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IT Employment Application
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Position Desired
Name
*
First
Last
Date
*
Email
*
Phone Number
*
Cell Phone Number
Address
Street Address
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
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
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Type of employment desired:
*
Full-Time
Part-Time
Temporary
Date Available to start work:
*
How were you referred to us?
*
Career Fair
Job Post
TPA Employee
Social Media
What career fair was it?
Name of the employee
Where was the job posted?
What platform of social media?
Are you able to meet the attendance requirements?
*
Yes
No
Do you have any objection to working overtime (if necessary)?
*
Yes
No
Have you been previously employed by our organization?
*
Yes
No
Can you travel if required by this position?
*
Yes
No
Are you authorized to work in the US for any employer?
*
Yes
No
Do you currently hold a sponsored work visa?
*
Yes
No
When does your visa expire?
*
Is your work visa transferable to any employer?
*
Yes
No
If under 18, can you furnish a work permit if it is required?
*
Yes
No
Have you been convicted of a felony in the last 7 years?
*
Yes
No
If yes, please explain (a conviction will not automatically bar employment):
*
If any of the information requested below is on your resume you are not required to fill it out.
Other Skills and Qualification
Summarize any job-related training, skills, licenses, certificates, software experience:
Educational History
List school name and location, years completed, course of study, and any degrees earned: this includes high school, college, technical training, and other.
Name
Location / City
Years Completed
Course of Study
Degrees Earned
References
List three (3) reference names, phone numbers, and years known (do not include relatives)
Name
Number
Years Known
Upload your resume (doc, txt, or pdf files only)
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Comments or Cover Letter
Comments
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