available
EDUCATION:
High School Name
High School Location
High School Graduate?
Yes
No
High School Major Subject
High School GPA
College Name
College location
College Graduate?
Yes
No
College Major Subject
College GPA
Other Education
EMPLOYMENT
LIST YOUR LAST 4 EMPLOYERS STARTING WITH THE MOST RECENT
EMPLOYMENT #1
EMPLOYMENT 1 Name
From
To
SUPERVISOR NAME
Telephone
Position
Reason for leaving
EMPLOYMENT #2
EMPLOYMENT 2 Name
From
To
SUPERVISOR NAME
Telephone
Position
Reason for leaving
EMPLOYMENT #3
EMPLOYMENT 3 Name
From
To
SUPERVISOR NAME
Telephone
Position
Reason for leaving
EMPLOYMENT #4
EMPLOYMENT 4 Name
From
To
SUPERVISOR NAME
Telephone
Position
Reason for leaving
PROFESSIONAL REFERENCES:
( YOU MUST LIST A MINIMUM OF TWO TO BE CONSIDERED FOR EMPLOYMENT )
REFERENCE #1
Name
Position
Company
Address
Telephone
REFERENCE #2
Name
Position
Company
Address
Telephone
REFERENCE #3
Name
Position
Company
Address
Telephone
I authorize investigation of all statements contained in this application. I understand that misrepresentation or omission of the facts called for is cause dismissal. Further, I understand that my employment is for no definite period and that employment at TELCO is voluntarily entered into and employees are free to resign at anytime. Similarly TELCO is free to terminate an employment relationship anytime it believes it is in the company’s best interest to so without notice or cause.
Signature
Date:
Submit Application