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Applying for: Installation and Repair Technician (Sierra Vista, Whetstone, Benson, Tombstone, Patagonia)

(This application will only be valid for this position and not for other job openings)

How did you hear about this position?

Newspaper

Friend

Inquiry

Employee

Employment Agency

Relative

Internet

Other

Personal Information

If you are currently employed, may we contact your employer?

n/a

Yes

Are you presently on lay-off and subject to recall?

Yes

Have you ever applied for a position with us before? If yes, please give the date and the position you applied for?

Yes

Date:

Position:

Have you ever been employed with us before? If yes, please list your dates of employment and most recent job title.

Yes

From:

To:

Title:

Do you have any relatives currently working for the Valley TeleCom Group? If yes, please state their name, relationship and office location:

Yes

Name, relationship and office location:

Are you prevented from lawfully becoming employed in this country?
(Proof of citizenship or immigration status will be required upon employment.)

Yes

Are you under 18 years of age? If yes, please provide your date of birth

Yes

Date of Birth:

Do you have a valid drivers license?

n/a

Yes

Can you travel if the job requires it? (Answer only if position requires you to travel)

n/a

Yes

Are you available to work: (check all that apply)

Full-Time

Part-Time

Temporary

Rotating Days

Rotating Shifts

Overtime

If hired, when could you start?

Specialized Skills - Clerical/Office Skills (check all that apply)

Computer

Spreadsheet

Word Processing

Internet/Email

Data Entry

Telephone

Ten Key

Documentation

Typing

Typing wpm:

Comments

Specialized Training, apprenticeships and licenses

Job-Related Training received in the U.S. Military (include dates of service)

Additional Qualifications and Skills

Education

High School

Undergraduate College

Graduate College

Other

Employment History

A resume may be attached to provide additional information.

If Currently Employed

Previous Employment

Personal Information

Do you have a minimum salary requirement?

Yes

Pay Desired

Hourly / Salary

Hourly

Salary

Do you have a criminal record?

Yes

If yes, please explain. You will not be automatically disqualified by answering “yes” since the nature of the offense, date and type of job that you are applying for will be considered.

References

Applicant's Statement of Understanding

I certify, to the best of my knowledge, all information given herein is true and complete.

I understand that consideration for employment is conditioned upon the results of a reference check and that the employer is authorized to investigate all statements contained in this application for employment as may be necessary in arriving at an employment decision. In the event of employment, I understand that false or misleading information given in this application, attached sheets or resume, and/or any interview may result in discharge. I authorize all individuals, schools, and firms, named herein, except my current employer if so noted, to provide any information requested about me, and I release them from all liability or damages relating to the release of such information.

I understand that as a condition of employment, I will be required to submit to and pass a drug screen and physical prior to the commencement of employment. I agree to allow the Valley TeleCom Group to receive a report regarding the results of both the drug screen and physical. I also understand that the Valley TeleCom Group has a “drug free workplace” policy and if I am employed, circumstances may arise where I will be required to submit to drug and/or alcohol testing in accordance with their drug and alcohol policies.

I hereby understand and acknowledge that any employment relationship with the Valley TeleCom Group is of an “at will” nature, which means that the Employee may resign at any time and the Employer may discharge an Employee at any time with or without cause. It is further understood that this “at will” employment relationship may not be changed by any written document, conduct, and/or explicit or implicit agreement unless such change is specifically acknowledged in writing by an authorized executive of the Valley TeleCom Group that this application is not a contract of employment.

Yes, I have read and acknowledge the above Statement of Understanding.

Acknowledged by:

Date Acknowledged:

Please note: A physical signature will be requested if you are selected to interview for the position.

Signature of Applicant

Date

We are an equal opportunity employer
All applicants will be considered for the position applied for without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, or any other legally protected status.

Employment Careers

Thank you for your interest in a career with Valley TeleCom Group.