Distance Technologies LLC Employment Intrest Form
Please fill out the entire form below
Name
First Name
Middle Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Were you referred by a current employee?
Yes
No
Please give the name of the employee
First Name
Last Name
Have you previously been employed by Distance Technologies LLC?
Yes
No
Please state when and where
Did you learn about this position through an online posting?
Yes
No
Which One
Are you at least 18 years of age?
Yes
No
Job Preferences
What area a would you like to start in?
Please Select
New York Tri-State
Las Vegas NV
Schedule Preferences
Full Time
Part Time
Seasonal
Other
Number of Hours per Week
Hours
Please indicate the times you are available to work
Rows
Morning
Afternoon
Evening
Other
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Declaration
I, the applicant undersigned, agree with the following statements:
I declare that all information provided in this form is true and complete.
I understand that any false information or omission may disqualify me from further consideration for employment and may result in my dismissal if discovered later.
IF EMPLOYED, I UNDERSTAND THAT I HAVE BEEN HIRED AT THE WILL OF THE EMPLOYER AND MY EMPLOYMENT MAY BE TERMINATED AT ANY TIME. I UNDERSTAND MY EMPLOYMENT IS TENTATIVE BASED UPON A SUCCESSFUL COMPLETION OF A 10 YEAR CRIMINAL BACKGROUND CHECK AND BADGING PROCESS FOR ALL POSITIONS REQUIRING ACCESS WITH THE AIRPORT.
I acknowledge that I meet all required qualifications for this position and am able to perform the job responsibilities outlined in the job posting.
Date
-
Month
-
Day
Year
Date
Signature
Submit
Submit
Should be Empty: