ApplicationForm

Job Application

Please complete the form below to apply for a position with us.
Basic Information
Today's Date*

MonthDayYear
Date
Date available to start*

MonthDayYear
Date
Full Name*

First NameMiddle NameLast Name
Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Birth Date

MonthDayYear
Social Security Number
Contact Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email Address*
example@example.com
Position Applied*
Are you willing to travel?*
Are you available to work weekends?*
What kind of employment are you seeking?*
Are you legally eligible for employment in this county? *
Have you ever been employed here before?*
If yes, when?

MonthDayYear
Date
Do you have a valid Drivers License?*
If yes, Driver's License #
State Issued

Street Address

Street Address Line 2

CityState

Zip Code
DL Expiration Date

MonthDayYear
Date
Upload a copy of your drivers license or identification:*

Cancelof
Employment History
Company Name*
Previous Employer
Position Held*
Former Title
Direct Supervisor*
Supervisor Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Start Date*

MonthDayYear
Begin Employment
End Date*

MonthDayYear
End Employment
List of Duties Performed*
Reason for leaving:*
What was your wage?(Please identify hourly/salary)*
Company Name
Previous Employer
Position Held
Former Title
Direct Supervisor
Supervisor Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Start Date

MonthDayYear
Begin Employment
End Date

MonthDayYear
End Employment
List of Duties Performed
Reason for leaving:
What was your wage?(Please identify hourly/salary)
Company Name
Previous Employer
Position Held
Former Title
Direct Supervisor
Supervisor Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Start Date

MonthDayYear
Begin Employment
End Date

MonthDayYear
End Employment
List of Duties Performed
Reason for leaving:
What was your wage?(Please identify hourly/salary)
Education
Name of High School
Did you Graduate?
Graduation Date:

MonthDayYear
Date
Name of College or Trade School
Did you Graduate?
Graduation Date:

MonthDayYear
Date
Previous Residence

Most recent First
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
How Long did you live at the above address?
How Long did you live at the above address?
References
Personal Reference*

First NameLast Name
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Relationship*
Years Known
Personal Reference

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Relationship
Years Known
How did you hear about us
Please Specify
Employee Authorization to Release Records:
I understand and agree that: The information supplied, was submitted by myself, and all information is true and correct, to the best of my knowledge. I understand that false or misleading information given in my application and/or interview(s) will be considered as cause for possible dismissal and/or discharge. I also understand that I am to abide by all rules and regulations of Cable Tel Services, Inc. Cable Tel Services, Inc has my authorization to thoroughly investigate my work and personal history. I understand that the information supplied by me, regarding my: Personal Information, Employment History, Education, Criminal History, Motor Vehicle Records, Residence History, Social Security Verification and References will be utilized as part of the processing procedures. A background check will be conducted to verify the veracity of the information submitted and will be utilized to develop information concerning my character, general reputation, personal characteristics and mode of living. I will hold no person liable for giving or receiving information in this investigation. I hereby authorize Cable Tel Services, Inc and the agent of Sentry Link LLC to make a thorough check of my past Employment, Education and Activities.

I release and indemnify Cable Tel Services, Inc, and Sentry Link LLC against any liability that might result from making such background checks. A copy of this form is as valid as the original copy.
Do you agree to the above?*
Date*

MonthDayYear
Date
Signature*

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Job Application

Basic Information

Employment History

Education

Previous Residence

References

Employee Authorization to Release Records: