Upper Edge Tech Employment Application
Please fill out this employment application - Benn or Kim will review, and be in contact.

Thank you very much!

Name *
First and Last
Your answer
Date of Application *
Your answer
Office Skills *
Please check any skills you have.
Required
Present Address *
Your answer
Telephone *
Your answer
Email Address *
Your answer
If under 18, please list current age:
Your answer
Position applied for *
Your answer
Salary desired *
Please be specific.
Your answer
Days available *
Required
How many hours can you work weekly? *
Your answer
Can you work nights? *
Required
Employment desired *
Educational History *
Please list all educational history, including a list of schools attended (name + address), # of years completed, and any major/degree.
Your answer
Have you ever been convicted of a crime? *
If yes, explain number of conviction(s), nature of offense(s) leading to conviction(s), how recently such offense(s) was/were committed, sentence(s) imposed, and type(s) of rehabilitation.
Your answer
Did you complete this application yourself? *
References *
Please list two references, with telephone numbers, emails and addresses, other than relatives or friends.
Your answer
Do you have a driver's license? *
What is your means of transportation to work? *
Your answer
License number *
Your answer
State of issue *
Your answer
License Type
Accident History
Please list any accidents or moving violations within the past three years.
Your answer
Have you ever been in the Armed Forces?
Are you now a member of the National Guard?
Military History
Please list your specialty, date entered, and discharge date as appropriate.
Your answer
Work Experience *
Please provide a list of work experience from most recent to least recent for the last 5 years. Please include employer address, name of supervisor, dates of employment, salary, title, and reason for leaving.
Your answer
Additional Information
Please summarize any additional information necessary to describe your qualifications for the specific position you are applying for.
Your answer
May we contact your current employer? *
Social Security Number
Your answer
Who Referred you?
Your answer
The person above explained to me the Ideal Team Player
Applicant's Certification and Agreement *
Captionless Image
Your answer
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