Employment Application
Please fill out this form completely before submitting.
Email address *
Re-enter email address *
Your answer
Full Name *
Your answer
Address *
Your answer
Telephone Number *
Your answer
Which of the following smartphones do you own? *
If you own a smartphone, what carrier are you with?
If you own a smartphone, would you consent to installing and using an app to perform your work? (If applying for a technician position). *
Are you legally entitled to work in the U.S.? *
Type of Employment Desired *
Type of Position Desired (i.e., technician, office coordinator, etc.) *
Are you available to work weekends, early mornings, and evenings when necessary? *
Are you able to perform the essential functions of the job you are applying for, with or without reasonable accommodation? *
What accommodations, if any, will you require in order to perform the essential functions of this position? *
Your answer
Desired hourly wage *
Your answer
First available date for employment? *
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Education level *
Degree(s) / other training or certification *
Your answer
Veteran/military status *
Special skills *
Your answer
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