Employment Application

Your personal information is protected and secure on this website.
Date*
MM slash DD slash YYYY
Name*
First Last
Current Address*
Street Address City State ZIP Code
Previous Address if you have been at current address for less than 3 years
Street Address City State / Province / Region ZIP / Postal Code
Phone Number*
Email
Are you over the age of 18?*
Are you legally eligible for employment in the United States?*
Drivers License State*
Are there any violations on your license in the last three years?*
If you answered Yes to the above questions, please explain violation and date.

Have you ever been convicted or currently under investigation for a crime other than minor traffic violations?*
If you answered Yes or Currently Under Investigation for the question above, please write explanation of charges, county and state of charges, and date.
Are you required to register as a sex offender in any state?*
If you answered Yes to the question above, please list state?

Date available for employment*
MM slash DD slash YYYY
Income Desired*
per week
Will you be able to work Monday - Friday from 7:45am until work is completed and Saturdays as needed*
Employee hours vary from day to day. All Employees are required to be in at 7:45am and will leave when work has finished for the day. Some days this may mean you work until 3:00pm and other days you may work until 7:00pm.
Do you have dependable transportation to work?*

Name of most recent employer:*
Employer Address*
Street Address City State ZIP Code
Name of Supervisor*
Phone Number of Employer:*
Are you still employed?*
Can NEW-TEC contact employer?*
All applicants that answer No agree that NEW-TEC may contact employer if an offer of employment is offered and accepted and resignation has been offered by employee to current employer.
Income*
per week
Begin Date Of Employment*
MM slash DD slash YYYY
End Date of Employment*
If you are still employed, please put today's date
MM slash DD slash YYYY
Summarize work peformed and responsibilities:*
Please explain reason for leaving current employment?*
Do you have additional employers to list?*
NEW-TEC requires applicants to list the three most current employers over the past five years.

Name of employer:*
Employer Address*
Street Address City State ZIP Code
Name of Supervisor*
Phone Number of Employer:*
Are you still employed?*
Can NEW-TEC contact employer?*
All applicants that answer No agree that NEW-TEC may contact employer if an offer of employment is offered and accepted and resignation has been given by employee to current employer.
Income*
per week
Begin Date Of Employment*
MM slash DD slash YYYY
End Date of Employment*
If you are still employed, please put today's date
MM slash DD slash YYYY
Summarize work peformed and responsibilities:*
Please explain reason for leaving employment?*
Do you have additional employers to list?*
NEW-TEC requires applicants to list the three most current employers over the past five years.

Name of employer:*
Employer Address*
Street Address City State ZIP Code
Name of Supervisor*
Phone Number of Employer:*
Are you still employed?*
Can NEW-TEC contact employer?*
All applicants that answer No agree that NEW-TEC may contact employer if an offer of employment is offered and accepted and resignation has been offered by employee to current employer.
Income*
per week
Begin Date Of Employment*
MM slash DD slash YYYY
End Date of Employment*
If you are still employed, please put today's date
MM slash DD slash YYYY
Summarize work peformed and responsibilities:*
Please explain reason for leaving employment?*

Name of High School*
Did you graduate high school?*
Date of Graduation*
Month
Day
Year
Have you earned your GED or equivalent diploma?*
Date of Graduation*
Month
Day
Year
Have you started and / or completed any secondary education?*
Please indicate highest level of secondary education*
Date of Graduation*
Month
Day
Year
Name of Secondary School*
Please list all specialty fields and majors / minors studied at secondary school?*

What qualities and / or job skills do you possess that would make you the best candidate for this position?
Applicant Authentication*
By typing my name below, I confirm that all information has been entered by me and that all information provided is true and accurate to the best of my knowledge. I understand that any falsified information will be grounds for immedate termination. I also agree that misrepresentation by me in this application will be sufficient cause for cancellation of this application and / or separation from NEW-TEC's employment if I have been employed. I give NEW-TEC the right to investigate all statements contained in this application, contact all references, and secure additional information about me if job related. I hereby release from liability NEW-TEC and its representatives for seeking such information and all other persons, corporations, or organizations furnishing this information. Please type full name in box below showing your full agreement of above statement.
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