Name
*
First Name
Last Name
Permanent Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Most Previous Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone
*
(###)
###
####
Email Address
*
Your Current Position
*
Position Applying for:
*
Availability
*
Social Security Number
*
Driver's License Number
*
Driver's License State
*
Do you have any restrictions on your license?
*
Is your license suspended or revoked?
*
If Yes, please provide a reason here:
Are you 18 years or older?
*
Yes
No
Will you work overtime if necessary?
*
Yes
No
Are you legally authorized to work in the U.S.?
*
Yes
No
Are you capable of meeting higher physical demands for a technician position?
*
Yes
No
If not, tell us why here:
Have you ever been convicted of a crime, military court martial (excluding minor traffic offenses)?
*
Yes
No
If yes, please explain with as many details as possible here:
Highest level of education
*
Masters
Bachelors
Associate Degree
High School Diploma
Any other formal training (including military)? Describe here:
What is your highest level of computer competency?
*
Do you have any professional or trade licenses? Tell us here:
Personal Reference One
*
First Name
Last Name
Reference Phone
*
(###)
###
####
How do they know you?
*
Personal Reference Two
*
First Name
Last Name
Reference Phone
*
(###)
###
####
How do they know you?
*
Business Reference One
*
First Name
Last Name
Reference Phone
*
(###)
###
####
How do they know you?
*
Business Reference Two
*
First Name
Last Name
Reference Phone
*
(###)
###
####
How do they know you?
*
May we contact your present employer?
*
Yes
No
May we contact all past employers?
*
Yes
No
Please list any aliases here:
Previous Employer & Address
*
Employer Phone
*
(###)
###
####
Brief Description of Duties
*
Reason for Leaving
*
Previous Employer & Address
*
Employer Phone
*
(###)
###
####
Brief Description of Duties
*
Reason for Leaving
*
I understand that all employment is strictly on an “At Will” basis. This means that there is no obligation on either the employer or the employee for continued service. Either the employer or the employee may terminate the employment relationship at any time for any reason or for no reason. Nothing to the contrary, and no commitment (verbal or otherwise) for employment, shall be valid or binding on the Company unless it is expressly set forth in a written document signed by the employee and the Chief Executive Officer of the Company.
*
I certify to the best of my knowledge and belief, all statements in this application are true and correct and I understand that any misrepresentation or omission of information may preclude an offer of employment or may be cause for dismissal. If employed by the Company, I will comply with all rules, regulations, and policies set forth in the Company’s policy statements, which may include, without limitation, my satisfactory completion of a physical exam and my submission to a drug or alcohol test. It is further understood that any offer of employment will be contingent upon participation in required employee benefit programs.
*
I certify that I am legally authorized to work in the United States. I understand that any offer of employment is conditional upon my ability to provide documents proving both my identity and authorization to work in the United States, and that failure to produce such documents will result in revocation of the offer or termination of employment. I understand that the Company will accommodate, to the extent practicable, employees with disabilities, to allow access to Company facilities and employment opportunities. I further understand that I have 182 days from this date or the date I know or reasonably should know that such an accommodation is needed, to file a written request for such accommodation.
*
I understand and agree that all information furnished in this application may be verified by the Company or its agent. I hereby authorize all individuals and organizations named or referred to in this application to give information relative to such verification; I understand that they may express their opinions about my past or future performance; and I hereby release such individuals, organizations, the Company or its agent, from any and all liability for any claim or damage resulting therefrom. I grant permission to check my driving record and credit history.
*
I understand that Clear Advantage Services offers service at a variety of times and that I may be called on to work one of these times on short notice. By completing this application, I agree that I am able to work any time that is assigned to me, including those that required Saturdays, and will make necessary arrangements should I not be able to work a given time.
*
I understand that my application will not be considered unless all information is completed.
*
