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Application Information

Position Applied for

Date of Application

How did you learn about us?

Contact Information

Last Name

First Name

Middle Initial (voluntary)

Mailing Address

City

State

Zip Code

Telephone Number

E-Mail Address

Employment Information

Have you ever filed an application with us before? Date

Have you ever been employed with us before? Date

Are you currently employed? May we contact your current employer?

Are you currently on a "lay-off" status?

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

Have you been convicted of a crime? Conviction will not necessarily disqualify an applicant from employment

Are you physically or otherwise unable to perform the duties of the job for which you are applying?

What date would you be available to work?

When are you available to work?

Can you travel for work?

Do you have a valid drivers license?

Education

Elementary School

School name and location

High School

School name and location

Undergraduate College / University

School name and location

Diploma / Degree

Describe course of study

Graduate / Professional

School name and location

Diploma / Degree

Describe course of study

Foreign Languages

Enter the name(s) of any foreign languages you can speak, read, and/or write

	Fluent	Good	Fair
Speak
Read
Write

Additional Training

Describe any specialized training, apprenticeship, skills and extra-curricular activities:

Describe any honors you have received:

State any additional information you feel may be helpful to us in considering your application:

List professional, trade, business or civic activities and offices held. Please exclude memberships which would reveal sex, race, religion, national origin, age, ancestry, or handicap or other protected status:

Please summarize special job-related skills and qualifications acquired from employment or other work-related experiences:

References

Please share the names, mailing address and telephone number of three professional references who are not related to you:

Most Recent or Current Employment Experience

Employer

Mailing Address

City

State

Zip Code

Phone Number

Job Title

Work Performed

Reason for Leaving

Direct Supervisor

Dates of Employment

Previous Employment Experience

Employer

Mailing Address

City

State

Zip Code

Phone Number

Job Title

Work Performed

Reason for Leaving

Direct Supervisor

Dates of Employment

Employer

Mailing Address

City

State

Zip Code

Phone Number

Job Title

Work Performed

Reason for Leaving

Direct Supervisor

Dates of Employment

Employer

Mailing Address

City

State

Zip Code

Phone Number

Job Title

Work Performed

Reason for Leaving

Direct Supervisor

Dates of Employment

Applicant's Statement

I certify that answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.

This application for employment shall be considered active for a period of time not to exceed 365 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time.

I hereby acknowledge that any employment relationship with MTE Communications is of an "At Will" nature, which means that the employee may resign at any time and MTE may discharge the employee at any time with or without cause. It is further understood this "At Will" relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of the company.

In the event of employment, I understand that false or misleading statements given in any employment application, interview, or resume may result in discharge. I understand that I am required to abide by all state, federal, and company policies.

Signature of Applicant

MTE Communications is an equal opportunity provider and employer.

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