G W C o m m u n i c a t i o n S o l u t i o n s L L C. Present Address: Street City State Zip Code

Transcription

1 A P P L I C A T I O N F O R E M P L O Y M E N T G W C o m m u n i c a t i o n S o l u t i o n s L L C First Name Middle Name (or initial) Last Name Position Applied For Personal Information Present Address: Street City State Zip Code Home Phone Mobile Phone Address Experience Please list your current and former employers, beginning with the most recent. Employer #1 (include City & State) Job Title Dates of Employment Employer #2 Job Title Dates of Employment

2 Employer #3 Job Title Dates of Employment Military Experience Have you ever been in the Armed Forces? Are you currently a member of the National Guard? Specialty: Date Entered: Discharge Date: Education Name and Location (City and State) Years Completed Graduation Date (MM/YYYY) Degree and Course of Study High School Undergraduate Graduate (Vocational/Certificate/Training) Summarize any additional training, skills, licenses, or other certificates that may qualify you as being able to perform the job-related functions in the position for which you are applying. Driving Experience

3 Do you have a valid Driver s License? State of Issue: Operator Chauffeur Driver s License : Expiration Date: Commercial (CDL) Have you had any accidents in the past 3 years? If yes, how many accidents? Have you had any moving violations in the past 3 years? If yes, how many violations? Have you used the following? Motorcycle Passenger Car Pick-up Truck Van Box Truck Dates (MM/YY) to (MM/YY) Approximate Number of Miles Driven Please list all states operated in the last 5 years: Do you have any additional skills or experience that may be relevant for this position? (Trucking or transportation, special equipment, technical expertise, etc.)

4 References Name Job Title & Employer Years Known Phone Recruiting Source Newspaper Internet Walk-in School If yes, name of school: Employee Referral If yes, name of employee: Additional Questions Have you worked for UniTek or any of its subsidiaries before? If yes, what was your job title and what were your dates of employment? Have you applied for a position with UniTek or any of its subsidiaries before? If yes, when did you apply and for what position? Do you have any relatives that current work for UniTek or any of its subsidiaries? If yes, please list the name and job title of your relative: Have you ever been convicted of, or entered a plea guilty, to a crime? I certify that I am a U.S. citizen, permanent resident, or a foreign national with authorization to work in the United States I hereby certify that the facts set forth in the above employment application are true and complete to the best of my knowledge and authorize UNITEK GLOBAL SERVICES to verify their accuracy and to obtain reference information on my work performance. I hereby release UNITEK GLOBAL SERVICES from any/all liability of whatever kind and nature which, at any time, could result from obtaining and having an employment decision based on such information. I understand that, if employed, falsified statements of any kind or omissions of facts called for on this application shall be considered sufficient basis for dismissal.

5 I agree to submit to drug and alcohol testing, if requested by UNITEK GLOBAL SERVICES. I release UNITEK GLOBAL SERVICES, and its employees, plus other persons or companies, from any and all liability arising out of or related in any way to such testing. I authorize UNITEK GLOBAL SERVICES to investigate information concerning my education, employment experiences and all other aspects of my background relevant to my proposed employment. I release UNITEK GLOBAL SERVICES and its employees from all liability arising from such investigation. I understand that should an employment offer be extended to me and accepted that I will fully adhere to the policies, rules and regulations of employment of the Employer. However, I further understand that neither the policies, rules, regulations of employment nor anything said during the interview process shall be deemed to constitute the terms of an implied employment contract. I understand that any employment offered is for an indefinite duration and at will and that either I or the Employer may terminate my employment at any time with or without notice or cause. Signature of Applicant Date