Job Application: Service Technician

Title: Service Technician

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Applicant Information

First Name *
Last Name *
Email Address *
Address
City
Post code
Country
Telephone *
Cell phone
Date Available *
Are you a citizen of the US? *	Yes No
If no, are you authorized to work in the US?	Yes No
Have you ever been convicted of a felony? *	Yes No
If yes, explain

Education

Did you graduate high school or obtain a GED? *	Yes No
High school and location *
Year graduated or obtained GED *

Most Recent Employer

Company name *
Company phone number *
Location *
Job title *
Supervisor *
Starting salary *
Ending salary *
Start date *
End date *
Reason for leaving *
May we contact your supervisor for reference? *	Yes No

Recent Employer # 2

Company name
Company phone number
Location
Job title
Supervisor
Starting salary
Ending salary
Start date
End date
Reason for leaving
May we contact your supervisor for reference?	Yes No

Tell us, briefly, why we should hire you
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Disclaimer and Digital Signature

Acceptance of privacy policy *	I have read and understood the privacy policy.
Signature *	By checking this box, I certify that my answers are true and complete to the best of my knowledge. If I am employed, I understand that any false or misleading information in my application may result in my termination.
By writing my name in this box, I digitally sign this document. *