| |
| *Position
applying for: |
|
| *First
Name |
|
| Middle
Name |
|
| *Last
Name |
|
| *Email
address |
|
| *Phone
number |
|
| Cell
Phone Number |
|
| *Address |
|
| *City,
State and ZIP |
|
| Drivers
License # |
|
| State
Expiration Date (mm/dd/yy) |
|
Have
you ever been
convicted of a felony? |
Yes
No
|
| If
yes, please explain: |
|
*Are
you a citizen of
the United States? |
Yes
No |
|
If
no, do you have
the legal right to work
in the United States? |
Yes
No |
|
| *Desired
Salary |
|
*Have
you ever applied
for a position here before? |
Yes
No |
|
| If
yes, when? |
|
| *Type
of employment requested |
|
*Date
you are available
to
start work (mm/dd/yy): |
|
*Summary
of professional
qualifications (please describe
why you are qualified for this
position):
|
|
| Employment
History - Current employer |
| |
|
| *Dates
of employment (mm/dd/yy): |
from:
to:
|
| *Company
Name |
|
| *Supervisor
Name |
|
| *Supervisor Title |
|
| *Address |
|
| *City,
State and Zip |
|
| *Phone
Number |
|
| *Current
job title |
|
| *Description
of work performed: |
|
| *Starting
Salary |
|
| *Current
Salary |
|
| *Reason
for leaving: |
|
*May
we contact your
current employer for
a reference? |
Yes
No |
|
| Previous
employer 2 |
| |
|
| Dates
of employment (mm/dd/yy): |
from:
to:
|
| Company
Name |
|
| Supervisor Name |
|
| Supervisor Title |
|
| Address |
|
| City,
State and Zip |
|
| Phone
Number |
|
| Job
Title |
|
Description
of work
performed: |
|
| Starting
Salary |
|
| Current
Salary |
|
| Reason
for leaving: |
|
| Previous
employer 3 |
| |
|
| Dates
of employment (mm/dd/yy): |
from:
to:
|
| Company
Name |
|
| Supervisor
Name |
|
| Supervisor Title |
|
| Address |
|
| City,
State and Zip |
|
| Phone
Number |
|
| Job
Title |
|
| Description
of work performed: |
|
| Starting
Salary |
|
| Current
Salary |
|
| Reason
for leaving: |
|
| Educational
Information |
| |
|
| *School
Name |
|
| *Degree/Diploma/Certificate |
|
| *Year
Achieved |
|
| Course
of Study |
|
| Grade
Point Avg. |
|
| Address |
|
| *City,
State and Zip |
|
| |
|
| Other School Name |
|
| Degree/Diploma/Certificate |
|
| Year
Achieved |
|
| Course
of Study |
|
| Grade
Point Avg. |
|
| Address |
|
| City,
State and Zip |
|
| |
Personal/Professional
References
Please list at least one personal and two professional
references below: |
| |
| Reference 1. |
|
| *Name |
|
| *Relationship |
|
| *Daytime
Phone |
|
| Evening/Cell
Phone |
|
| |
| Reference 2. |
|
| *Name |
|
| *Relationship |
|
| *Daytime
Phone |
|
| Evening/Cell
Phone |
|
| |
| Reference 3. |
|
| *Name |
|
| *Relationship |
|
| *Daytime
Phone |
|
| Evening/Cell
Phone |
|
| |
| By
submitting this application, I certify that the answers given
by me in this application are correct to the best of my knowledge.
I understand that any falsification of this application, whether
willingly or accidental, is grounds for disqualification of
employment consideration, or dismissal from employment if
I am hired. I authorize ITS – Integrated Telemanagement
Services, Inc., and its divisions and affiliates to contact
any and all of the references I have listed above to obtain
previous employment information or any other pertinent information
that they may have. Further, I release the above mentioned
references from any and all liability for any damages that
may result from information collected by ITS. I authorize ITS
to conduct a background check and understand the results of the
background check may disqualify me for certain positions.
Positions that require travel to and from customer sites require
a clean DMV record. I authorize ITS to obtain a copy of my DMV
records as part of the pre-screen process.Verificationof eligibility
to work in the United States must be satisfied
for an offer to be made. |
|
*
I Agree
I Disagree |
| *Required
Fields |
*Human Verification Code
|
|