Clawson Communications, Inc. Application for Employement

Clawson Communications, Inc. - Application for Employment
NOTE: This is a secure form.

We consider applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, marital status, disability or any other legally-protected status. Clawson Communications, Inc. is a drug-free workplace and all new hires will be tested.
Current Date and Time

MonthDayYearHourMinutesAM/PM Option
Full Name*

First NameLast Name
E-mail*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
Date Available to Start*

MonthDayYear
Social Security No*
Are you at least 18 years of age and legally eligible for work in the United States?

YesNo
Education 1
School Name
Years Attended
City
Courses Studied
Did you Graduate?
Education 2
School Name
Years Attended
City
Courses Studied
Did you Graduate?
Education 3
School Name
Years Attended
City
Courses Studied
Did you Graduate?
Work Experience 1
Employer
Job Title
Supervisor Name and Title
Phone
Address
Hourly Rate/Salary
Nature of the work and responsibilites
Reason for leaving
Work Experience 2
Employer
Job Title
Supervisor Name and Title
Phone
Address
Hourly Rate/Salary
Nature of the work and responsibilites
Reason for leaving
Work Experience 3
Employer
Job Title
Supervisor Name and Title
Phone
Address
Hourly Rate/Salary
Nature of the work and responsibilites
Reason for leaving
May we contact your present employer?
Clawson Communications, Inc. is a company dedicated to customer service. Our customers rely on service 24 hours a day, 7 days a week.
Do you understand that shift work and/or weekends may be required?*

YesNo
Do you understand that overtime work may be required?*

YesNo
Do you understand that you will need reliable transportation to both in and out of town job sites and that overnight stays may be required?*

YesNo
Have you ever filled an application with us? If "Yes, please give approximate date below*

YesNo
Date

MonthDayYear
Have you ever been employed with us? If "Yes" please give approximate date below.*

YesNo
Date

MonthDayYear
Do you have a valid driver's license? If "Yes" enter your driver's license and issuing state below.*

YesNo
License No*
State*
If you answered "Yes" to the question above, what kind of license do you have?*
Have you been convicted of or plead guilty to any traffic-related offense within the past five years? *

YesNo
If "Yes", please explain
Have you ever had your driver's license suspended or revoked or had you driving privileges modified by a court of law?*

YesNo
If "Yes", please explain
Have you ever been convicted of a felony or other crime?

YesNo
If "Yes", please explain
Describe any job-related training received in the military
State any additional information, such as special skills, training, management experience, equipment operation or qualifications you feel may be helpful to us in considering your application.
In the event of my employment, I understand that falsification, misrepresentation or omission of information given in my application may result in denial of employment or immediate dismissal. I understand, also, that I am required to abide by all rules and regulations of the employer.
Do you have any military experience? If yes, include dates and ranks.
Digital Signature
I, the applicant for this Application for Employment, warrant the truthfulness of the information provided in this application.
Electronic Signature*
I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to the above Terms of Acceptance.*

I Agree
E-mail
Should be Empty:

Clawson Communications, Inc. - Application for Employment

Education 1

Education 2

Education 3

Work Experience 1

Work Experience 2

Work Experience 3

Digital Signature