IAMO Telephone Company

Required Fields

Applicant Information:

First Name:

Last Name:

Mailing Address:

City:

State:

Zip:

Phone:

E-mail:

Availability:

Are you a citizen of the United States? Yes: No:

Are you authorized to work in the United States? Yes: No:

Available Start Date:

Were you previously employed by us? Yes: No:

Have you applied to this company before? Yes: No:

Have you been convicted of a felony? Yes: No:

Please explain any of the "Yes" responses above:

Characters: (300 remaining)

Skills:

Are you familiar with the use of a computer, as well as email, word processing and internet programs? Yes: No:

Please list all computer programs, any other experiences, skills or qualifications (i.e. - communication skills, etc.), which you feel would especially fit you for work with our company:

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Education:

Please list your degree(s), subjects studied, and/or associations to which you belong that you consider relevant to your ability to perform the position you are applying:

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Employment History:

Company 1:

Company?

Employment Status? Full Time: Part Time:

Dates Employed?

Position?

Supervisor Name?

Supervisor Phone?

Salary Amount?

Reason for leaving:

Characters: (300 remaining)

May we contact this employer? Yes: No:

Company 2:

Company?

Employment Status? Full Time: Part Time:

Dates Employed?

Position?

Supervisor Name?

Supervisor Phone?

Salary Amount?

Reason for leaving:

Characters: (300 remaining)

May we contact this employer? Yes: No:

Company 3:

Company?

Employment Status? Full Time: Part Time:

Dates Employed?

Position?

Supervisor Name?

Supervisor Phone?

Salary Amount?

Reason for leaving:

Characters: (300 remaining)

May we contact this employer? Yes: No:

References:

Please list the names of three people not related to you whom you have known at least one year whom we may contact as a reference.

Reference 1:

Name:

Address:

Phone:

Relationship:

Reference 2:

Name:

Address:

Phone:

Relationship:

Reference 3:

Name:

Address:

Phone:

Relationship:

Additional Information:

Please give any additional information that might help evaluate this application

(Phone number and best time of day to reach you, criminal history, past issues, etc.):

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I certify that all information on this application is true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application including requests for information from the Department of Motor Vehicles, Department of Criminal Investigations or other agencies. I release all persons, firms, agencies and other entities from any liability or damages for requesting or furnishing information.

I acknowledge that any employment relationship with this company is at will, which means that I may resign at any time and the Employer may terminate me at any time with or without cause. I further understand that this employment relationship may not be changed by any written document or by conduct unless the change is specifically acknowledged in writing by an authorized person or this organization.

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in termination. I understand that I am required to abide by all rules and regulations of the employer. I understand that if my job requires the operation of a commercial vehicle, drug testing is required.

Employment Application Form

Applicant Information:

Availability:

Skills:

Education:

Employment History:

References:

Additional Information:

I agree the above information, to the best of my knowledge, is true and correct.