Computer Technician Job Application

WE CONSIDER APPLICATIONS FOR ALL POSITIONS WITHOUT REGARD TO RACE, COLOR, RELIGION, CREED, SEX, NATIONAL ORIGIN, DISABILITY, SEXUAL ORIENTATION, CITIZENSHIP STATUS OR ANY OTHER LEGALLY PROTECTED STATUS.

Position applying for: Computer Technician, Information Technology Division - Administration Department

Click on the link to the right for a copy of the job description

Computer Technician Job Description

ALL APPLICATIONS MUST BE SUBMITTED BY 4:00 PM ON THURSDAY, AUGUST 28, 2014

Date of Application*

How did you learn about us?*

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Friend Other

Last Name*

First Name*

Middle Name

Mailing Address*

City*

State*

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Physical Address*

City*

State*

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Home Phone*

Cell Phone*

Email*

If you are under 18 years of age, can you provide required proof of your eligiblity to work?*

Yes

No

Have you ever filed an application with us before?*

Yes

No

Have you ever been employed with us before?*

Yes

No

Do any of your friends or relatives, other than spouse, work here?*

Yes

No

Are you currently employed?*

Yes

No

May we contact your present employer?*

Yes

No

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

Yes

No

Date you are available for work?*

What is your desired salary range?*

Are you available to work Full-Time?*

Yes

No

Have you been convicted of a felony within the last 7 years?*

Yes

No

Are you currently on "lay-off" status and subject to recall?*

Yes

No

EDUCATION

Name and Address of High School*

Number of years completed*

4 3 2 1

Diploma Degree*

Name and Address of University/College

Number of years completed

1 2 3 4 5+

Diploma Degree

Other Education/Specialized training

EMPLOYMENT EXPERIENCE

*If you have no employment experience please enter N/A in each box.

Employer Name*

Dates Employed*

Hourly Rate/Salary*

Address*

City*

State*

Select a StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMassachusettsMarylandMichiganMinnesotaMississippiMissouriMontanaNorth CarolinaNorth DakotaNebraskaNevada New Hampshire New JerseyNew MexicoNew YorkOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVirginiaVermontWashingtonWest VirginiaWisconsinWyomingWashington D.C.

Job Title*

Supervisor*

Telephone Number(s)*

Work Performed*

Reason for Leaving*

Employer Name*

Dates Employed*

Hourly Rate/Salary*

Address*

City*

State*

Select a StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMassachusettsMarylandMichiganMinnesotaMississippiMissouriMontanaNorth CarolinaNorth DakotaNebraskaNevada New Hampshire New JerseyNew MexicoNew YorkOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVirginiaVermontWashingtonWest VirginiaWisconsinWyomingWashington D.C.

Job Title*

Supervisor*

Telephone Number(s)*

Work Performed*

Reason for Leaving*

Employer Name

Dates Employed

Hourly Rate/Salary

Address

City

State

Select a StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMassachusettsMarylandMichiganMinnesotaMississippiMissouriMontanaNorth CarolinaNorth DakotaNebraskaNevada New Hampshire New JerseyNew MexicoNew YorkOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVirginiaVermontWashingtonWest VirginiaWisconsinWyomingWashington D.C.

Job Title

Supervisor

Telephone Number(s)

Work Performed

Reason for Leaving

SPECIALIZED SKILLS

Summarize special job related skills and qualifications aquired from employment or other experience*

State any addtitional information you feel may be helpful to us in considering your application.

REFERENCES

Name*

Address*

Telephone Number(s)*

Name*

Address*

Telephone Number(s)*

Name*

Address*

Telephone Number(s)*

Attachments (Resume, course certificates or other supporting documentation)

Convert to PDF?
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Attachments (Resume, course certificates or other supporting documentation)

Convert to PDF?
(DOC, DOCX, XLS, XLSX, TXT)

Attachments (Resume, course certificates or other supporting documentation)

Convert to PDF?
(DOC, DOCX, XLS, XLSX, TXT)

I CERTIFY THAT ANSWERS GIVEN ARE TRUE AND COMPLETE.

I AUTHORIZE INVESTIGATION OF ALL STATEMENTS CONTAINED IN THIS ELECTRONIC APPLICATION FOR EMPLOYMENT AS MAY BE NECESSARY IN ARRIVING AT AN EMPLOYMENT DECISION.

THIS ELECTRONIC APPLICATION FOR EMPLOYMENT SHALL BE CONSIDERED ACTIVE FOR A PERIOD OF TIME NOT TO EXCEED 45 DAYS. ANY APPLICANT WISHING TO BE CONSIDERED FOR EMPLOYMENT BEYOND THE TIME PERIOD OF 45 DAYS SHOULD INQUIRE AS TO WHETHER OR NOT APPLICATIONS ARE BEING ACCEPTED AT THAT TIME.

I HEREBY UNDERSTAND AND ACKNOWLEDGE THAT, UNLESS OTHERWISE DEFINED BY APPLICABLE LAW, ANY EMPLOYMENT RELATIONSHIP WITH THIS ORGANIZATION IS OF AN "AT WILL" NATURE, WHICH MEANS THAT THE EMPLOYEE MAY RESIGN AT ANY TIME AND THE EMPLOYER MAY DISCHARGE 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 OR BY CONDUCT UNLESS SUCH CHANGE IS SPECIFICALLY ACKNOWLEDGED IN WRITING BY AN AUTHORIZED EXECUTIVE OF THIS ORGANIZATION.

IN THE EVENT OF EMPLOYMENT, I UNDERSTAND THAT FALSE OR MISLEADING INFORMATION GIVEN IN MY APPLICATION OR INTERVIEW(S) MAY RESULT IN DISCHARGE. I UNDERSTAND, ALSO, THAT I AM REQUIRED TO ABIDE BY ALL RULES AND REGULATIONS OF THE EMPLOYER.

YOU WILL BE REQUIRED TO ENTER A DIGITAL SIGNATURE WHICH WILL BE BINDING AS YOUR ACTUAL SIGNATURE. YOUR ELECTRONIC SIGNATURE BELOW INDICATES YOUR AGREEMENT WITH THE FOLLOWING STATEMENTS:

BY TYPING MY NAME IN THE BOX BELOW I CERTIFY THE ABOVE STATEMENTS TO BE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE, AND THAT THIS INFORMATION CAN BE USED FOR THE PURPOSE OF PROCESSING MY EMPLOYMENT APPLICATION.

Digital Signature*

Date*

ONCE YOU CLICK THE SUBMIT OR SUBMIT/PRINT BUTTON YOUR APPLICATION WILL BE SUBMITTED TO HUMAN RESOURCES.