Application for Employment
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MR Systems Wireless, LLC
104 E Side Sq, Clinton, IL 61727                    217-935-2100                  info@itsintheair.net
We are an Equal Opportunity Employer and fully subscribe to the principles of Equal Employment Opportunity.  Applicants and/or employees are considered for hire, promotion and job status, without regard to race, color, religion, creed, sex, marital status, national origin, age, physical or mental disability.
Date of Application
Position Applying for:
Name
Address
City, State
Phone Number
Do you have a valid driver license?
Do you have your own vehicle?
Are you able to perform the essential job functions of the position for which you are applying with or without reasonable accommodation?
Have you been convicted of any felonies other than minor traffic violations during the past seven years?  
Education & Training:
Last Grade Completed
High School
College
Masters
Doctorate
Name & Address of School
Last High School Attended/ Address
Graduated or Degree
College or University or Trade School Address
Major studied
Graduated or degree
List any scholarships, academic honors, awards or special achievements:
Skills
Please list any skills you have that are appropriate for the position you are applying for:
If required, will you work?
 Rotating shifts
Overtime
OnCall - including Saturdays and Sundays
Salary Requirements
State fully why you believe you are qualified for this postion:
Interests/ Accomplishments;  You may wish to list significant experience, interests, and accomplishments gained while working as a volunteer or as a hobbyist that may be useful in the position you are seeking.  Names of organizations designating religion, race, etc. need not be mentioned.
Employment History
Starting with your PRESENT or MOST RECENT EMPLOYER list in consecutive order ALL EMPLOYMENT for at least the past FOUR employers.  
If currently employed, may we contact your employer?
Most Recent Employer
Name of Company
Address of Company
Phone Number
Name of Supervisor
Position Held
Salary Begin and End
Employed From Date - To Date
List jobs held, duties performed, skills used, and any promotions
Employer # 2
Name of Company
Address of Company
Phone Number
Name of Supervisor
Position Held
Salary Begin and End
Employed From Date - To Date
List jobs held, duties performed, skills used, and any promotions
Employer # 3
Name of Company
Address of Company
Phone Number
Name of Supervisor
Position Held
Salary Begin and End
Employed From Date - To Date
List jobs held, duties performed, skills used, and any promotions
Other Employers
List any other jobs that you have held where skills you used would help with this job.
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